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AACN CCRN-Adult Exam Syllabus Topics:

Topic	Details
Topic 1	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	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 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.

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q134-Q139):

NEW QUESTION # 134
Natural defenses consist of physiologic and anatomic barriers to antigens within the body. These barriers include all of the following EXCEPT:

A. alkaline pH in the stomach
B. skin and mucosal membranes
C. sneezing and coughing
D. secretions containing IgA

Answer: A

Explanation:
Immune system protection from infection is categorized into three levels: natural defenses, innate (general) immunity, and adaptive (specific) immunity. Natural defenses include normal chemical barriers (an acidic, not alkaline, pH of the stomach to facilitate digestion and secretions), having intact epithelial surfaces (skin and mucous membranes), and protective reflexes (blinking, swallowing, coughing, gagging, and sneezing).
The innate response to infection includes activation of the phagocytic WBC (neutrophils and monocytes) to attack foreign microorganisms that have entered the body, bypassing the natural defenses.
Lymphocytes (B cells and T cells) are responsible for the orchestration of an immune response specific to each foreign protein or antigen.

NEW QUESTION # 135
A devout Jewish patient in the ICU requires a non-emergency procedure, but it is the Sabbath. How should the nurse proceed?

A. Ask the patient if they are okay with having the procedure performed on the Sabbath
B. Proceed with the procedure since it's medically necessary.
C. Postpone the procedure until after the Sabbath, if medically acceptable
D. Seek advice from the hospital's ethics committee

Answer: A

Explanation:
A devout Jewish patient may have a problem having a medical procedure performed on the Sabbath; however, they may also be okay with it. The nurse should ask the patient instead of making assumptions about their religious practices. If the patient wants to delay the procedure, the healthcare team may postpone the procedure until after the Sabbath, if medically acceptable. The nurse can encourage the patient to proceed with the procedure if it's medically necessary, but should not pressure the patient and should allow them to make informed medical decisions that are consistent with their preferred religious practices. Seeking advice from the hospital's ethics committee is unlikely to be necessary.

NEW QUESTION # 136
A patient with an acute COPD exacerbation is MOST likely to have which of the following ABG results?

A. pH 7.24, PaCO2 55 mmHg, PaO2 51 mmHg
B. pH 7.50, PaCO2 21 mmHg, PaO2 39 mmHg
C. pH 7.48, PaCO2 61 mmHg, PaO2 60 mmHg
D. pH 7.34, PaCO2 30 mmHg, PaO2 60 mmHg

Answer: A

Explanation:
An acute COPD (Chronic Obstructive Pulmonary Disease) exacerbation typically presents with hypoxemia (low PaO2) and respiratory acidosis (low pH, high PaCO2). Other values do not demonstrate hypoxemia coupled with respiratory acidosis and are not consistent with ARDS (Acute Respiratory Distress Syndrome).

NEW QUESTION # 137
In the patient with ascites, the nurse knows all of the following complications may potentially develop EXCEPT:

A. bacterial pneumonitis
B. hepatorenal syndrome
C. tension pneumothorax
D. formation of pleural effusion

Answer: C

Explanation:
Ascites is the abnormal collection of fluid in the peritoneal cavity. Fluid shifts from the intravascular space into the peritoneal space. The accumulation of fluid may cause breathing difficulties by compressing the diaphragm and formation of pleural effusion. In patients with ascites related to portal hypertension, bacteria from the gut may spontaneously invade the peritoneal fluid (ascites) and cause an infection called spontaneous bacterial peritonitis. Hepatorenal syndrome is a rare, but serious and potentially lethal complication of ascites related to cirrhosis of the liver leading to progressive kidney failure.
Tension pneumothorax is not generally a complication of ascites.

NEW QUESTION # 138
A patient with hypertension received tPA for an acute embolic stroke with complete resolution of symptoms.
Twenty-four hours after tPA administration, the nurse should anticipate an order for

A. diuretics.
B. calcium channel blockers.
C. antiplatelet agents.
D. beta blockers.

Answer: C

NEW QUESTION # 139
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Maximize Your Chances of Getting CCRN-Adult Exam

AACN CCRN-Adult Exam Syllabus Topics:

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q134-Q139):

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