2025 Latest AACN CCRN-Adult: Clearer CCRN (Adult) - Direct Care Eligibility Pathway Explanation

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AACN CCRN-Adult Exam Syllabus Topics:

Topic	Details
Topic 2	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	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 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 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 7	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 (Q174-Q179):

NEW QUESTION # 174
A patient in the ICU, who is conscious and competent, has refused to continue aggressive treatment for his advanced cancer, preferring comfort measures only. The family strongly disagrees with the patient's decision. What is your BEST response as their nurse?

A. Support the patient's decision and encourage the family to accept it
B. Encourage the patient to reconsider based on the family's wishes
C. Facilitate a meeting where both the patient's and the family's concerns can be voiced and addressed
D. Tell the family to wait until the patient is no longer able to make decisions, then make the decision they want on the patient's behalf

Answer: C

Explanation:
The nurse should advocate for the patient's autonomy while fostering open communication among all stakeholders. Facilitating a meeting where the patient's and family's perspectives can be shared and discussed is the most appropriate approach. While it is important to respect the patient's decision, it shouldn't be done without addressing the family's concerns. Encouraging the patient to reconsider based on family's wishes could undermine the patient's autonomy. Technically, the family could wait until the patient is no longer able to make decisions, then make the decision they want on the patient's behalf. This would not be an ethical approach and should not be suggested by the nurse.

NEW QUESTION # 175
Which of the following types of shock is characterized by an abnormal placement of vascular volume and a normal cardiac output?

A. Hypovolemic shock
B. Obstructive shock
C. Cardiogenic shock
D. Distributive shock

Answer: D

Explanation:
Distributive shock occurs as a result of poor distribution of blood to the tissues, leading to inadequate tissue perfusion. It is different from the other three categories of shock in that it occurs even though the output of the heart is at or above a normal level, but the blood is not appropriately distributed throughout the vascular bed. This type of shock is seen in spinal, septic, and anaphylactic shock. Massive vasodilation occurs in each of these situations, causing the vascular bed to be much larger than normal.
The usual volume of circulating blood is no longer sufficient to fill the vascular space, causing hypotension and inadequate tissue perfusion. For this reason, distributive shock is also known as relative hypovolemic shock.

NEW QUESTION # 176
Which of the following signs and symptoms is specific to right-sided heart failure?

A. Decreased RA and RV pressure
B. Pansystolic murmur at lower left sternal border (LLSB)
C. Dyspnea on exertion (DOE)
D. Paroxysmal nocturnal dyspnea (PND)

Answer: B

Explanation:
An S3 heart sound is an early sign of right heart failure. A wide split S2 is heard, and S4 may also be present. A pansystolic murmur at the LLSB secondary to stretching of the tricuspid ring is heard.
In addition, jugular vein distention (JVD) is present, which is the visible "bulging" of the external jugular veins on either side of the neck. These are large veins that drain blood from the head and return it directly to the heart. Since they're located near the surface, they provide a reasonably good measure of systemic venous pressure. JVD is elevated any time venous return is greater than the heart's ability to pump the blood back out. Liver enlargement and tenderness, dependent edema, ascites, decreased appetite, nausea, and vomiting may all accompany right heart failure.
There is an increase in RA (right atrial) and RV (right ventricle) cardiac pressures (not a decrease). Left heart failure is the result of pulmonary congestion (where right heart failure is from hepatic congestion); therefore, dyspnea is common with left heart failure, not right.
In left heart failure, a pansystolic murmur may be auscultated at the apex secondary to mitral regurgitation.

NEW QUESTION # 177
Which of the following MOST significantly increases a patient's risk of hyperthyroidism?

A. Female gender
B. Kidney disease or injury
C. Chronic iodine deficiency
D. Increased metabolic rate

Answer: A

Explanation:
Females are at an increased risk of hyperthyroidism when compared to males by a factor of about ten.
Kidney disease or injury does not significantly affect the risk of hyperthyroidism, as this condition is unrelated to the kidneys. Chronic iodine deficiency causes hypothyroidism, not hyperthyroidism.
Hyperthroisim causes an increased metabolic rate, not visa versa.

NEW QUESTION # 178
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. National Mental Health Act (NMHA)
C. Patient Safety and Quality Improvement Act (PSQIA)
D. The Patient Self Determination Act (PSDA)

Answer: D

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 # 179
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In today's AACN world getting the CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) certification exam is very crucial. With the growing popularity of credentials, the demand for CCRN-Adult certification exam holders has increased. Success in the CCRN-Adult Exam has become the need of time. People who fail the AACN CCRN-Adult certification exam face loss of time and money.

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2025 Latest AACN CCRN-Adult: Clearer CCRN (Adult) - Direct Care Eligibility Pathway Explanation

AACN CCRN-Adult Exam Syllabus Topics:

Real AACN CCRN-Adult Exam Environment with Our Practice Test Engine

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q174-Q179):