AACN
AACN Certification CCRN/PCCN
Critical Care Exam 1
AACN - correct answers-certify nurses; protect consumer
by establishing high standards of professional practice
CCRN - correct answers-certification for nurses who
provide care in critically ill adult, pediatric, or neonatal
populations
PCCN - correct answers-certification for nurses who
provide acute care in progressive care, telemetry, and
similar units
CNML - correct answers-certification for critical care
managers and leaders
CCNS - correct answers-certification for acute and critical
care clinical nurse specialists
Level A (Scale for Rating Research Evidence) - correct
answers-metaanalysis or metasynthesis studies; results
consistently support specific action, intervention, or
treatment
Level B (Scale for Rating Research Evidence) - correct
answersrandomized and nonrandomized controlled
studies; results consistently support specific action,
intervention, or treatment
x
x
, AACN
Level C (Scale for Rating Research Evidence) - correct
answersqualitative, descriptive, or correlational studies,
reviews, or trials with inconsistent results
Level D (Scale for Rating Research Evidence) - correct
answers-Peerreviewed with clinical studies to support
recommendations
Level E (Scale for Rating Research Evidence) - correct
answers-theorybased evidence from expert opinions
Level M (Scale for Rating Research Evidence) - correct
answersManufacturer's recommendation only
Ask-Tell-Ask (Communication) - correct answers-
Communication technique that assesses concerns before
providing info
Situational Awareness (Communication) - correct answers-
being aware of one's surroundings
Calgary Family Assessment - correct answers-Assessment
that involves structural, developmental, and functional
assessments
Family Bundle - correct answers-Provide structure for
planning and carrying out family care; based on 5
concepts: evaluate, plan; involve; communicate; support
(EPICS)
x
x
, AACN
Principlism - correct answers-widely applied ethical
approach based of 4 fundamental moral principles to
contemporary ethical dilemmas; respect for autonomy;
beneficence; nonmaleficence; justice
Beneficence - correct answers-the duty to provide benefits
to others when in a position to do so, to help balance
harms and benefits; the benefits of an action should
outweigh the burdens
Futility - correct answers-states that care should not be
given if it is futile in terms of improving comfort or the
medical outcome
Veracity - correct answers-states that persons are
obligated to tell the truth in their communication with
others
Fidelity - correct answers-requires that one has a moral
duty to be faithful to the commitments made to others
Elements of Informed Consent - correct answers-
competence (capacity); voluntariness; disclosure of
information
Living Will - correct answers-a witnessed written
document or oral statement voluntarily executed by a
person that expresses the person's instructions
concerning life-prolonging procedure; not legally binding
in some states
x
x
, AACN
Proxy - correct answers-a competent adult, not designated
to make health care decisions for an incapacitated person,
but is authorized by state statute to make healthcare
decisions for the person
Surrogate - correct answers-a competent adult designated
by a person to make health care decisions should that
person become incapacitated
Patient Self-Determination act (End-of-life issue) - correct
answersrequires that all healthcare facilities that receive
medicare or medicaid funding inform their patients about
their right to initiate an advance directive and the right to
consent to or refuse medical treatment
Withholding, Limiting, or Withdrawing Therapy - correct
answersPriority should be anticipating patient symptoms;
assessment of patient response; titration of therapy to
relieve emotional and physical distress; common meds
used are analgesics (ie. Morphine) and anxiolytics (ie.
benzodiazepines)
Ventilator WIthdrawal - correct answers-Known as
"terminal weaning"; consist of titration of ventilator
support to minimal levels, removal of ventilator, but not
artificial airway, or complete extubation; titrate pain meds
and sedation as needed to relieve symptoms of
respiratory distress
Commonly withheld therapy - correct answers-
vasopressors; antibiotics; done when goal of treatment
shift to palliation instead of cure; address these before
withdrawing or withholding ventilation
x
x
AACN Certification CCRN/PCCN
Critical Care Exam 1
AACN - correct answers-certify nurses; protect consumer
by establishing high standards of professional practice
CCRN - correct answers-certification for nurses who
provide care in critically ill adult, pediatric, or neonatal
populations
PCCN - correct answers-certification for nurses who
provide acute care in progressive care, telemetry, and
similar units
CNML - correct answers-certification for critical care
managers and leaders
CCNS - correct answers-certification for acute and critical
care clinical nurse specialists
Level A (Scale for Rating Research Evidence) - correct
answers-metaanalysis or metasynthesis studies; results
consistently support specific action, intervention, or
treatment
Level B (Scale for Rating Research Evidence) - correct
answersrandomized and nonrandomized controlled
studies; results consistently support specific action,
intervention, or treatment
x
x
, AACN
Level C (Scale for Rating Research Evidence) - correct
answersqualitative, descriptive, or correlational studies,
reviews, or trials with inconsistent results
Level D (Scale for Rating Research Evidence) - correct
answers-Peerreviewed with clinical studies to support
recommendations
Level E (Scale for Rating Research Evidence) - correct
answers-theorybased evidence from expert opinions
Level M (Scale for Rating Research Evidence) - correct
answersManufacturer's recommendation only
Ask-Tell-Ask (Communication) - correct answers-
Communication technique that assesses concerns before
providing info
Situational Awareness (Communication) - correct answers-
being aware of one's surroundings
Calgary Family Assessment - correct answers-Assessment
that involves structural, developmental, and functional
assessments
Family Bundle - correct answers-Provide structure for
planning and carrying out family care; based on 5
concepts: evaluate, plan; involve; communicate; support
(EPICS)
x
x
, AACN
Principlism - correct answers-widely applied ethical
approach based of 4 fundamental moral principles to
contemporary ethical dilemmas; respect for autonomy;
beneficence; nonmaleficence; justice
Beneficence - correct answers-the duty to provide benefits
to others when in a position to do so, to help balance
harms and benefits; the benefits of an action should
outweigh the burdens
Futility - correct answers-states that care should not be
given if it is futile in terms of improving comfort or the
medical outcome
Veracity - correct answers-states that persons are
obligated to tell the truth in their communication with
others
Fidelity - correct answers-requires that one has a moral
duty to be faithful to the commitments made to others
Elements of Informed Consent - correct answers-
competence (capacity); voluntariness; disclosure of
information
Living Will - correct answers-a witnessed written
document or oral statement voluntarily executed by a
person that expresses the person's instructions
concerning life-prolonging procedure; not legally binding
in some states
x
x
, AACN
Proxy - correct answers-a competent adult, not designated
to make health care decisions for an incapacitated person,
but is authorized by state statute to make healthcare
decisions for the person
Surrogate - correct answers-a competent adult designated
by a person to make health care decisions should that
person become incapacitated
Patient Self-Determination act (End-of-life issue) - correct
answersrequires that all healthcare facilities that receive
medicare or medicaid funding inform their patients about
their right to initiate an advance directive and the right to
consent to or refuse medical treatment
Withholding, Limiting, or Withdrawing Therapy - correct
answersPriority should be anticipating patient symptoms;
assessment of patient response; titration of therapy to
relieve emotional and physical distress; common meds
used are analgesics (ie. Morphine) and anxiolytics (ie.
benzodiazepines)
Ventilator WIthdrawal - correct answers-Known as
"terminal weaning"; consist of titration of ventilator
support to minimal levels, removal of ventilator, but not
artificial airway, or complete extubation; titrate pain meds
and sedation as needed to relieve symptoms of
respiratory distress
Commonly withheld therapy - correct answers-
vasopressors; antibiotics; done when goal of treatment
shift to palliation instead of cure; address these before
withdrawing or withholding ventilation
x
x
