Domain Weights (ANCC-Aligned Blueprint)

• DOMAIN I — Clinical Judgment (Assessment) — 30%: Primary/secondary survey, rapid neurologic checks (GCS, stroke scales), hemodynamic monitoring, ventilator assessment, ABG analysis, ECG and lab/imaging interpretation, airway and breathing evaluation, shock and trauma assessment.
• DOMAIN II — Diagnosis — 25%: Rapid identification of life-threatening diagnoses, discriminating similar high-acuity conditions, recognizing postop complications, predicting organ failure, identifying sepsis, DKA/HHS and endocrine crisis, and synthesizing data trends.
• DOMAIN III — Clinical Management — 35%: Stabilization and treatment of critically ill adults including shock resuscitation, ventilator and vasopressor management, advanced airways, sedation/analgesia and neuromuscular blockade, arrhythmias, sepsis bundles, fluids, AKI and electrolytes, GI bleed, stroke, DKA/HHS, trauma and renal replacement therapy.
• DOMAIN IV — Professional Role (Ethics, EBP, Safety) — 10%: APRN scope and regulation, ethics and informed consent, cultural competence, interprofessional communication, quality improvement, research and evidence-based practice, informatics, documentation and legal/safety standards.