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AACN PCCN Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Endocrine / Metabolic | - Electrolyte Imbalances - Diabetes Management |
| Topic 2: Professional Caring and Ethical Practice | - Ethical Decision Making - Patient Advocacy and Communication |
| Topic 3: Hematology / Immunology / Infectious Disease | - Sepsis Management - Coagulation Disorders |
| Topic 4: Multisystem Failure | - Organ Dysfunction Syndromes - Shock Syndromes |
| Topic 5: Cardiovascular | - Heart Failure and Shock States - Arrhythmia Management - Acute Coronary Syndromes |
| Topic 6: Clinical Judgment | - Interpretation of Clinical Data - Patient Assessment and Prioritization |
| Topic 7: Neurology | - Increased Intracranial Pressure - Stroke Management - Seizure Disorders |
| Topic 8: Pulmonary | - Mechanical Ventilation Basics - Oxygenation and Ventilation Disorders - Respiratory Failure |
| Topic 9: Gastrointestinal | - Liver Failure and Pancreatitis - GI Bleeding |
AACN Progressive Care Certified Nursing Sample Questions:
1. Auto-PEEP (positive end-expiratory pressure) can be minimized by:
A) Decreasing inspiratory flow rates
B) Auto-PEEP is intrinsic; there is no way to minimize its occurrence
C) Avoiding overventilation
D) Using smaller diameter endotracheal tubes
2. Emergency measures for ventricular assist devices failure may include all of the following except:
A) Patients can be safely cardioverted and defibrillated with ventricular assist device in place
B) Cardiopulmonary resuscitation
C) Vascular clamps available for cannula disconnections
D) Backup ventricular assist device in place and ready for operation in case mechanical failure occurs
3. Mallory-Weiss Syndrome is most often associated with which of the following?
A) Diabetes
B) Alcoholism
C) Morbid obesity
D) Hypertension
4. If a patient with an aortic aneurysm is to be medically managed, follow up chest x-rays, CT scans, MRI scans, and/or ultrasounds will be needed how often?
A) Annually
B) At 6-month intervals
C) At 6-week intervals
D) At 3-month intervals
5. Which of the following describes the injury which occurs in Brown-Sequard syndrome?
A) Injury to the central gray matter of the spinal cord with preservation of the outer white matter
B) Injury to the posterior spinal column
C) Injury to the anterior portion of the spinal cord with disruption of blood flow through the anterior spinal artery
D) Lateral injury to one side of the spinal cord
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: D |







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