CNRN case studies
CNRN · Put your knowledge to work in context.
The Certified Neuroscience Registered Nurse (CNRN) credential is a specialty nursing certification awarded by the American Board of Neuroscience Nursing (ABNN) and accredited by the Accreditation Board for Specialty Nursing Certification (ABSNC). ABNN describes it as a marker of knowledge of neuroscience nursing fundamentals and a generalist exam that is not intended to emphasize any particular level of care or developmental level - so it applies to nurses in intensive care, step-down, general neuro, rehabilitation, and outpatient roles alike. The CNRN case studies are 5 cases and about 2,102 words.
1Rising ICP and a Falling EVD Output After Aneurysmal SAH
R, 54, had an aneurysmal subarachnoid hemorrhage (WFNS grade 2) coiled 72 hours ago. He has an external ventricular drain leveled at 15 cmH2O above the tragus, draining 10–12 mL/hr, and a target CPP of 70–80 mmHg.
503 words, about 3 min2Hypotension and Bradycardia After a C5 Spinal Cord Injury
T, 24, is admitted after a rollover MVC with a C5 fracture and ASIA B spinal cord injury, 6 hours post-injury. BP is 84/46 mmHg, HR 48, SpO2 94% on 2 L, temp 35.8°C, skin warm and dry, lactate 1.6 mmol/L, Hgb 11.0 g/dL, urine output 60 mL/hr.
419 words, about 2 min3Worsening MS Symptoms During a UTI and Heat Exposure
L, 38, has relapsing-remitting MS and receives natalizumab every 4 weeks. She presents with 2 days of worsening left leg heaviness, blurred vision in the right eye, and fatigue.
408 words, about 2 min4Blood Pressure and Anticoagulation Reversal in Acute ICH
K, 72, presents 3 hours after sudden right-sided weakness and aphasia. CT shows an 18 mL left basal ganglia intraparenchymal hemorrhage.
390 words, about 2 min5Nonconvulsive Status Epilepticus on Continuous EEG After Cardiac Arrest
S, 61, remains comatose 48 hours after cardiac arrest. He received targeted temperature management at 36°C for 24 hours and has been rewarmed.
382 words, about 2 min