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AACN PCCN Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Hematology / Immunology / Infectious Disease | - Coagulation Disorders - Sepsis Management |
| Topic 2: Clinical Judgment | - Patient Assessment and Prioritization - Interpretation of Clinical Data |
| Topic 3: Gastrointestinal | - GI Bleeding - Liver Failure and Pancreatitis |
| Topic 4: Professional Caring and Ethical Practice | - Ethical Decision Making - Patient Advocacy and Communication |
| Topic 5: Endocrine / Metabolic | - Electrolyte Imbalances - Diabetes Management |
| Topic 6: Neurology | - Seizure Disorders - Increased Intracranial Pressure - Stroke Management |
| Topic 7: Pulmonary | - Oxygenation and Ventilation Disorders - Mechanical Ventilation Basics - Respiratory Failure |
| Topic 8: Multisystem Failure | - Shock Syndromes - Organ Dysfunction Syndromes |
| Topic 9: Cardiovascular | - Heart Failure and Shock States - Acute Coronary Syndromes - Arrhythmia Management |
AACN Progressive Care Certified Nursing Sample Questions:
1. Adequate closure of which of the following is important so that blood is ejected forward into the aorta, not backward into the left atrium during ventricular systole?
A) Pulmonary valve
B) Aortic valve
C) Tricuspid valve
D) Mitral valve
2. Cardiac output (CO) measurements can be used as a rapid means to evaluate the patient's hemodynamic status. Which of the following conditions is most likely to contribute to an increase in CO?
A) Hypoglycemia
B) Restrictive cardiomyopathy
C) Cardiac tamponade
D) Sepsis
3. In renal replacement therapy, the process by which substrates move from an area of high concentration to one of a lesser concentration is known as:
A) Diffusion
B) Osmosis
C) Convection
D) Filtration
4. Of the following, which is the most common cause of acquired long-QT syndrome?
A) Electrolyte imbalances
B) Pharmacological therapy
C) Bradycardia
D) Heart failure
5. Evidence-based practice guidelines for the prevention of ventilator-associated pneumonia include which of the following?
A) Unless contraindicated by the patient's condition, perform nasotracheal rather than orotracheal intubation
B) Large-volume room-air humidifiers which create aerosols (nebulizers) must be sanitized at least daily and filled only with distilled water
C) Do not routinely change the patient's ventilator circuit
D) In patients at increased risk for aspiration (e.g., enteral tube in place) the head of the bed should remain elevated at 30 to 45 degrees at all times. For other mechanically ventilated patients, supine positioning is preferred.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: C |
