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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 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 6	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 7	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 8	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.

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AACN CCRN-Adult PDF Guide - Accurate CCRN-Adult Study Material

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q711-Q716):

NEW QUESTION # 711
The nurse is caring for a patient and auscultates a diastolic heart murmur. In which of the following valvular disorders would the nurse anticipate with this finding?

A. Mitral insufficiency
B. Mitral stenosis
C. Tricuspid insufficiency
D. Aortic stenosis

Answer: B

Explanation:
Heart murmurs are the result of abnormal blood flow and are produced by two murmurs: mitral stenosis and mitral insufficiency. Mitral stenosis is a narrowing of the mitral valve opening that blocks (obstructs) blood flow from the left atrium to the left ventricle. Mitral insufficiency is a backflow of blood caused by the failure of the heart's mitral valve to close tightly. Both of these can cause heart murmurs.
* Systolic murmurs: Produced by mitral and tricuspid insufficiency
* Diastolic murmurs: Produced by mitral and tricuspid stenosis; pulmonic and aortic insufficiency

NEW QUESTION # 712
A patient in the ICU consistently refuses to participate in physical therapy sessions, hindering their recovery process. What is the BEST response by the nurse?

A. "You have the right to refuse physical therapy. I will see if the doctor can cancel the order for it."
B. "What makes you not want to do the physical therapy the doctor has ordered?"
C. "I can give you medicine that will decrease your pain prior to starting physical therapy if you'd like."
D. "You really need to do physical therapy to get better. Why won't you do it?"

Answer: B

Explanation:
The nurse should assess the reason that the patient does not wish to participate in physical therapy so that they can determine the next intervention. Offering to treat the patient's pain prior to therapy is a good intervention if pain is the reason they are refusing; however, this should be assessed first. "Why" questions can appear judgemental and should be avoided. While the patient does have the right to refuse, the nurse should take steps to encourage the patient to participate, not just accept it, as the patient requires therapy to ameliorate.

NEW QUESTION # 713
The nurse is caring for a patient in the ICU who becomes increasingly confused, disoriented and agitated, despite frequent reorientation. To keep the patient safe, the BEST initial intervention by the nurse is:

A. encourage a family member to stay with the patient
B. minimize external stimuli and make frequent observations of the patient
C. administer a short-acting benzodiazepine
D. apply soft-padded wrist and ankle restraints

Answer: B

Explanation:
Delirium is evidenced by disorientation, confusion, perceptual disturbances, restlessness, distractibility, and sleep-wake cycle disturbances. Due to the nature of most ICUs, the critically ill patient is at risk for the development of confusion and subsequently delirium due to sensory overload. External stimulation should be minimized and a quiet, well-lit room maintained during the day. Consistency in care providers is important, and repeating orientation cues minimizes fear and confusion. The nurse should check-in with the patient often to ensure safety.
Restraints should be discouraged because they tend to increase agitation. Medications for managing delirious behaviors are best reserved for those cases in which behavioral interventions are unsuccessful.
Family members may stay with the patient, but it is not the job of the family member to keep the patient safe; that is the primary responsibility of the healthcare team while the patient is hospitalized.

NEW QUESTION # 714
The family of a patient requests permission to administer traditional herbs to the patient. Which of the following should be the nurse's first action?

A. Inform the family that herbal therapy is not appropriate in the hospital.
B. Consult with the pharmacist on the effects of the specific herbs.
C. Obtain an order for the herbs.
D. Allow the patient to take the herbs because they are natural.

Answer: B

Explanation:
Verified answer: B. Consult with the pharmacist on the effects of the specific herbs. Herbal therapy is a type of complementary and alternative medicine (CAM) that uses plants or plant extracts to treat various health conditions. Many patients use herbal therapy for various reasons, such as cultural beliefs, personal preferences, or dissatisfaction with conventional medicine. However, herbal therapy is not without risks and challenges, especially in the hospital setting. Some of the potential problems include lack of standardization, quality control, and regulation of herbal products; adverse effects and interactions with other medications; and ethical and legal issues regarding informed consent, documentation, and liability12. Therefore, the nurse's first action should be to consult with the pharmacist on the effects of the specific herbs that the family wants to administer to the patient. The pharmacist can provide information on the safety, efficacy, dosage, and compatibility of the herbs with the patient's condition and current medications. The nurse should also inform the patient's primary provider and obtain an order for the herbs before allowing the patient to take them. The nurse should document the use of herbal therapy in the patient's medical record and monitor the patient for any adverse effects or changes in response to other treatments. Informing the family that herbal therapy is not appropriate in the hospital is not respectful of the patient's autonomy and cultural values. Allowing the patient to take the herbs without consulting the pharmacist and obtaining an order is not safe and may violate the hospital's policies and standards of care.

NEW QUESTION # 715
A critical care nurse is working on a research project about Ventilator-Associated Pneumonia (VAP). The nurse identified a set of interventions that might decrease VAP rates. How should the nurse proceed?

A. Implement the interventions immediately to decrease VAP rates
B. Conduct a trial study with a small group of patients
C. Compare the identified interventions with the current evidence-based practice
D. Share the interventions with the healthcare team for feedback

Answer: C

Explanation:
Comparing the identified interventions with the current evidence-based practice will help ensure they are safe, effective, and supported by research. Implementing interventions immediately without further research could lead to harm if the interventions are not evidence-based. While feedback from the healthcare team and trial studies are part of implementing change in practice, they should come after comparison with existing evidence.

NEW QUESTION # 716
......

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Practice CCRN-Adult Exam & CCRN-Adult PDF Guide

AACN CCRN-Adult Exam Syllabus Topics:

AACN CCRN-Adult PDF Guide - Accurate CCRN-Adult Study Material

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q711-Q716):

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