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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)