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Critical Care Examination Review

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Title: Critical Care Examination Review
by Laura Gasparis Vonfrolio, Joanne Noone
ISBN: 0-9627246-9-6
Publisher: Power Pubns
Pub. Date: April, 1999
Format: Paperback
Volumes: 1
List Price(USD): $28.95
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Average Customer Rating: 4.2 (10 reviews)

Customer Reviews

Rating: 2
Summary: You could do better than this book
Comment: I originally took (and passed) the CCRN six years ago. At that time I used a prior version of this book to study, but upon taking the exam did not feel that the questions adequately prepared me for the test. Experience and wading through the Core Curiculum got me through. Okay, maybe some luck as well.

Now that I have to recertify by retesting, I thought I would give Vonfrolio another shot. I should not have bothered, and here's why. In many questions the rationales are not adequately explained; there are many questions, like the exam itself, where there are two close answers. Why one is better than the other is frequently not discussed. The ACLS questions seemed a bit odd, such as including Isuprel (I'm an ACLS instructor, and Isuprel has been on the outs for ages). To be fair, I do not know if this is representative of the current CCRN exam, but I found it to not be the case six years ago. I also ran into a few questions which contradict some of my prior education - I need to double check to see who is right, but it happened enough that I am now cautious.

... the CCRN exam is tough - the hardest test I have ever taken. I did not feel that the book's wording or level of misery sufficiently represented the exam. You may well find that this works well in conjunction with another resource. And again, I have not taken the test in six years,so it may well have changed. If that is the case I will reconsider my review and edit it as needed. Her CEN exam was pretty close to the test, but I found the CEN substantially easier than the CCRN, and I was working in ICU at the time!

If you're attempting the exam for the first time, let me wish you luck. If - or rather WHEN - you pass, know that you have accomplished something worthwhile. Good luck!

Rating: 3
Summary: Much harder than it used to be.
Comment: I've had a couple friends review this exam book after they took the test recently (a couple weeks ago), and they all told me the questions are too easy in this book. The actual CCRN questions are worded to confuse you, and the answers you expect to be there aren't there. For example, if a patient has a high potassium, which would you give? In the CCRN, they wouldn't give you some easy choice like keyaxelate or insulin, they'd give you something crazy like sodium polystyrene sulfonate. In the CCRN, they probably wouldn't even mention hyperkalemia. They'd say something like "A patient is on spironolactone and begins to develop dysrhythmias, which of the following would you do?" So it helps to know the rationalization behind the questions in this book, and always know 3 or 4 ways to treating a problem. And when all else fails, rule out each choice as you go along.

Rating: 5
Summary: Laura is a must for any critical care nurse
Comment: It is a well-known fact that Laura Gasparis Vonfrolio makes sense of that overwhelming mass of information known as critical care. Whether employed in the Pre/Inter-Hospital Enviornment, Emergency Department or Critical Care Unit, a nurse benefits from studying her offerings and attending her seminars. I find the question and answer format an excellent teaching tool, especially with the expanded answer section explaining the rational behind the correct, and incorrect anwers. My only wish is that she would publish a companion CD with the text to practice taking the exam in the new format. A must have for anyone taking the CCRN to do those "mental aerobics" she discusses in preparation for the test. Good luck all! Dori Lawson RN PHRN CEN CFRN

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