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Updated: Aug 28, 2026

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AACN CCRN-Adult Exam Syllabus Topics:

TopicDetails
Topic 1
  • PROFESSIONAL CARING & ETHICAL PRACTICE: This section assesses the skills of Clinical Nurse Leaders in professional caring and ethical practice. It covers advocacy and moral agency, highlighting the importance of representing patients' interests in healthcare decisions. The section also addresses caring practices that promote patient-centered care and response to diversity, ensuring that care is tailored to individual needs.
Topic 2
  • The endocrine, hematology, gastrointestinal, renal, and integumentary domains are also covered, focusing on conditions like diabetes mellitus, acute kidney injury, and infections. This section highlights the need for nurses to manage complex patient scenarios involving multiple systems effectively.
Topic 3
  • CLINICAL JUDGMENT: This section measures the skills of Critical Care Nurses and covers a wide range of medical conditions across various systems. It includes cardiovascular issues such as acute coronary syndrome, heart failure, and cardiomyopathies, demonstrating the need for in-depth knowledge in managing these critical conditions. The section also addresses respiratory emergencies like pulmonary embolism and ARDS, emphasizing the importance of understanding respiratory failure and chronic conditions.
Topic 4
  • In musculoskeletal, neurological, and psychosocial areas, the syllabus includes managing trauma, neurological disorders, and behavioral health issues. This emphasizes the holistic approach required in critical care settings. Lastly, multisystem complications such as sepsis and shock states are included to assess the ability to manage life-threatening conditions that affect multiple organ systems.
Topic 5
  • Facilitation of learning is emphasized, indicating the role of nurses in educating patients and families about health management. Collaboration is another key component, focusing on teamwork within healthcare settings to improve patient outcomes. Systems thinking is included to encourage understanding of how different components of healthcare interact. Finally, clinical inquiry is highlighted as a means to foster evidence-based practice and continuous improvement in patient care.

Reference: https://www.aacn.org/certification/get-certified/ccrn-adult

AACN CCRN-Adult Exam Overview:

Certification Vendor:AACN (American Association of Critical-Care Nurses)
Exam Name:CCRN (Adult) Certification Exam - Direct Care Eligibility Pathway
Exam Number:CCRN-Adult
Exam Format:Multiple-choice questions, Computer-based testing (CBT), Scenario-based items
Certificate Validity Period:3 years
Related Certifications:CCRN (Pediatric)
CCRN (Neonatal)
CCRN-E (Tele-critical Care)
CCRN-K (Knowledge Professional)
Passing Score:Scaled score; minimum 83 correct out of 125 scored items (~70%–75% correct)
Available Languages:English
Real Exam Qty:150 (125 scored, 25 unscored pretest items)
Exam Price:$255 (AACN members), $370 (non-members)
Exam Duration:180 minutes
Recommended Training:AACN Exam Handbook & Test Plan
AACN CCRN Review Courses
Exam Registration:AACN Official Registration
Sample Questions:AACN CCRN-Adult Sample Questions
Exam Way:Computer-based testing at PSI/Pearson VUE centers; online proctored option available
Pre Condition:Current, unencumbered RN or APRN license; meet one of: 1) 1,750 hours direct care acutely/critically ill adults in past 2 years (875 in last year); 2) 2,000 hours in past 5 years (144 in last year)
Official Syllabus URL:https://www.aacn.org/certification/get-certified/ccrn-adult

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