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AACN CCRN-Adult Latest Dumps: CCRN (Adult) - Direct Care Eligibility Pathway - Exams-boost Help you Pass Once
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AACN CCRN-Adult Exam Syllabus Topics:
Topic
Details
Topic 1
- 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 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.
Topic 3
- The endocrine, hematology, gastrointestinal, renal, and integumentary domains are also covered, focusing on conditions like diabetes mellitus, acute kidney injury, and infections. This section highlights the need for nurses to manage complex patient scenarios involving multiple systems effectively.
Topic 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.
Topic 5
- 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.
AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q467-Q472):
NEW QUESTION # 467
In the patient with acute gastrointestinal (GI) bleeding, initial estimates of blood loss are MOST reliably guided by:
- A. Vital signs and mental status
- B. Hematocrit and hemoglobin (H&H) values
- C. BUN levels and presence or absence of melena
- D. Level of consciousness (LOC)
Answer: A
Explanation:
The initial assessment of the patient with GI bleeding begins with a physical examination in which vital signs and mental status are the most reliable indicators of the amount of blood lost. In the presence of hemodynamic instability, resuscitation begins.
In addition to vital signs and physical assessment, measures of BUN, H&H and melena (among others), help determine the severity of the bleed. It can also be used to predict risk of complications, as well as to guide treatment modalities.
NEW QUESTION # 468
A terminally ill patient who is close to death is refusing to eat or drink and has communicated they are declining oral intake because of their desire to die. The family is distressed and urges the healthcare team to intervene. What should the nurse do in this situation?
- A. Respect the family's wishes and initiate forced feeding
- B. Persuade the patient to eat for the sake of their family
- C. Respect the patient's wishes and provide emotional support to the family
- D. Contact a dietitian to create a feeding plan that the patient will agree to
Answer: C
Explanation:
Respecting the patient's autonomy and wishes is a fundamental ethical principle in nursing. Patients have a right to deny life-sustaining nutrition or hydration as they approach the end of life. The nurse should provide emotional support to the family, instead of disregarding the patient's wishes by initiating forced feeding, trying to change their mind, or involving a dietitian to provide a feeding plan which the patient is refusing. The involvement of a dietitian is unlikely to be helpful, as the patient's refusal is not based on the makeup of their diet.
NEW QUESTION # 469
A patient with a sodium level of 114 mEq/L is most likely to develop
- A. tetany.
- B. cardiac arrhythmias.
- C. seizures.
- D. flaccid paralysis.
Answer: C
Explanation:
Hyponatremia
A pink squares with black text Description automatically generated
A patient with a sodium level of 114 mEq/L is most likely to develop seizures, which are a manifestation of severe hyponatremia and cerebral edema. Hyponatremia is a low level of sodium in the blood, which can cause water to move into the brain cells and cause them to swell. This can lead to increased intracranial pressure, neurological dysfunction, and seizures. Seizures are a medical emergency and require prompt treatment to prevent brain damage or death. Tetany, flaccid paralysis, and cardiac arrhythmias are not typical signs of hyponatremia, but may occur in other electrolyte disorders, such as hypocalcemia, hyperkalemia, or hypokalemia.
References:
* Overview of the treatment of hyponatremia in adults - UpToDate1, p. 1-2.
* Manifestations of hyponatremia and hypernatremia in adults - UpToDate2, p. 1-2.
NEW QUESTION # 470
Which of the following is the primary carrier of oxygen to body tissues?
- A. Red blood cells
- B. Hemoglobin
- C. White blood cells
- D. Hematocrit
Answer: B
Explanation:
Hemoglobin is the primary carrier of oxygen to body tissues. As the number of red blood cells changes, so does the hemoglobin content. A decline in hemoglobin to a level as low as seven g/dL may be well- tolerated in some patients. In others, this decline can result in significant symptoms.
NEW QUESTION # 471
Which of the following is NOT one of the eight competencies identified in the AACN Synergy Model?
- A. Caring practices
- B. Clinical inquiry
- C. Systems thinking
- D. Critical thinking
Answer: D
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
While critical thinking is an important nursing skill, it is not one of the core components of the AACN Synergy Mode, but is rather a foundational concept of many of these core competencies.
NEW QUESTION # 472
......
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