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AACN PCCN Exam Syllabus Topics:

SectionWeightObjectives
Professional Caring & Ethical Practice20%- Patient/family education & communication
- Collaboration & systems thinking
- Evidence-based practice & safety
- Advocacy & ethical decision-making
- Cultural competence & psychosocial support
Clinical Judgment80%- Pulmonary
  • 1. Post-extubation care
    • 2. Respiratory failure & COPD exacerbation
      • 3. Oxygen therapy & ventilation support
        • 4. Pulmonary embolism & pneumonia
          - Neurology
          • 1. Stroke & neurological monitoring
            • 2. Seizure management
              • 3. Post-neurosurgical care
                - Hematology & Immunology
                • 1. Sepsis & immune response
                  • 2. Anticoagulation & blood product therapy
                    - Endocrine
                    • 1. Adrenal & thyroid disorders
                      • 2. Diabetes & DKA management
                        - Renal
                        • 1. Acute kidney injury & chronic kidney disease
                          • 2. Fluid/electrolyte & acid-base regulation
                            - Cardiovascular
                            • 1. Acute coronary syndromes & heart failure
                              • 2. Valvular & structural heart disease
                                • 3. Hemodynamic monitoring & management
                                  • 4. Arrhythmias & 12-lead ECG interpretation
                                    • 5. Post-cardiac procedure care
                                      - Multisystem & Integumentary
                                      • 1. Shock & trauma management
                                        • 2. Wound care & infection control
                                          - Gastrointestinal
                                          • 1. GI bleeding & liver dysfunction
                                            • 2. Nutrition & fluid/electrolyte balance

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              Question 1

                                              Management of a basilar skull fracture may include all of the following except:

                                              A. Antibiotic therapy
                                              B. Maintaining the head of the bed at less than 15 degrees elevation
                                              C. Surgical repair of cerebrospinal fluid leaks
                                              D. Lumbar puncture to drain cerebrospinal fluid that is compressing the healing dura


                                              Question 2

                                              A diabetic patient's lab values include a hemoglobin of 14 and a hematocrit level of 57. A point of care glucose measurement may lead to:

                                              A. Overestimation of the blood glucose
                                              B. A variable error
                                              C. A false high reading
                                              D. Underestimation of the blood glucose


                                              Question 3

                                              The ability of the pacing stimulus to result in depolarization of the chamber being paced is known as:

                                              A. Capture
                                              B. Refraction
                                              C. Sensing
                                              D. Stimulus release


                                              Question 4

                                              Which of the following statements is true regarding the postsurgical care of the cardiac transplantation patient?

                                              A. With the loss of vagal tone, and if the sinus rate increases, there is a greater potential for junctional rhythms to develop
                                              B. If dysrhythmias such as supraventricular tachycardia occur, calcium channel blockers or beta-blockers are used
                                              C. In cases of chronic rejection with diffuse coronary artery disease, patients may experience severe angina
                                              D. Patients usually have a lower resting heart rate than normal


                                              Question 5

                                              To evaluate functional capacity as evidence of the patient's ability to reason about his or her own choices, which of the comments or questions would be the best for the nurse to make/ask?

                                              A. "Please tell me about some of the difficult health care choices you have made in the past."
                                              B. "Do you know what day it is?"
                                              C. "What is the name of your doctor?"
                                              D. "Why are you in the hospital?"


                                              Solutions:

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

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