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Released AACN CCRN-Adult Questions Tips For Better Preparation [2026]
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AACN CCRN-Adult Exam Syllabus Topics:| Topic | Details | | Topic 1 | - 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 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 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.
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q707-Q712):NEW QUESTION # 707
The family of a critical care patient wants to be involved in their care. How should you facilitate this family member's learning?
- A. Directing them to an online resource so that they can educate themselves
- B. Demonstrating care procedures and explaining as you perform them
- C. Ignoring the family's wishes as they could interfere with patient care
- D. Providing reading materials on the condition and care procedures
Answer: B
Explanation:
Demonstrating care procedures and explaining as you perform them incorporates the principles of active participation and practical application. This method engages the family members and allows for immediate feedback and clarification. Providing reading materials on the condition and care procedures can be a helpful supplementary resource, but it is not as interactive or immediate as demonstration coupled with conditions. Ignoring the family's wishes as they could interfere with patient care disregards the family's wishes and does not foster a collaborative environment. Directing them to an online resource so that they can educate themselves ignores the nurse's responsibility to provide teaching and can result in the patient's family learning incorrectly.
NEW QUESTION # 708
A critical care nurse finds that patients in the unit are often distressed due to the noise level. Which response by the nurse BEST demonstrates systems thinking?
- A. Recognizing that noise is part of the ICU environment and cannot be avoided
- B. Putting together an interdisciplinary team to address the issue
- C. Providing earplugs to all patients in the unit
- D. Initiate a discussion with other nurses about noise reduction strategies
Answer: B
Explanation:
Systems thinking involves leveraging a body of knowledge to manage the environment and system resources for patients and their families. Putting together an interdisciplinary team takes into consideration the entire system and how it impacts the patient, not just the unit itself. Providing earplugs to all patients in the unit or discussing strategies with other nurses does not demonstrate systems thinking or the leveraging of an interdisciplinary approach. Recognizing that noise cannot be avoided is not correct, as measures can be taken to mitigate this issue.
NEW QUESTION # 709
Which of the following is the federal law that requires healthcare institutions receiving Medicare or Medicaid funds to inform patients of their legal rights to make healthcare decisions and execute advance directives?
- A. Mental Health Systems Act (MHSA)
- B. Patient Safety and Quality Improvement Act (PSQIA)
- C. The Patient Self Determination Act (PSDA)
- D. National Mental Health Act (NMHA)
Answer: C
Explanation:
The Patient Self Determination Act (PSDA) was passed by the United States Congress in 1990 as an amendment to the Omnibus Budget Reconciliation Act of 1990. Effective on December 1, 1991, this legislation required many hospitals, nursing homes, home health agencies, hospice providers, Health Maintenance Organizations (HMOs), and other healthcare institutions receiving Medicare or Medicaid funds to inform patients of their legal rights to make healthcare decisions and execute advance directives. Its purpose is to preserve and protect the rights of adult patients to make choices regarding their medical care. It requires institutions to inform individuals of relevant state laws surrounding the preparation and execution of advance directives.
NEW QUESTION # 710
An unconscious patient just had an endotracheal tube inserted orally for intubation. The critical care nurse knows which of the following interventions should be performed INITIALLY to confirm proper tube placement?
- A. Auscultate the chest for bilateral breath sounds
- B. Use an end-tidal CO2 with waveform verification monitor
- C. Obtain a chest x-ray
- D. Ensure proper cuff inflation
Answer: A
Explanation:
Once an endotracheal tube (ETT) has been placed, the nurse should initially listen for bilateral breath sounds, along with equal chest excursion during inspiration. The nurse should confirm the presence of bilateral breath sounds over the chest and the absence of breath sounds over the stomach, as this preliminarily confirms proper tube placement.
Next, an end-tidal CO2 with waveform verification monitor is used as an immediate assessment for determining tracheal placement. If not available, a colorimetric CO2 detector may be used.
A portable chest x-ray verifies proper tube placement. Once proper placement is confirmed, the tube is anchored to prevent movement with tape or a special ET fixation device, and the centimeter lip-line marking is documented and checked each shift. Finally, the cuff of the tube is inflated with just enough air to create an effective seal.
NEW QUESTION # 711
All the following patients are at risk for developing SIADH (the syndrome of inappropriate antidiuretic hormone) EXCEPT:
- A. A 55-year-old undergoing chemotherapy for small-cell carcinoma of the lung
- B. A 22-year-old with Guillain-Barre syndrome
- C. A 45-year-old with a history of tuberculosis and active pneumonia
- D. A 34-year-old receiving phenytoin (Dilantin)
Answer: D
Explanation:
ADH is produced by the hypothalamus, and is stored in the posterior pituitary gland. In SIADH, excessive release of ADH decreases water excretion in the kidneys, conserving body water, thereby increasing urine concentration and hemodilution. Profound hyponatremia ensues (water intoxication).
Phenytoin (Dilantin) decreases antidiuretic hormone (ADH) production, and is not associated with SIADH.
Vasopressin (ADH) can be produced by a variety of malignancies, most commonly small-cell carcinoma of the lung. Therefore, patients who develop "idiopathic" SIADH are screened for malignant tumors.
Small-cell carcinoma of the lung is the most common cause of SIADH.
Pneumonia and tuberculosis have also been associated with SIADH due to ADH release from the inflamed pulmonary tissue.
SIADH is also commonly associated with traumatic CNS disorders such as Guillain-Barre syndrome.
NEW QUESTION # 712
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