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Get Updated AACN CCRN-Adult Exam Questions (2025)

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AACN CCRN-Adult Valid Test Objectives, Exam CCRN-Adult Practice

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AACN CCRN-Adult Exam Syllabus Topics:

Topic
Details

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

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 6

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 8

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 (Q73-Q78):

NEW QUESTION # 73
A patient with type 1 diabetes admitted for DKA for the third time in 6 months reports not following the medication plan prescribed by the endocrinologist.
Which of the following strategies should a nurse use first?

A. Provide low-literacy materials for diabetic education.
B. Consult the diabetes nurse educator.
C. Discuss ability to pay for medications and supplies.
D. Assure scheduled follow-up medical visits prior to discharge.

Answer: C

Explanation:
For a patient with type 1 diabetes admitted for diabetic ketoacidosis (DKA) who reports not following the prescribed medication plan, assessing the patient's ability to afford medications and supplies is crucial.
Financial barriers are a common reason for non-adherence to treatment plans. Addressing these barriers can help the healthcare team provide the necessary resources or support to ensure the patient can follow the prescribed regimen, potentially preventing future hospitalizations. References: =
* CCRN (Adult) Certification Review Course Online: Behavioral/Psychosocial.
* American Association of Critical-Care Nurses (AACN). (2024). CCRN Exam Handbook. Retrieved from AACN CCRN Exam Handbook
* Adult CCRN/CCRN-E/CCRN-K Certification Review Course Online. AACN

NEW QUESTION # 74
A patient currently taking heparin and furosemide presents with thrombocytopenia, an elevated PT, and signs of deep vein thrombosis. The nurse FIRST suspects which of the following?

A. Hemolytic uremic syndrome
B. Idiopathic thrombocytopenic purpura
C. Disseminated intravascular coagulation
D. Heparin-induced thrombocytopenia

Answer: D

Explanation:
In Heparin-Induced Thrombocytopenia (HIT), exposure to heparin leads to the development of antibodies that activate platelets, causing thrombocytopenia and increased clotting. Hemolytic uremic syndrome and idiopathic thrombocytopenic purpura are not related to heparin use. Disseminated intravascular coagulation typically presents with both bleeding and clotting, not just clotting.

NEW QUESTION # 75
A patient who has just undergone an open reduction and internal fixation of the forearm is complaining of increased pain that is not relieved by medication. The nurse also notes that the patient's hand appears pale and the patient cannot move his fingers. What is the MOST appropriate nursing action?

A. Assess the patient's intracompartmental pressures
B. Notify the physician immediately
C. Administer additional pain medication as ordered
D. Apply a cold compress to reduce swelling and inflammation

Answer: B

Explanation:
The nurse should immediately notify the physician because the patient's symptoms suggest the development of compartment syndrome, a serious condition that can lead to tissue necrosis if not promptly treated. Additional pain medication will not address the underlying issue. Applying a cold compress is not recommended as it may decrease blood flow further. The patient's intracompartmental pressures should be assessed; however, this is not a nursing intervention.

NEW QUESTION # 76
Following a Percutaneous Coronary Intervention (PCI), all of the following are signs of adequate revascularization to the myocardium EXCEPT:

A. ST-segment return to baseline
B. relief of chest pain
C. decreased levels of cardiac enzymes
D. increased levels of cardiac enzymes

Answer: C

Explanation:
When the coronary artery is reperfused, there is a relief of chest pain and return of ST-segment toward baseline due to the reversal of the ischemic injury. Revascularization of the previously obstructed coronary artery allows the washout of cardiac enzymes accumulated distal to the obstruction (with an acute increase in blood levels of cardiac enzymes) with accompanying ventricular arrhythmias and short runs of Ventricular Tachycardia (VT).

NEW QUESTION # 77
As a critical care nurse, you are part of a multidisciplinary team caring for a patient with a severe pulmonary condition. A new team member, an inexperienced respiratory therapist, is assigned to the case and proposes a treatment strategy that you know is outdated. What is the BEST way to address this?

A. Ask other team members their thoughts, hoping that someone else will bring up the issue
B. Report the therapist to their supervisor for additional education
C. Ignore the therapist's suggestion and recommend the current standard treatment
D. Discuss the treatment with the therapist, providing the latest evidence and guidelines

Answer: D

Explanation:
The nurse should act in a collaborative manner, addressing the therapist's proposal by engaging in a discussion and providing current evidence and guidelines. Ignoring the suggestion might not prevent the same mistake from happening in the future and does not support the respiratory therapist's development. Reporting the respiratory therapist to their supervisor might escalate the issue unnecessarily. The nurse is responsible for advocating for the patient to receive the best care possible and should not move forward hoping that someone else will fulfill this obligation.

NEW QUESTION # 78
......

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