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Exam Code: CCRN-Adult

Exam Name: Critical Care Register Nurse - Adult

Total Questions: 150 multiple-choice questions.

Scored Questions: 125 questions are scored- 25 questions are unscored.

Time Allotted: 3 hours.

Passing Score: A minimum of 83 correct answers out of the 125 scored questions is required to pass.

- Cardiovascular

- Acute coronary syndrome

- Aortic aneurysm- dissection- rupture (i.e.thoracic- abdominal)

- Cardiac infection and inflammatory diseases

- Cardiac surgery

- Cardiac tamponade

- Cardiac trauma

- Cardiac/vascular catheterization

- Cardiogenic shock

- Cardiomyopathy

- Dysrhythmias

- Heart failure

- Hypertensive crisis

- Myocardial conduction system defects (e.g.-prolonged QT interval- Wolff-Parkinson-White)

- Structural heart defects (acquired andcongenital- including valvular disease)

- Vascular disorders (e.g.- arterial/venousstenosis)

- Vascular interventions (e.g.- stents- fem-pop bypass- carotid endarterectomy)

- Respiratory

- Acute pulmonary edema

- Acute pulmonary embolus

- Acute respiratory distress syndrome (ARDS)

- Acute respiratory failure

- Acute respiratory infection (e.g.- pneumonia)

- Chronic conditions (e.g.- COPD- asthma-bronchitis- emphysema)

- Mechanical ventilation complications

- Pleural space abnormalities(e.g.- pneumothorax- hemothorax- empyema-pleural effusions)

- Pulmonary hemorrhage

- Pulmonary hypertension

- Status asthmaticus

- Thoracic and airway trauma (e.g.- fractured rib-lung contusion- tracheal perforation)

- Thoracic surgery

Endocrine- Hematology/Immunology- GI- Renal/GU- Integumentary (21%)

- Endocrine

- Adrenal insufficiency

- Diabetes insipidus (DI)

- Diabetes mellitus- types 1 and 2

- Diabetic ketoacidosis (DKA)

- Hyperglycemia

- Hyperosmolar hyperglycemic state (HHS)

- Syndrome of inappropriate of antidiuretichormone secretion (SIADH)

- Thyroid disorders

- Hematology and Immunology

- Anemia

- Autoimmune disorders (e.g.- lupus-myasthenia gravis- Guillain-Barrésyndrome)

- Coagulopathies (e.g.- ITP- DIC- HIT)

- Myelosuppression (e.g.- thrombocytopenia-neutropenia)

- Oncologic complications (e.g.- tumor lysissyndrome- neutropenia)

- Transfusion reactions (e.g.- TRALI- TACO)

- Gastrointestinal

- Abdominal compartment syndrome

- Acute abdominal trauma

- Acute GI hemorrhage

- Bowel infarction- obstruction- perforation(e.g.- mesenteric ischemia- adhesions)

- GI surgeries (e.g.- Whipple- esophagectomy-resections)

- Hepatic failure/coma (e.g.- portalhypertension- cirrhosis- esophageal varices-fulminant hepatitis- biliary atresia)

- Liver disease

- Malnutrition and malabsorption

- Pancreatitis

- Peritonitis

- Renal and Genitourinary

- Acute kidney injury (AKI)- acute tubular necrosis (ATN)

- Chronic kidney disease (CKD)

- Infections (e.g.- kidney- urosepsis)

- Endocrine- Hematology/Immunology- GI- Renal

- Integumentary

- Cellulitis

- IV infiltration

- Necrotizing fasciitis

- Pressure injury

- Skin failure (e.g.- perfusion injuries)

- Wounds

Musculoskeletal- Neurological- Behavioral/Psychosocial

- Musculoskeletal

- Compartment syndrome

- Fractures

- Muscular deconditioning

- Musculoskeletal trauma

- Neurological

- Acute spinal cord injury

- Brain death

- Encephalopathy

- Stroke (e.g.- hemorrhagic- ischemic)

- Hydrocephalus

- Neurogenic shock

- Neurologic infectious disease (e.g.- viral-bacterial- fungal)

- Neurological storming

- Neuromuscular disorders (e.g.- ALS-neuromyopathies)

- Neurosurgery

- Neurovascular abnormalities

- Seizure disorders

- Space-occupying lesions (e.g.- braintumors- cysts)

- Spinal surgeries

- Traumatic brain injury (e.g.- epidural-subdural- concussion- non-accidentaltrauma)

- Behavioral and Psychosocial

- Agitation

- Anti-social behaviors- aggression- violence

- Delirium

- Medical non-adherence

- Mood disorders- depression- anxiety

- Post-intensive care syndrome (PICS)

- Post-traumatic stress disorder (PTSD)

