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New Launch AACN CCRN-Adult Exam Questions Are Out: Download And Prepare [2025]

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AACN CCRN-Adult Exam Syllabus Topics:

Topic
Details

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

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 5

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 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.

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q264-Q269):

NEW QUESTION # 264
The critical care nurse is providing treatment to a patient who has been mechanically ventilated for 3 days while being treated for status epilepticus. The nurse notes that the patient has developed dyspnea, hemoptysis, and a fever. The patient is found to have a WBC count of 15,200/mm3.
Which of the following conditions has the patient MOST LIKELY developed?

A. Septicemia
B. Acute respiratory failure (ARF)
C. Pulmonary arterial hypertension (PAH)
D. Ventilator-associated pneumonia (VAP)

Answer: D

Explanation:
Development of VAP is a serious complication in critically ill patients, and is associated with prolonged intubation. It is characterized by a number of findings, including: pleuritic chest pain, dyspnea, tachypnea, productive cough and hemoptysis, fever, and elevated WBC. Management involves appropriate broad-spectrum antimicrobial therapy, fluid resuscitation to correct hypovolemia and hypotension (if present), and improving oxygenation and ventilation.
Septicemia may somewhat fit this set of symptoms; however, pleuritic chest pain and hemoptysis are more suggestive of VAP.
If not treated promptly, this patient's pneumonia can turn into ARF, but at this stage, the patient's clinical presentation best fits a diagnosis of VAP.
This patient is not exhibiting signs and symptoms indicative of PAH.

NEW QUESTION # 265
An acute neurological injury associated with severe, sudden onset headache can be due to:

A. subdural hematoma
B. hypoxia
C. subarachnoid hemorrhage
D. migraine

Answer: C

Explanation:
Subarachnoid Hemorrhage (SAH) can result from trauma, aneurysm, or other vascular malformations.
Patients with SAH experience sudden, severe headaches described as "explosive" or "the worst headache of my life." Other common signs and symptoms include nausea and vomiting, stiff neck, blurred vision, mental status changes, and photophobia. Focal deficits such as hemiparesis, hemiplegia, or aphasia may also occur. Subdural hematomas are less likely to result in a headache that is sudden. Migraines are not a form of neurological injury.

NEW QUESTION # 266
The nurse is caring for a 32-year-old patient who was struck by a motorcycle. They sustained multiple injuries, including a fractured pelvis. It has been noted that they are in hypovolemic shock.
In addition to central venous pressure, which clinical assessment may indicate adequate fluid volume resuscitation?

A. Increased heart rate
B. Capillary refill of four seconds
C. MAP of 65 mmHg
D. Urine output of 30 mL/hr

Answer: D

Explanation:
The clinical assessment that might indicate adequate fluid volume resuscitation in this patient would include an improved urine output of≥ 30 mL/hr. Other assessments include brisk c apillary refill of < 3 seconds, strong palpable peripheral pulses, and improved mental status.
Blood pressure and MAP (Mean Arterial Pressure) are poor indicators of adequate fluid volume resuscitation. Decreased heart rate, not increased heart rate, may indicate improved fluid volume.

NEW QUESTION # 267
A nurse is caring for a patient who had a gastric bypass procedure 2 days ago. A physician has ordered a gastric tube to be placed due to increased abdominal distention. The nurse realizes that this procedure will most likely need to be done

A. using ultrasound.
B. under fluoroscopy.
C. by two nurses.
D. with a guide wire.

Answer: B

Explanation:
After gastric bypass surgery, the altered anatomy of the gastrointestinal tract makes it challenging to place a gastric tube. Performing the procedure under fluoroscopy provides real-time imaging guidance, ensuring correct placement and reducing the risk of complications, such as perforation or misplacement.References: = CCRN Exam Handbook, page 45

NEW QUESTION # 268
The critical care nurse understands that hospitalization on a critical care unit is NOT LIKELY to cause:

A. Delirium
B. Depression
C. Dementia
D. Post-traumatic stress disorder (PTSD)

Answer: C

Explanation:
Dementia is a progressive, irreversible loss of intellectual or cognitive abilities, such as reasoning, math, or abstract thinking. It is most often associated with an underlying pathological condition, and is not likely to be caused by hospitalization in a critical care unit.
Delirium, PTSD, depression and anxiety are all potential conditions that may be caused by, or exacerbated by, critical care hospitalization.

NEW QUESTION # 269
......

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