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AACN CCRN-Adult 考試大綱：

主題	簡介
主題 1	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.
主題 3	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.
主題 4	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.
主題 6	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.
主題 7	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.

最新的 AACN CCRN CCRN-Adult 免費考試真題 (Q145-Q150):

問題 #145
Which of the following rhythms CANNOT be defibrillated with an AED?

A. Atrial fibrillation (A-fib)
B. All of these can be defibrillated
C. Ventricular tachycardia (V-tach)
D. Ventricular fibrillation (V-fib)

答案：A

解題說明：
An Automatic External Defibrillator (AED) is a portable electronic device that automatically diagnoses the life-threatening cardiac arrhythmias of ventricular fibrillation and pulseless ventricular tachycardia, and is able to treat them through defibrillation, the application of electricity which stops the arrhythmia, allowing the heart to reestablish an effective rhythm. Defibrillation is a technique used in emergency medicine to terminate Ventricular Fibrillation (VF) or pulseless Ventricular Tachycardia (VT). If the AED does not identify one of these life-threatening rhythms, it will not shock the patient and will not allow the operator to deliver a shock.
Defibrillation is not indicated for atrial fibrillation. CPR must be conducted on a patient with asystole, and cardiac stimulating medications must be delivered if advanced rescue is present. If all efforts yield a shockable rhythm, the AED will then indicate the AED operator to shock the patient.

問題 #146
The husband of a burn patient is learning how to clean and dress the patient's wounds in preparation for discharge. What does the nurse need to do FIRST when developing a teaching plan?

A. Determine the most appropriate teaching strategy
B. Assess the husband's knowledge and skill level regarding the treatments
C. Provide written information about the procedure
D. Encourage the husband to observe the dressing changes on multiple patients

答案：B

解題說明：
Patient and family education in the critical care setting is essential to providing information regarding diagnosis, prognosis, treatments, and procedures. Prior to teaching, the nurse must assess the learner's knowledge and skill and determine what the learner already knows versus what he needs to know. Next, the nurse should determine the most appropriate teaching strategy based on the husband's learning styles. It is important during the communication of the content, whether it is video, brochure, discussion, written material, etc., to listen carefully to the needs expressed by the learner and to provide clear and concise responses to those individualized needs.

問題 #147
A nurse recently read a study that showed a certain medication is more effective when administered at a different time of day than is currently standard in their ICU. What should the nurse do with this information?

A. Immediately start administering the medication at the new time
B. Share the findings with a pharmacist for their opinion
C. Discuss the findings with the ICU team and propose a change in practice
D. Ignore the study because it contradicts the ICU's current practices

答案：C

解題說明：
Discussing the findings with the ICU team and proposing a change in practice will help promote discussion about the new information and potentially lead to its adoption. Clinical inquiry involves questioning and re-evaluating practice based on new evidence, and then proposing changes when necessary. While consulting a pharmacist might be helpful in understanding the medication, the entire ICU team should be involved in changes to practice. The nurse should not immediately change their practice without discussing it with the team, nor ignore the study just because it contradicts current practice.

問題 #148
While you are providing care as an ICU nurse, a patient's family member asks you about a specific medical procedure that the patient is about to undergo. You realize you don't have detailed knowledge about this procedure. What is the BEST action to take?

A. Give as detailed an answer as possible to maintain the appearance of competence, but be prepared to correct information after you research the procedure further
B. Admit that you do not know, but assure them you will find accurate information or someone who can provide it
C. Make an excuse to leave the room, then look up the procedure so that you can provide accurate information the next time you are in the patient's room
D. Give the family member general information, covering only information that you are certain about

答案：B

解題說明：
You should admit that you do not know, but assure them you will find accurate information or someone who can provide it. This upholds honesty, promotes trust, and ensures that the family member will receive accurate information. Giving as detailed an answer as possible to maintain the appearance of competence is incorrect as it may result in the family receiving incomplete or misleading information.
Giving the family member general information, covering only information that you are certain about, doesn't provide reliable and personalized medical information. Making an excuse to leave the room, then looking up the procedure is not an open, honest way to approach the situation and can hurt the nurse's relationship with the patient's family members.

問題 #149
Which of the following signs is most frequently associated with meningitis?

A. positive Cullen's
B. positive Babinski's
C. positive Kernig's
D. positive Trousseau's

答案：C

解題說明：

Meningitis
A positive Kernig's sign is a clinical test for meningitis that involves flexing the hip and knee of the patient and then extending the knee. If the patient feels pain or resistance in the lower back or hamstring, the test is positive. A positive Kernig's sign indicates irritation of the meninges, the membranes that cover the brain and spinal cord. A positive Trousseau's sign is a sign of hypocalcemia that involves carpal spasm after inflating a blood pressure cuff. A positive Cullen's sign is a sign of retroperitoneal bleeding that involves bruising around the umbilicus. A positive Babinski's sign is a sign of upper motor neuron lesion that involves fanning of the toes when the sole of the foot is stroked.
References:
* Kernig's sign - Wikipedia
* Trousseau's sign - Wikipedia
* Cullen's sign - Wikipedia
* Babinski sign - Wikipedia

問題 #150
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我們的CCRN-Adult下載-CCRN (Adult) - Direct Care Eligibility Pathway CCRN-Adult更容易通過

最新CCRN-Adult考題 - 最新CCRN-Adult題庫資訊

AACN CCRN-Adult 考試大綱：

最新的 AACN CCRN CCRN-Adult 免費考試真題 (Q145-Q150):