Domain Weights (ANCC-Aligned Blueprint)

• DOMAIN I – Clinical Judgment (Assessment) – 30%: Primary/secondary survey, rapid neurologic assessment, hemodynamic monitoring, ventilator and ABG interpretation, ECG and lab/imaging interpretation, airway and breathing, shock and trauma assessment.
• DOMAIN II – Diagnosis – 25%: Identification of life-threatening diagnoses, differentiation of similar high-acuity conditions, recognition of postoperative complications, sepsis, DKA/HHS, endocrine crises, organ failure prediction, and trend interpretation across data sources.
• DOMAIN III – Clinical Management – 35%: Management of shock states, ventilator strategies, vasopressor/inotrope selection, advanced airways, sedation and neuromuscular blockade, arrhythmia management, sepsis bundles, fluid resuscitation, AKI and electrolyte crises, GI bleed, stroke, DKA/HHS, trauma, CRRT/HD, and end-of-life interventions.
• DOMAIN IV – Professional Role (Ethics, EBP, Safety) – 10%: APRN scope and regulation, ethical principles, informed consent, cultural competence, communication, quality improvement, research/EBP, informatics, documentation, legal and safety standards.