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AACN CCRN-Adult Exam Syllabus Topics:
Topic
Details
Topic 4
- 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 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.
Topic 6
- In musculoskeletal, neurological, and psychosocial areas, the syllabus includes managing trauma, neurological disorders, and behavioral health issues. This emphasizes the holistic approach required in critical care settings. Lastly, multisystem complications such as sepsis and shock states are included to assess the ability to manage life-threatening conditions that affect multiple organ systems.
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q52-Q57):
NEW QUESTION # 52
A patient with Methicillin-Resistant Staphylococcus Aureus (MRSA) has been placed in isolation. Which of the following would be the MOST appropriate transmission-based precaution for this patient?
- A. Contact-plus precautions
- B. Droplet precautions
- C. Airborne precautions
- D. Contact precautions
Answer: D
Explanation:
MRSA is spread by direct physical contact, hence contact precautions are the most suitable. Airborne, droplet, and contact-plus precautions are not appropriate for preventing the spread of MRSA.
NEW QUESTION # 53
The MOST common type of cardiomyopathy is:
- A. Obstructive
- B. Dilated
- C. Restrictive
- D. Hypertrophic
Answer: B
Explanation:
Cardiomyopathy, a disease involving the destruction of the cardiac muscle fibers, causes impairment of myocardial function and decreased cardiac output. Cardiomyopathies are commonly classified into three types:
1. Dilated (most common): Commonly caused by CAD (Coronary Artery Disease_ and associated with impaired myocardial contractility and increased ventricular filling pressures
2. Hypertrophic: Categorized as obstructive and nonobstructive
3. Restrictive (least common): A classic finding is ventricular fibrosis, often caused by infiltration of the cardiac myocytes with abnormal tissue (i.e., sarcoid or amyloid disease)
NEW QUESTION # 54
In a patient with acute respiratory distress syndrome (ARDS), which ventilator setting is MOST critical for facilitating the opening of collapsed alveoli and improving systemic oxygenation?
- A. Increase the FiO2
- B. Increase PEEP
- C. Decrease the FiO2
- D. Decrease PEEP
Answer: B
Explanation:
A primary intervention specific to ARDS to improve oxygenation and ventilation includes increasing the PEEP (positive end-expiratory pressure) to help keep the alveoli open and prevent small airway closure.
It is very effective in diffuse lung processes such as ARDS.
FiO2 changes will not be as beneficial as increasing PEEP.
NEW QUESTION # 55
A 55-year-old male is admitted with a suspected acute pulmonary embolism (PE). The critical care nurse assessing the patient knows that which of the following is a common clinical manifestation of PE?
- A. Pleuritic chest pain
- B. Hypertension
- C. Bradycardia
- D. Hypothermia
Answer: A
Explanation:
Pulmonary embolism is a complication of DVT, long bone fracture, or air entering the circulatory system.
There are many risk factors for PE, with critically ill patients being especially prone due to the presence of central venous catheters, immobility and the high rates of comorbidities, such as heart failure and cancer. The common clinical manifestations of PE are dyspnea, cough, tachypnea, tachycardia, and pleuritic chest pain.
Other signs and symptoms include rales upon auscultation, apprehension, diaphoresis, evidence of deep vein thrombosis (DVT), hemoptysis, fever, syncope, hypoxia, and hypotension.
NEW QUESTION # 56
Which of the following is NOT a heart rhythm that the nurse should expect to potentially see caused by blunt chest trauma affecting the heart?
- A. Premature ventricular contractions
- B. Atrial fibrillation
- C. Sinus tachycardia
- D. Sinus bradycardia
Answer: D
Explanation:
Sinus bradycardia is not a heart rhythm that would be commonly caused by blunt chest trauma. Sinus tachycardia, atrial fibrillation, and premature ventricular contractions are all potential dysrhythmias associated with blunt chest trauma. Ventricular tachycardia and ventricular fibrillation are both associated with extensive myocardial damage due to a chest trauma.
NEW QUESTION # 57
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