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Section 20: Sec Twenty (351 to 355) Details:Critical Care Nursing Neonatal Exam
If a newborn's stroke volume is about 5 mL, what is the average pulse required to ensure adequate cardiac output?
A neonate has a differential diagnosis of congenital muscular dystrophy (CMD) (laminin alpha-2 deficiency) and exhibits hypotonia at birth with poor feeding and mild respiratory distress. Which tests are necessary to establish the diagnosis?
Electromyogram, nerve conduction studies, and muscle biopsy.
Muscle biopsy only.
The nurse is inserting a PICC for an infant who requires extended IV therapy because of very low birth weight. During the procedure, the infant must be monitored for which of the following?
Tachycardia and tachypnea.
Bradycardia and hypoxia.
A mixed venous oxygen saturation (SvO2) level of less than 60% can indicate which of the following?
A 21-day-old neonate develops green-bronze jaundice, dark urine, claycolored stools, abdominal distention with distended abdominal veins, and hepatosplenomegaly with firm liver. Liver biopsy and test shows extrahepatic biliary atresia, and a hepatoportoenterostomy (Kasai procedure) is done to create a conduit between the liver and small intestine. Which added vitamin(s) or minerals should the baby receive postoperatively?
Water-soluble vitamins (B-complex, C).
Fat-soluble vitamins (A, D, E, K).
Section 21: Sec Twenty One (356 to 360) Details:Progressive Care Certified Nurse (PCCN) Practice
Thoracic electrical bioimpedence monitoring with 4 sets of bioimpedence electrodes and 3 ECG electrodes is used to evaluate hemodynamic status of a postsurgical cardiac patient. Where are the bioimpedence electrodes placed?
One set on the arms, one set on the legs, and one set on the sides of the chest.
Two sets bilaterally at the base of the neck and two sets on each side of the chest.
One set on the legs and three sets on each side of the chest.
One set on the arms, one set bilaterally at the base of the neck, and two sets on each side of the chest.
A 52-year-old female with a history of bipolar disease is one-day post-operative following a hip replacement. The patient slept only one or two hours during the night and is speaking rapidly, throwing her belongings at the nurses, and insisting she is going to leave the hospital against medical advice. The nurse should notify:
The mental health crisis team
A home health agency
The patient's husband
If all patients who develop urinary infections are evaluated per urine culture and sensitivities for microbial resistance, but only those with clinically-evident infections are included, then those with subclinical infections may be missed, skewing results. This is an example of:
A 28-year-old male with extensive second and third-degree burns develops abdominal discomfort and vomits coffee ground emesis and frank blood. The most likely cause is:
A peptic ulcer
The erosion of the esophagus from burns
Stress-related erosive syndrome
Beck's triad (increased central venous pressure with distended neck veins, muffled heart sounds, and hypotension) is indicative of which condition?
Aortic valve prolapse
Medical CCRN Exam (Critical Care Register Nurse) Detailed Information
CCRN certification is a board certification granted by AACN Certification Corporation. It validates that a register nurse has achieved a level of knowledge in nursing necessary to care for patients in the acute care and/or critical care setting.
Initial Eligibility Requirements & Fees
A current, unencumbered U.S. RN or APRN license is required.
An unencumbered license is not currently being subjected to formal discipline by any state board of nursing and has no provisions or conditions that limit the nurse’s practice in any way.
Candidates must complete one of the following clinical practice hour requirement options:
Practice as an RN or APRN for 1,750 hours in direct care of acutely/critically ill adult patients during the previous two years, with 875 of those hours accrued in the most recent year preceding application
Practice as an RN or APRN for at least five years with a minimum of 2,000 hours in direct care of acutely/critically ill adult patients, with 144 of those hours accrued in the most recent year preceding application
Eligible Clinical Practice Hours:
• Must be completed in a U.S.-based or Canada-based facility or in a facility determined to be comparable to the U.S. standard of acute/critical care nursing practice.
• Are those spent actively providing direct care to acutely/critically ill adult patients or supervising nurses or nursing students at the bedside of acutely/critically ill adult patients, if working as a manager, educator, preceptor or APRN. The majority of practice hours for exam eligibility must be focused on critically ill patients.
• Are verifiable by your clinical supervisor or professional colleague (RN or physician). Contact information must be provided for verification of eligibility related to clinical hours, to be used if you are selected for audit.
• For complete eligibility requirements, refer to the CCRN Exam Handbook
Here’s an overview of the steps you’ll take to earn your specialty, subspecialty or advanced practice certification for the first time. For in-depth information about exam eligibility and the application process, consult the handbook for your specific exam and the Certification Exam Policy Handbook.