- Self-harm

- Substance use disorder

- Suicidal ideation and/or behaviors

Multisystem

- Acid-base imbalance

- Anoxic injury

- Burns

- Comorbidity in patients with transplant history

- Palliative care

- End-of-life

- Failure to thrive

- Fluid and electrolyte imbalances

- Healthcare-associated infections

- Infectious diseases

- Life-threatening maternal/fetal complications(e.g.- eclampsia- HELLP syndrome- maternal/fetal transfusion- placental abruption- placenta previa)

- Multi-organ dysfunction syndrome (MODS)

- Obesity related complications

- Pain

- Rhabdomyolysis

- Sepsis

- Shock states (e.g.- distributive- obstructive)

- Sleep disruption (including sensory overload)

- Submersion injuries (near-drowning)

- Systemic inflammatory response syndrome(SIRS)

- Thermoregulation

- Toxic ingestion/inhalations/exposure

General

- Conduct pain exams

- Evaluate patients response to interventions

- Assess- evaluate & prioritize data collections basedon patient characteristics related to the immediatecondition and anticipated needs

- Manage device alarms based on change in patientcondition

- Manage patient fluid and electrolyte balance

- Provide patient and family-centered care

- Recognize signs and symptoms of emergencies-initiate interventions- and seek assistance as needed

- Recognize indications for and manage patients with/requiring:

- capnography (ETCO2)

- complementary alternative medicine and/ornon-pharmacologic interventions

- intrahospital transport

- medications (e.g.- safe administration-monitoring- polypharmacy)

- pre- and post-operative care

- procedural care

- sedation

- vascular access

- Cardiovascular

- Identify- interpret and respond to cardiac rhythms

- Monitor hemodynamic status and recognize signs andsymptoms of hemodynamic instability

- Recognize early signs of decreased cardiac output

- Recognize indications for and manage patients with/requiring:

- cardiac catheterization

- endovascular procedures

- mechanical circulatory support devices

- non-invasive and invasive hemodynamicmonitoring

- pericardiocentesis

- temporary pacing

- Respiratory

- Recognize indications for and manage patients with/requiring:

- airway management

- bronchoscopy

- chest tubes

- mechanical ventilation

- noninvasive positive pressure ventilation(e.g.- BiPAP- CPAP- high-flow nasal cannula)

- oxygen therapy delivery devices

- prevention of complications related tomechanical ventilation and NIPPV

- prone positioning

- rapid sequence intubation (RSI)

- respiratory monitoring devices (e.g.- SPO2-SVO2- ETCO2)

- therapeutic gases (e.g.- oxygen- nitric oxide-heliox- CO2)

- thoracentesis

- tracheostomy

- Hematology and Immunology

- Recognize indications for and manage patients with/requiring:

- bleeding and clotting disorders

- blood dyscrasias (e.g.- anemia)

- transfusion of blood products- exchangetransfusions- massive transfusions

- Neurological

- Recognize indications for and manage patients with/requiring:

- continuous EEG monitoring

- neuroendovascular interventions (e.g.- coiling-thrombectomy)

- neurologic surgical monitoring devices anddrains (e.g.- ICP- ventricular drain)

- neurosurgical procedures (e.g.- craniotomy-craniectomy- clipping)

- seizure precautions

- spinal precautions

- swallow evaluation

- Integumentary

- Recognize indications for and manage patients with/requiring:

- pressure injury prevention

- therapeutic devices (e.g.- wound VACs- pressurereduction surfaces- ostomy device- fecalmanagement devices- IV infiltrate treatment)

- Gastrointestinal

- Address barriers to nutritional/fluid adequacy (e.g.-chewing/swallowing difficulties- alterations inhunger and thirst- inability to self-feed)

- Recognize indications for and manage patients with/requiring:

- EGD

- enteral and parenteral nutrition

- enteral tubes

- feeding and supplementation

- gastrointestinal drains

- Renal and Genitourinary

- Identify nephrotoxic agents

- Recognize indications for and manage patientsrequiring renal therapeutic intervention(e.g.- hemodialysis- CRRT- peritoneal dialysis)

- Musculoskeletal

- Recognize indications for and manage patients with/requiring:

- compartment syndrome

- early mobility

- Multisystem

- Early sepsis identification

- Monitor and implement strategies to preventhospital acquired infections

- Recognize and manage signs and symptoms of toxin/drug exposure

- Risk factor recognition and management ofmalignant hyperthermia

- Recognize indications for and manage patients with/requiring:

- end-of-life and palliative care

- extracorporeal membrane oxygenation (ECMO)

- intra-abdominal pressure monitoring

- organ donation

- targeted temperature management

- temperature monitoring and regulation devices

- Behavioral and Psychosocial

- conduct behavioral therapeutic interventions

- respond to behavioral emergencies (e.g.- nonviolent crisis intervention- de-escalation techniques)

- utilize behavioral exam tools (e.g.- delirium-alcohol withdrawal- mini-mental status)

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PDF Questions and Answers	: 1739 (Complete Set)
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