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AACN CCRN-Adult Prüfungsplan:

Thema	Einzelheiten
Thema 2	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.
Thema 4	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.
Thema 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.
Thema 7	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 CCRN-Adult Prüfungsfragen mit Lösungen (Q830-Q835):

830. Frage
A terminally ill patient expresses that they are planning to end their life. As an ICU nurse, what is the MOST appropriate initial response?

A. Initiate continuous 1:1 observation
B. Advise the patient that it's a permanent solution to a temporary problem
C. Express personal beliefs about euthanasia to the patient
D. Schedule a consultation with a psychiatrist

Antwort: A

Begründung:
Suicidal ideation will require that continuous 1:1 observation is initiated. Advising the patient that it's a permanent solution to a temporary problem will minimize the patient's feelings, is dismissive of the issue, and fails to maintain patient safety. Expressing personal beliefs about euthanasia to the patient is inappropriate as personal beliefs should be kept separate from professional practice. Scheduling a consultation with a psychiatrist is appropriate, but does not provide for the patient's immediate safety.

831. Frage
All of the following statements are accurate about determining decision-making capacity in a patient EXCEPT:

A. decision-making capacity is based on the patient's physical and mental health and consistency in addressing issues
B. cultural, religious, or ethical differences should not be misinterpreted as evidence of incapacity
C. capacity is based on the ability to concur with healthcare providers and/or family members
D. elements necessary for a patient to meet the functional standard of determining capacity include comprehension, communication, and preference expression

Antwort: C

Begründung:
Determining the capacity of a patient to consent focuses on the patient's abilities as a decision maker rather than on the patient's condition or projected outcome of the decision. Patients must be able to comprehend, communicate, and form and express a preference. Capacity is not based on the ability to concur with healthcare providers and/or family members. Patient differences such as cultural, religious, or ethical should not be misinterpreted as evidence of incapacity. Decision-making capacity is based on the patient's physical and mental health and consistency in addressing issues.

832. Frage
Which of the following best describes a burr hole?

A. Another name for a craniotomy
B. A surgically-created opening in the skull
C. An anatomical opening in the base of the skull through which the spinal cord attaches to the skull
D. An opening created by a compression fracture in the skull, secondary to trauma

Antwort: B

Begründung:
A burr hole is a surgically-created hole in the skull that is used to relieve pressure or to insert cranial catheters.
The opening in the base of the skull through which the spinal cord attaches to the skull is called the foramen magnum. A craniotomy is surgical removal of part of the skull, not surgical creation of a small hole in the skull.

833. Frage
A patient is admitted to the ICU with suspected End-Stage Kidney Disease (ESKD). The patient has a history of Chronic Renal Failure (CRF). Despite aggressive Lasix administration, the patient continues to be in fluid overload. His 24-hour urine output is 350 mL.
Which lab finding is the BEST for the critical care nurse to follow to get a good idea of the trending pattern of the patient's renal function?

A. Serum creatinine
B. Urine osmolality
C. Serum BUN
D. Urine specific gravity

Antwort: A

Begründung:
This patient is oliguric as evidenced by a urine output of less than 400 mL/day and, due to the extent of the damage to the kidneys, his body is unable to filter and excrete fluids and waste products as it should. The critical care nurse should monitor the trending patterns of the patient's serum creatinine levels, as this lab finding is the best predictor of renal function.
Blood Urea Nitrogen (BUN) levels provide information about the kidney's filtering ability and the state of renal perfusion, whereas the creatinine level is more precise in evaluating actual tubular function. Urine specific gravity and urine osmolality are useful in identifying the kidney's ability to excrete and concentrate fluid.

834. Frage
In a patient with low Systemic Vascular Resistance (SVR) due to sepsis and fever, which of the following medications would be BEST to raise SVR?

A. Epinephrine and dobutamine
B. Norepinephrine and dopamine
C. Nitropursside and dobutamine
D. Vasopressin and nitroprusside

Antwort: B

Begründung:
If Systemic Vascular Resistance (SVR) is low, the left ventricle faces a lower resistance to the ejection of blood. Generally, the SVR decreases as a pathologic response to inflammatory conditions such as sepsis and fever, or in hepatic disease due to increased collateral circulation. If SVR is low, fluid administration and/or vasopressor drugs such as norepinephrine and dopamine are indicated.

835. Frage
......

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CCRN-Adult Online Praxisprüfung, CCRN-Adult Ausbildungsressourcen

CCRN-Adult Musterprüfungsfragen - CCRN-AdultZertifizierung & CCRN-AdultTestfagen

AACN CCRN-Adult Prüfungsplan:

AACN CCRN (Adult) - Direct Care Eligibility Pathway CCRN-Adult Prüfungsfragen mit Lösungen (Q830-Q835):

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