CRN study plan

Map every Domain 1 sub-topic (pre-procedure assessment, renal function screening, allergy history, pregnancy screening, IV access, sedation readiness) against your current knowledge and rate confidence 1–5 for each

Explain aloud the criteria for safe contrast administration in a patient with elevated creatinine or eGFR, including when to escalate to the radiologist

Walk through a complete pre-procedure assessment for three different patient scenarios (outpatient CT with contrast, inpatient MRI with sedation, post-op patient for fluoroscopy)

Rehearse obtaining and documenting informed consent, including how you verify understanding

Build a one-page decision aid for premedication and allergy history that you can recall from memory

Differentiate normal from abnormal vital signs and lab values using at least 15 sample patient vignettes and state the nursing action for each

Sequence the pre-procedure checklist for moderate sedation, including airway assessment and fasting status

Identify at least 10 risk factors that require modification of the standard procedure routine and justify each modification

Self-quiz Domain 1 content under timed conditions and log every missed item with the reason for the miss

Compare iodinated contrast and gadolinium agents by osmolality, viscosity, route, and indications, and state one clinical implication of each difference

Classify contrast reactions by severity and state the immediate pharmacological and supportive intervention for each level

Explain the pathophysiology and nursing management of contrast extravasation step by step

Describe the nurse's role during and after at least four interventional procedures (angiography, image-guided biopsy, drain placement, central line placement)

Outline post-procedure assessment priorities including access site checks, distal pulses, and bleeding monitoring

Apply the time-distance-shielding principle to calculate or justify dose-reduction choices in five worked scenarios

Explain ALARA, dose monitoring devices, and occupational dose limits and what actions trigger a review

Demonstrate correct donning, storage, and inspection of lead shielding and identify when shielding is contraindicated

Describe MRI safety zones, screening procedures, and the management of a patient with an implanted device

Identify environment-of-care hazards including falls, fire response, hazardous materials, and latex allergy, and state the prevention step for each

Apply teach-back to three patient teaching scenarios and document the patient's demonstrated understanding

Adapt communication for low health literacy, hearing or vision impairment, and limited English proficiency using interpreter resources

Design a coping-support approach for an anxious adult, a pediatric patient, and a claustrophobic patient undergoing MRI

Address family involvement and confidentiality boundaries in two conflict scenarios

Practice delivering bad news or a delay in care using a structured communication framework

Distinguish scope-of-practice, delegation, and accountability questions using the state nurse practice act and professional standards

Explain the QI process from event reporting through root cause analysis and describe the nurse's role at each step

Identify legal and ethical obligations in consent, documentation, privacy, and mandatory reporting

Interpret at least eight standards-of-practice or position statements and state the practice implication of each

Answer mixed Domain 4 and 5 practice questions and analyze each rationale, including why distractors are wrong

Re-rank all five domains by current practice-test accuracy and assign study time proportional to the lowest scoring areas

Re-teach your three weakest sub-topics aloud without notes as if explaining to a new orientee

Build a cumulative one-page-per-domain summary sheet from memory and correct it against source material

Complete a timed 75-question mixed set covering Domains 1, 2, and 3

Complete two full-length timed practice exams under exam-day conditions and record the score for each domain

Close out every remaining item on the remediation list with a written note explaining the corrected concept

Rehearse exam-day logistics: timing per question, flagging strategy, and breaks

Confirm eligibility, identification, and test-center or remote-proctoring requirements