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Minimum AACN CCRN-Adult Pass Score | CCRN-Adult Latest Exam Fee

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AACN CCRN-Adult Exam Syllabus Topics:

Topic
Details

Topic 1

CLINICAL JUDGMENT: This section measures the skills of Critical Care Nurses and covers a wide range of medical conditions across various systems. It includes cardiovascular issues such as acute coronary syndrome, heart failure, and cardiomyopathies, demonstrating the need for in-depth knowledge in managing these critical conditions. The section also addresses respiratory emergencies like pulmonary embolism and ARDS, emphasizing the importance of understanding respiratory failure and chronic conditions.

Topic 4

PROFESSIONAL CARING & ETHICAL PRACTICE: This section assesses the skills of Clinical Nurse Leaders in professional caring and ethical practice. It covers advocacy and moral agency, highlighting the importance of representing patients' interests in healthcare decisions. The section also addresses caring practices that promote patient-centered care and response to diversity, ensuring that care is tailored to individual needs.

Topic 5

Facilitation of learning is emphasized, indicating the role of nurses in educating patients and families about health management. Collaboration is another key component, focusing on teamwork within healthcare settings to improve patient outcomes. Systems thinking is included to encourage understanding of how different components of healthcare interact. Finally, clinical inquiry is highlighted as a means to foster evidence-based practice and continuous improvement in patient care.

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q470-Q475):

NEW QUESTION # 470
A critical care nurse notices a recent increase in patient falls on the unit. Which of the following represents the BEST initial response utilizing systems thinking?

A. Raise awareness of the issue with nursing staff on the unit
B. Advocate for improved staffing levels
C. Develop a system for ensuring that patients' fall risks are communicated to all members of the healthcare team
D. Implement a more frequent rounding schedule for patients

Answer: C

Explanation:
Developing an interdisciplinary system for ensuring that patients' fall risks are communicated to all members of the healthcare team demonstrates systems thinking because it takes the overall healthcare delivery system into consideration, not just the nurses on the unit. More frequent rounding, increased awareness among nursing staff, and increased staffing levels may be part of the solution, but these actions do not demonstrate systems thinking to the extent that developing an interdisciplinary system for fall risk awareness does.

NEW QUESTION # 471
The PRIMARY purpose of Continuous Positive Airway Pressure (CPAP) is to:

A. stabilize alveolar lung volume
B. control respiratory rate
C. decrease diuresis
D. decrease ventilator dependence

Answer: A

Explanation:
Continuous Positive Airway Pressure (CPAP) enhances end-expiratory pressure to help stabilize alveolar lung volume and improve oxygenation. The application of positive pressure to the airways during expiration may keep alveoli open and prevent early closure during exhalation. Lung compliance and ventilation-perfusion matching are often improved by prevention of early alveolar closure.
CPAP does not affect urinary function. While CPAP, in conjunction with any of the ventilator modes, does help to decrease ventilator dependence, it is not the primary purpose of CPAP. CPAP is not normally used to control a patient's respiratory rate.

NEW QUESTION # 472
Which of the following is the MOST definitive test for the diagnosis of aortic dissection?

A. EKG
B. Echocardiogram
C. MRI
D. Chest x-ray

Answer: C

Explanation:
An MRI scan (or CT scan) is the most definitive test for the diagnosis of aortic dissection. An MRI determines the size of the aorta, size of the aneurysm, the extent of a dissection, the involvement of additional arterial branches, lumen diameter, and wall thickness.
Echocardiogram findings can visualize the location and size of an aneurysm. A chest x-ray may show the dilated aorta, widening of the mediastinum, and mediastinal mass. An EKG is not used to diagnose aortic disection.

NEW QUESTION # 473
The nurse is caring for a patient in the PACU immediately following cardiac catheterization. The nurse notes a large hematoma forming at the catheter site secondary to arterial damage. All of the following are appropriate nursing interventions EXCEPT:

A. Continue heparin infusion
B. Lower the head of bed (HOB) to < 30 degrees
C. Monitor for hypotension, tachycardia, or arrhythmia
D. Compress the artery just above the incision site

Answer: A

Explanation:
Treatment for local bleeding due to catheter site artery damage (hemorrhage, hematoma, pseudoaneurysm) includes:
* Keeping the patient flat with the Head of the Bed (HOB) < 30 degrees
* Compression of artery just above the incision (pedal pulse should be faint)
* Monitoring for hypotension, tachycardia, or arrhythmia
* Discontinue unfractionated heparin infusion if present
Embolectomy or vascular repair may be deemed necessary following an ultrasound of the groin region.

NEW QUESTION # 474
The doctrine of informed consent encompasses four elements. Which of the following is NOT one of these elements of informed consent?

A. Comprehension
B. Autonomy
C. Competence
D. Disclosure

Answer: B

Explanation:
The doctrine of informed consent encompasses the following four elements:
* Disclosure
* Comprehension
* Voluntariness
* Competence
The patient's comprehension often depends on how the information is disclosed. Information must be provided in a way that promotes the patient's understanding of their current medical status, the proposed interventions, all possible risks and benefits, and the reasonable alternatives to the proposed treatment. Decisions must be reached voluntarily. Competence reflects the patient's capability to make decisions about their own medical care.
The intent of the informed consent process is based on the principle of autonomy, as it provides an individual with the necessary information to compare options and make a reasoned choice.
Autonomy, therefore, is not an element of, but rather, a principle upon which informed consent is based.

NEW QUESTION # 475
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