1Validate your eligibility for certification
2Apply for certification online
3Prepare for your exam
4Schedule your exam date
5Take the exam
6Celebrate your certification!
7Learn about certification renewal
Certification That Works for You
How do you sum up your clinical expertise, vast experience, dedication to patients and personal commitment to excellence? In a word, certification. Certification not only contributes to optimal outcomes for acutely/critically ill patients and their families, it advances your professional and personal growth.
Certification Value Program
Add to Collection
To help more nurses become certified, AACN offers substantial savings and free review courses to support exam candidates to hospital-based employers through a prepaid certification exam voucher program.
In a Nutshell
Employers purchase a minimum of 30 certification exam vouchers using the Certification Value Program Exam Voucher Request Form.
Any combination of eligible exams may be selected.
Employers distribute vouchers to certification exam candidates as needed.
Exam candidates submit their voucher to AACN along with their certification application.
Candidates must sit for their exam within 90 days of receiving notification of application approval (computer-based testing only).
Vouchers are valid for three years from the date of purchase.
Significant price discounts apply see cost chart below for details.
All standard certification eligibility requirements apply.
Includes free institutional license for the review course associated with each specialty exam type purchased.
Download and share our Certification Value Program poster.
Which certification exams are eligible?
Certification Value Program prepaid vouchers may be purchased for initial CCRN, CCRN-K, CCRN-E, PCCN and PCCN-K specialty certification exams, and CMC and CSC subspecialty certification exams.
What do vouchers include?
Each prepaid voucher covers the application fee for one certification exam. As part of the Certification Value Program, employers receive one institutional license for the AACN certification review course associated with each specialty exam type purchased. Participant packets with additional study resources and CE options may also be purchased at a significant discount.
The institutional license authorizes the review courses be made available on a Facility’s/Institution’s Intranet or network system. This program is not intended for Learning Management Systems (LMS) or to be published on the Internet.
Vouchers do not include AACN membership. Learn more about our AACN bulk membership discount on our website, or call AACN Customer Care at 800-899-2226.
Do all 30+ exam vouchers have to be for the same credential?
No. Different eligible exams may be combined to make up the minimum of 30 exam vouchers.
Does the hospital need to sign a contract?
No. Contracts are not required. Simply complete the exam voucher request form and submit it with required payment to AACN.
What if I need additional vouchers?
Small quantities of additional exam vouchers may be purchased within one year of the original voucher purchase date. After one year, the 30-voucher minimum applies.
How long do I have to use the vouchers?
Vouchers are valid for three years.
What testing methods are available?
Exams must be taken via computer-based testing at an PSI/AMP Testing Center. Vouchers are not valid for group paper-and-pencil exam sessions.
How does the Certification Value Program support prospective certificants?
Thanks to the significant cost savings, employers may choose to distribute multiple vouchers to individual nurses, if needed, for retesting. Knowing they have a backup option often reduces nurses test anxiety and fear of failure.
AACN's Certification Value Program also provides access to a world-class certification review course for each exam type purchased, enhancing clinical knowledge and building test-taking confidence.
Are exam discount prices the same for AACN members and nonmembers?
Yes. The same discount exam voucher price applies regardless of AACN membership status.
Certification Value Program pricing:
Number of Vouchers Exam Price Per Application
(based on 30 vouchers)
Nonmember Member Value Program
30+ CCRN, CCRN-K, or CCRN-E $335 $230 $180 Up to $155 per exam
or $4,500 total
(if all CCRN/CCRN-E/CCRN-K)
PCCN or PCCN-K $280 $180 $145
Up to $135 per exam
or $3,900 total
(if all PCCN/PCCN-K)
CMC or CSC $210 $125 $100 Up to $110 per exam
or $3,150 total
(if all CMC/CSC)
How do I take advantage of the Certification Value Program?
There are two parts to participating in AACNs Certification Value Program.
Part 1: Employers
Request a prepaid voucher discount by completing the Certification Value Program Exam Voucher Request Form.
Mail completed form and payment to:
AACN Certification Corporation
Attn: Amy Shaw
101 Columbia, Aliso Viejo, CA 92656
Voucher orders will be processed within one week of receiving payment.
Distribute prepaid vouchers to exam candidates as needed, when they are ready to apply for a certification exam.
Part 2: Exam Candidates
Complete the appropriate printed application form and honor statement for your selected certification (in the back of each certification exam handbook).
Attach your exam voucher to your completed application documents, and mail them to:
AACN Certification Corporation
Attn: Amy Shaw
101 Columbia, Aliso Viejo, CA 92656
Schedule your exam date within 90 days after your application is processed and approved. You will receive exam scheduling information from PSI/AMP once your application is processed.
