1. Trauma
A. Traumatic brain injury
1. Blast
2. Blunt
3. Penetrating
B. Hematoma
1. Chronic Subdural
2. Acute Subdural
3. Epidural
C. Diffuse Axonal Injury
D. Contusions
E. Fractures
1. Spinal column
2. Skull
F. Spinal cord injury
G. Herniated nucleus pulposus
H. Peripheral nerve injury
I. Repetitive stress injury (e.g., carpal tunnel syndrome, lumbar/cervical strain)
2. Cerebrovascular
A. Transient Ischemic Attack
B. Aneurysm
C. Arterio-venous malformation
D. Arterio-venous Fistula
E. Carotid Stenosis
F. Cavernous angiomas
G. Dural Arterial-venous fistula
H. Carotid dissection
I. Ischemic Stroke
1. Thrombotic
2. Embolic
3. Lacunar
J. Hemorrhagic Stroke
1. Intracerebral hemorrhage
2. Subarachnoid hemorrhage
3. Intraventricular hemorrhage
K. Headaches
1. Acute
2. Chronic
3. Tumors
A. Brain Tumors
1. Neuroepithelial tissue (e.g., astrocytoma, oligodendroglioma, embryonal tumors)
2. Cranial and spinal nerves (e.g., schwannoma, neurofibroma)
3. Meningeal and related tissues
4. Hematopoietic (e.g., lymphomas, hemangioblastomas)
5. Pituitary
6. Metastatic
7. Other (e.g., craniopharyngioma, pineal)
B. Spinal Cord Tumors
1. Primary (e.g., astrocytoma, ependymoma, meningioma)
2. Metastatic
3. Neurofibroma
4. Immune/Infection
A. Abscesses
B. Amyotrophic Lateral Sclerosis
C. AIDS
D. Bell’s Palsy
E. Encephalitis
F. Guillain-Barré
G. Meningitis (viral, bacterial, fungal origin)
H. Multiple Sclerosis
I. Myasthenia Gravis
5. Seizures
A. Partial
B. Generalized
C. Status Epilepticus
D. Pseudoseizures
6. Developmental/Degenerative
A. Arnold-Chiari malformation
B. Cerebral Palsy
C. Hydrocephalus
1. Communicating
2. Obstructive
3. Normal pressure
D. Spina Bifida: Myelomeningocoele
E. Down’s Syndrome
F. Attention Deficit Hyperactivity Disorder
G. Dementia
1. Alzheimer’s Disease
2. Vascular
H. Dystonia
I. Parkinson’s Disease
J. Peripheral Neuropathy
K. Benign Essential Tremor
L. Degenerative spine disease
1. Degenerative disk disease
2. Vertebral compression fractures
3. Lumbar spondylolisthesis
4. Spinal stenosis
M. Craniosynostosis
N. Balance and dizziness disorders (e.g., Meniere’s disease, Friedrich’s Ataxia)
7. Other Disorders
A. Trigeminal neuralgia
B. Sleep disorders
C. Toxic encephalopathies
D. Delirium
E. Pain
1. Acute
2. Chronic
F. Chemical dependency
Domain 1: Basic Physiological
Activity/Exercise Management
Elimination Management
Immobility Management
Nutritional Support
Physical Comfort Promotion
Self-care Facilitation
Domain 2: Complex Physiological
Electrolyte & Acid-base Management
Drug Management
Neurological Management
Perioperative Care
Respiratory Management
Skin/Wound Management
Thermoregulation
Tissue Perfusion Management
Domain 3: Behavioral
Behavior Therapy
Cognitive Therapy
Communication Enhancement
Coping Assistance
Patient Education
Psychological Comfort Promotion
Domain 4: Family
Lifespan Care
Domain 5: Safety
Crisis Management
Risk Management
Domain 6: Health System
Health System Mediation
Health System Management
Information ManagementExamination Matrix
 NeurologicalDisorder | Trauma | Cerebro - vascular | Tumors | Immune / Infection | Seizure | Develop/ Degen | Other Disorders | ||
 Intervention | % of Exam | 12% | 25% | 15% | 10% | 8% | 20% | 10% | |
| Domain 1 | Activity/Exercise Mgmt | 24% | The distribution of content and test construction procedures for the CNRN are based on this table and described below: Since the specification has two content dimensions: disorders and intervention, we need to independently consider both content domains while creating a test from. Before an item can be included on a test form, it must be assigned to a disorder domain and linked to an intervention domain. Disorder is the primary domain, and as such items are selected to fulfill the content specifications of seven neurological disorder domains. The percentage of total number of scored items in each domain is given below: Content Description Percentage of Items Items Trauma: 12% 25 Cerebrovascular: 25% 52 Tumors: 15% 32 Immune/Infection: 10% 20 Seizure: 8% 15 Developmental/Degenerative: 20% 41 Other Disorders 10% 20 Total 100% 205 In addition the final 200 scored items reflect a sampling of a content related to nursing interventions. The result of the 2009 Role Delineation Study established target percentages for intervention groupings for the test specifications. While the test form is being constructed a serious effort is made to match the target percentage and the number of items established for each intervention domain. Targeted percentage of total scored items and approximate number of items in each intervention is given below: Content Description Percentage of Approximate Number of Items Items Domain 1 24% 50 Domain 2 36% 72 Domain 3 15% 31 Domain 4 7% 14 Domain 5 9% 19 Domain 6 9% 19 Total 100% 205 A list of six nursing intervention domains is available after the disorder domains detailed content outline located on page 11 of the Candidate Handbook. | ||||||
| Elimination Mgmt | |||||||||
| Immobility Mgmt | |||||||||
| Nutrition Support | |||||||||
| Physical Comfort Promotion | |||||||||
| Self-Care Facilitation | |||||||||
| Domain 2 | Electrolyte & Acid Base Mgmt | 36% | |||||||
| Drug Mgmt | |||||||||
| Neurological Mgmt | |||||||||
| Perioperative Care | |||||||||
| Respirator Mgmt | |||||||||
| Skin/Wound Mgmt | |||||||||
| Thermo- regulation | |||||||||
| Tissue Perfusion Mgmt | |||||||||
| Domain 3 | Behavior Therapy | 15% | |||||||
| Cognitive Therapy | |||||||||
| Communication Enhancement | |||||||||
| Coping Assistance | |||||||||
| Patient Education | |||||||||
| Psychological Comfort Promotion | |||||||||
| Domain 4 | Lifespan Care | 7% | |||||||
| Domain 5 | Crisis Mgmt | 9% | |||||||
| Risk Mgmt | |||||||||
| Domain 6 | Health System Mediation | 9% | |||||||
| Health System Mgmt. | |||||||||
| Information Mgmt | |||||||||
