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ACCNS-N exam Format | ACCNS-N Course Contents | ACCNS-N Course Outline | ACCNS-N exam Syllabus | ACCNS-N exam Objectives

Exam Code: ACCNS-N

Exam Name: Neonatal Clinical Nurse Specialist (wellness through acute care)

Total number of items: 175 multiple-choice questions

Number of scored items: 150 (the remaining 25 are pretest/pilot items)

Time allotted: 3½ hours (210 minutes)

Passing / cut score: 98 correct responses (out of the 150 scored items)



Cardiovascular

- Cardiac surgery

- Congenital heart defects

- Dysrhythmias

- Heart failure

- Patent ductus arteriosus (PDA)

- Pulmonary edema



Respiratory

- Acute respiratory failure

- Air-leak syndromes (e.g.- pneumothorax-pulmonary interstitial emphysema [PIE]-pneumopericardium- pneumomediastinum)

- Airway obstruction

- Apnea of prematurity

- Aspirations (e.g.- meconium aspiration)

- Bronchopulmonary dysplasia

- Congenital abnormalities

- Exacerbation of chronic lung disease

- Persistent pulmonary hypertension of thenewborn (PPHN)

- Pulmonary hemorrhage

- Pulmonary infections

- Respiratory distress syndrome (e.g.- surfactantdeficiency)

- Thoracic surgery (e.g.- pneumonectomy-lobectomy- tracheal surgery)

- Transient tachypnea of the newborn



Endocrine/Hematology/Gastrointestinal/Renal/Integumentary



- Endocrine

- Hyperglycemia

- Hypoglycemia

- Infant of diabetic mother



- Hematology/Immunology/Oncology

- Blood group incompatibilities

- Coagulopathies (including thrombocytopenia)

- Hyperbilirubinemia

- Polycythemia



- Gastrointestinal

- Bowel infarction/obstruction/perforation

- Gastroesophageal reflux

- GI abnormalities

- GI motility disorders

- GI surgeries

- Hepatic failure

- Feeding intolerance

- Necrotizing enterocolitis



- Renal / Genitourinary

- Acute kidney injury

- Congenital renal/genitourinary abnormalities

- Infections



- Integumentary

- Congenital abnormalities

- Dermatologic disorders

- Infectious skin disorders

- Pressure injuries

- Skin integrity protection for extremely low

- birth-weight infants

- Wounds (surgical and nonsurgical)



Musculoskeletal/Neurology/Psychosocial



- Musculoskeletal

- Bone disease (e.g.- osteopenia- osteogenesisimperfecta)

- Congenital anomalies

- Functional issues (e.g.- immobility- birthinjuries)

- Infections (e.g.- cellulitis)



- Neurology

- Congenital neurological abnormalities

- Encephalopathy

- Head and brain trauma/injury

- Hydrocephalus

- Hypoxic ischemic encephalopathy

- Increased intracranial pressure

- Intracranial hemorrhage/intraventricularhemorrhage

- Neurologic infectious diseases

- Periventricular leukomalacia

- Seizure disorders

- Stroke



- Psychosocial/Behavioral/Cognitive Health Issues

- Behavioral state (e.g.- NPASS- Brazelton- stressin extremely low birth weight infants)

- Developmental care (e.g.- skin to skin care)

- Maltreatment (abuse/neglect/medicalnonadherence)



Multisystem



- Factors Influencing Health Status (riskassessment- prevention and wellness)

- Discharge planning

- Feeding (e.g.- breast- cue-based- techniques)

- Monitoring anthropometric measurements

- Safety (e.g.- safe sleep)

- Screening (e.g.- hearing- CCHD- metabolic-angle tolerance testing- ROP)

- Wellness promotion (e.g.- normal variants-immunizations)

- Developmental care (developmentalmilestones)

- Social determinants of health (e.g.- access tocare- socioeconomic factors- health literacy)

- Population health (e.g.- lack of prenatal care-food deserts)

- Team-based care

- Genetics (e.g.- metabolic screening- recurrencerisk- life planning)



- Multisystem

- Acid-base imbalances

- End-of-life issues

- Fluids- electrolytes and nutrition

- Hospital acquired conditions (e.g.- CLABSI-CAUTI- VAP/VAE)

- Hypovolemic shock

- Iatrogenic drug exposed newborn

- Inborn errors of metabolism

- Infectious diseases (e.g.- congenital viral-bacterial- hospital acquired infections)

- Low birth weight/prematurity (including latepreterm populations)

- Maternal drug exposed newborn

- Maternal-fetal complications (e.g.- HELLP-preeclampsia)

- Pain

- Palliative care issues

- Sensory impairment (e.g.- hearing loss)

- Sepsis/septic shock and MODS

- Thermoregulation

- Transition to extrauterine life

- Antimicrobial stewardship

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