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AACN CCRN-Adult Exam Syllabus Topics:

Topic	Details
Topic 2	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 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

Details

Topic 2

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 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.

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q857-Q862):

NEW QUESTION # 857
Which of the following statements is MOST ACCURATE about compartment syndrome?

A. The limb in which compartment syndrome is developing should be elevated above the heart
B. If compartment pressures are high, surgical intervention is necessary
C. The "five Ps" are good early indicators of compartment syndrome
D. Compartment syndrome becomes problematic when distal pulses are affected

Answer: B

Explanation:
A fasciotomy is the best and most effective treatment for compartment syndrome. In most situations, it is the only effective way to treat this condition.
If the compartment pressures are high (measured via a specialized needle that is inserted directly into the tissue compartment), a fasciotomy is performed to relieve pressure. This procedure entails surgically opening the skin and fascia to relieve the pressure in a muscle compartment, and is the treatment of choice for compartment syndrome. The primary goal of this surgical intervention is to improve perfusion and minimize ischemia and injury to distal tissues.
The nurse performs repeated neurovascular checks to assess for signs of compartment syndrome, but the five Ps (pain, pallor, pulselessness, paresthesia, paralysis) may not provide an accurate early assessment of rising compartment pressures.
Normal compartment pressures are 0-8 mm Hg, and distal pulses are only affected when the compartment pressures are equal to the systolic blood pressure (SBP), meaning that significant pressure has already developed in the compartment.
Compartment syndrome occurs when fluid leaks from out of the vascular space. Therefore, elevating the affected limb will not enhance venous return, but will decrease circulation, exacerbating the condition.

NEW QUESTION # 858
A patient is admitted for hypertensive crisis. As a nurse is starting a peripheral IV, the patient appears increasingly anxious as the catheter is about to be inserted. The patient threatens to harm the nurse if the catheter insertion causes pain. Which of the following is the nurse's best action?

A. Physically restrain the patient during the performance of the procedure.
B. Tell the patient to remain still in a stern, authoritative voice.
C. Engage the patient in a conversation and encourage him to verbalize his feelings.
D. Ask another staff member to distract the patient during insertion.

Answer: C

Explanation:
When a patient exhibits anxiety and threats of harm, it is crucial to de-escalate the situation through verbal communication and engagement. By encouraging the patient to verbalize their feelings, the nurse can address the patient's fears and anxieties, reducing the likelihood of aggression. This approach promotes a therapeutic nurse-patient relationship and ensures the safety of both the patient and healthcare staff. References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course

NEW QUESTION # 859
The nurse is caring for a patient with an Aneurysmal Subarachnoid Hemorrhage (aSAH). The nurse understands that the patient is MOST at risk for which of the following?

A. Diabetes Insipidus
B. Pulmonary emboli
C. Re-bleeding
D. Vasospasm

Answer: D

Explanation:
Subarachnoid Hemorrhage (SAH) can result from trauma, aneurysm, or other vascular malformations.
Intracranial aneurysms usually occur in the circle of Willis at arterial bifurcations or trifurcations.
Although the mechanism is not well understood, arterial narrowing, commonly referred to as
"vasospasm," occurs in a significant number of patients in the days following aneurysm rupture and can cause Delayed Cerebral Ischemia (DCI).

NEW QUESTION # 860
Which of the following is TRUE when considering screening patients for abuse?

A. Screening should be performed every 24 hours
B. Screening can be omitted if the patient is acutely unstable
C. Screening must be performed at admission
D. Screening should be performed at admission and whenever there are potential concerns

Answer: D

Explanation:
The social history includes asking about the use and abuse of caffeine, alcohol, tobacco, and other substances, such as illicit drugs or prescription medications, such as opioids.
This screening should be performed at admission (if possible), and whenever any potential concerns arise. It is not necessary to screen for abuse every 24 hours in most circumstances. The screening may only need to be performed at admission, but may need to be performed other times if concerns arise.
Screening for abuse may be deferred (not omitted) if the patient is acutely unstable, but it will still need to be done at some point during the patient's hospitalization.

NEW QUESTION # 861
Which of the following is the MOST common adverse effect of Positive End-Expiratory Pressure (PEEP)?

A. Pulmonary hypertension
B. Decreased venous return
C. Increased Cardiac Output (CO)
D. Decreased renal perfusion

Answer: B

Explanation:
Use of PEEP may increase the risk of barotrauma due to higher mean and peak airway pressures during ventilation. Venous return and CO may be affected by these high pressures. If CO decreases with PEEP initiation and oxygenation is improved, a fluid bolus may be administered to correct hypovolemia. Other less common complications from PEEP include increased ICP, decreased renal perfusion, hepatic congestion, and worsening of intracardiac shunts.

NEW QUESTION # 862
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Inside the Medical Laboratory: The Silent Backbone of Healthcare

Isaac Clark Isaac Clark

Biography

Choose Any AACN CCRN-Adult Exam Dumps Format and Start Preparation

AACN CCRN-Adult Exam Syllabus Topics:

High-quality AACN Exam CCRN-Adult Fees Are Leading Materials & Free PDF CCRN-Adult Valid Test Camp

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q857-Q862):