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AACN PCCN Exam Syllabus Topics:

SectionObjectives
Topic 1: Multisystem Failure- Shock Syndromes
- Organ Dysfunction Syndromes
Topic 2: Gastrointestinal- Liver Failure and Pancreatitis
- GI Bleeding
Topic 3: Endocrine / Metabolic- Diabetes Management
- Electrolyte Imbalances
Topic 4: Neurology- Increased Intracranial Pressure
- Seizure Disorders
- Stroke Management
Topic 5: Clinical Judgment- Patient Assessment and Prioritization
- Interpretation of Clinical Data
Topic 6: Hematology / Immunology / Infectious Disease- Coagulation Disorders
- Sepsis Management
Topic 7: Professional Caring and Ethical Practice- Patient Advocacy and Communication
- Ethical Decision Making
Topic 8: Cardiovascular- Arrhythmia Management
- Acute Coronary Syndromes
- Heart Failure and Shock States
Topic 9: Pulmonary- Respiratory Failure
- Oxygenation and Ventilation Disorders
- Mechanical Ventilation Basics

AACN Progressive Care Certified Nursing Sample Questions:

1. Which of the following principles argues for a thoughtful and comprehensive approach when making decisions involving the allocation of nursing resources?

A) Paternalism
B) Resource availability
C) Justice
D) Veracity


2. The goals of treatment of pulmonary arterial hypertension are to minimize symptoms and slow the progression of the disease. Which of the following treatments is most likely appropriate in a patient with PAH who showed a positive response to a vasodilator during right-heart cardiac catheterization?

A) Beta-blockers
B) Anticoagulants
C) Calcium channel blockers
D) Diuretics


3. In patients receiving which of the following medications in addition to unfractionated heparin, should the partial thromboplastin should be closely monitored as increased doses of unfractionated heparin may be required to maintain a therapeutic partial thromboplastin time?

A) Midazolam
B) Levetiracetam
C) Morphine
D) Nitroglycerin


4. An example of primary brain injury is:

A) Hypocapnia
B) Epidural hematoma
C) Increased intracranial pressure
D) Hypoxemia


5. Regarding hospital-acquired infections, the nurse realizes that:

A) Urinary tract infections are the most common hospital-acquired infections in the progressive care setting
B) It is estimated that at least 65% of progressive care patients acquire some type of infection
C) If a urinary catheter was placed in an emergency situation, it should be left in place and antibiotics initiated rather than increasing the risk of infection caused by replacing the catheter.
D) Pneumonias are the most common hospital-acquired infections in the progressive care setting


Solutions:

Question # 1
Answer: C
Question # 2
Answer: C
Question # 3
Answer: D
Question # 4
Answer: B
Question # 5
Answer: A

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