CCRN exam :: Article by ArticleForgeCCRN® examination evaluate (adult)No outcome discovered, try new keyword!This two-day course offers the crucial care nurse with a review of AACN’s core curriculum. The agenda combines significant expertise-based mostly lectures for nurses working within the ICU with a vital review of nursing care and interventions in response to the ... CCRN examination0 I took my CCRN examination, and sadly, my score was an 88. 1 query faraway from passing!! irritating and discouraging to assert the least. Nerves and look at various anxiety basically obtained the best of me.Does anyone know if there's any classification of waiting duration you have to meet unless you retest? i.e. 60-90 day probation period?
I watched the Laura G. videos and skim a Kapan CCRN overview book, another assistance from any one ? Are retest questions equivalent/some repeat questions?
the way to circulate the CCRN
assess whether or not you're certified to take the CCRN exam. The necessities for the CCRN exam consist of an RN or APRN license and 1,750 hours of care to crucial sufferers two years earlier than applying to take the CCRN exam, with 875 of those hours occurring within the 1-year period earlier than the utility is submitted.
Take a course which will support you to assessment the assistance essential as a way to flow the CCRN exam. A evaluation route will support you to overview the processes that relate to essential care nursing, while concentrating on the styles of questions that are requested on the examination. that you may take a CCRN evaluation route at a neighborhood college or on-line.
examine the CCRN instruction manual. when you take the overview direction for the CCRN examination, you could be capable of achieve the CCRN guide. As you study CCRN every part, take notes. Your notes will help you evaluation every area, and writing the counsel will help you be aware it greater with no trouble.
purchase a CCRN evaluate book. so as to circulate the CCRN exam, you need to have a overview e-book. A evaluation publication will summarize the assistance more concisely than the handbook, and assist you to take observe assessments. You should purchase a CCRN evaluation ebook on the bookstore or on-line.
understand the structure of the examination. so as to flow the CCRN exam, be sure to know how the test is set up. The CCRN examine has numerous option questions. each distinctive option query has 4 reply choices. The questions contain distinctive medical situations. as an example, you should be would becould very well be asked a question about definite indicators, after which you ought to assess which disease is being described.
Do observe checks. make sure to do observe assessments in order to flow the CCRN examination. in the system of study CCRNing, make sure to complete a full examination. in the event you are comprehensive with the examination, examine your solutions. when you've got any flawed answers, fix your mistakes.
Get adequate sleep before the exam. with a purpose to pass the CCRN exam, you must make certain that you get adequate sleep. this may help you to concentrate extra totally on the questions. also, reply each query on the examination. don't spend too a whole lot time on the questions that you simply do not know. answer those that you recognize first, and then return to the others.
AACN Launches CCRN-E Certification exam for 'tele-ICU' Nurses
AACN Certification business enterprise launches the preliminary certification examination for nurses who work in tele-ICUs, also referred to as far off or digital intensive care contraptions. a hit exam completion effects within the CCRN-E credential.
CCRN-E, an extension of the CCRN certification program for acute and critical care, represents the primary credential designed for tele-ICU nurses. Eligibility for the examination requires nursing experience in a tele-ICU or a combination of direct bedside and tele-ICU follow hours.
Tele-ICU nurses video display patients from behind a camera from a faraway location to identify tendencies in patient records and instability and communicate with patients and bedside nurses. Tele-ICU nurses give a welcome 2d pair of eyes to computer screen sufferers, instruct and check with bedside clinicians and to assist implement facts-primarily based practices.
"patient defense is on the coronary heart of distinctiveness nursing certification. Nurses who work in tele-ICUs have massive have an impact on on the care, safeguard and effects of acutely and seriously unwell sufferers," Karen Harvey, MSN, RN, AACN certification classes specialist. "The CCRN-E certification exam helps to validate the talents required for that follow."
stories within the may and November 2010 concerns of american Journal of crucial Care point out the advantages of forte nursing certification to nurses and employers. licensed nurses record greater job pride and perceptions of office empowerment, researchers locate.
To learn about CCRN-E preliminary exam eligibility, the check plan and the way to apply for certification, see the CCRN-E instruction manual on-line at www.aacn.org/certification.
CCRN adult observe testFree New CCRN grownup practice check!
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when you are a RN and have 1,750 hours of care, which you could take the critical Care Register Nurse look at various for an improved degree of specialization. The CCRN adult observe check will put together you. The look at various takes three hours and carries a hundred and fifty gadgets chosen from 15 areas, similar to cardiovascular, pulmonary and neurology. You deserve to get hold of at least 70% to circulate the CCRN grownup check, so the free CCRN adult follow check receives you to the element of easily accomplishing that goal.
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