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AACN CCRN-Adult Exam Syllabus Topics:

Topic	Details
Topic 1	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 2	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.
Topic 3	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.

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q440-Q445):

NEW QUESTION # 440
The presence of the "spine sign" on a critically ill patient's chest radiograph is indicative of:

A. Tuberculosis
B. Pneumonia
C. Pulmonary embolism (PE)
D. Scoliosis

Answer: B

Explanation:
The presence of the "spine sign" on chest x-ray is indicative of bilateral lower lobe pneumonia.
When something abnormal interposes itself and superimposes on the lower thoracic spine, the spine may "appear" to become whiter rather than darker just above the diaphragm. This effect is called the
"spine sign." The spinal markings disappear at the level of bilateral lower lobe pulmonary infiltrates, which occlude visibility of the vertebrae.

NEW QUESTION # 441
A hospital decides to establish a code blue committee to review their responses to cardiac and respiratory arrests. Which of the following AACN Synergy Model competencies does this BEST demonstrate?

A. Clinical inquiry
B. Response to diversity
C. Facilitation of learning
D. Clinical judgement

Answer: A

Explanation:
The AACN Synergy Model is the source of content for 20% of the CCRN, making this concept a central component of the test. The eight components of the AACN Synergy Model are:
* Clinical judgement
* Advocacy and moral agency
* Caring practices
* Collaboration
* Systems thinking
* Response to diversity
* Facilitation of learning
* Clinical inquiry
Clinical inquiry refers to the ongoing process of questioning and evaluating practice and providing informed practice. Establishing a code blue committee demonstrates clinical inquiry better than it does the other competencies provided in the answers. Response to diversity refers to sensitivity to individual- specific needs during care. Clinical judgement refers to the clinical decision-making process and the rationale that it is founded on. Facilitation of learning refers to the teaching aspect of nursing.

NEW QUESTION # 442
A patient struggling with a chronic, terminal disease expresses suicidal thoughts to their nurse. Which of the following interventions is MOST important?

A. Arrange for 1:1 observation
B. Arrange for psychiatric consultation
C. Involve the family in a group discussion
D. Remove any monitoring equipment or cords that may be used as ligatures

Answer: A

Explanation:
Arranging for 1:1 observation is the appropriate immediate action, as it ensures the patient's safety.
Arranging for psychiatric consultation is important, but does not address the immediate risk of harm.
Involving the family in a group discussion can be part of a larger treatment plan but does not address immediate safety concerns. Removing monitoring equipment or cords that may be used as ligatures may impair the ability to correctly monitor the patient. Rather, 1:1 observations should be used to prevent misuse of monitoring equipment or cords.

NEW QUESTION # 443
Which of the following procedures is NOT a type of thoracic surgery?

A. Decortication
B. Bronchoscopy
C. Wedge resection
D. Bullectomy

Answer: B

Explanation:
A bronchoscopy is a medical procedure involving the thorax, but is not a surgical procedure. A wedge resection is the removal of a small wedge-shaped section of lung tissue. A decortication is surgical removal of pulmonary fibrous tissue and pus from the plural space. A bullectomy involves the resection of emphysematous bullae.

NEW QUESTION # 444
The MOST common Neuromuscular Blocking Agents (NMBA) used in the critical care setting are:

A. nondepolarizing agents
B. anticonvulsants
C. depolarizing agents
D. vasodilators

Answer: A

Explanation:
Neuromuscular Blocking Agents (NMBA) are potent muscle relaxants typically only used during surgery to prevent muscle movement and work by blocking neuromuscular transmission, causing paralysis of the muscle. Nondepolarizing agents are the most common type of NMBA used in the critical care setting; these agents block the transmission of nerve impulses by blocking cholinergic receptors, resulting in muscle paralysis. There are short, intermediate, and long-acting NMBAs available depending on the indication.
Succinylcholine is the only depolarizing agent available for clinical use and is the agent of choice for rapid intubation of the trachea. Anticonvulsants and vasodilators are not NMBAs.

NEW QUESTION # 445
......

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AACN certification CCRN-Adult exam free exercises updates

CCRN-Adult Study Guides, CCRN-Adult Reliable Exam Tips

AACN CCRN-Adult Exam Syllabus Topics:

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q440-Q445):

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