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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. In a positive-pressure ventilator, which mode of ventilation ensures that a predetermined number of breaths at a selected Vt are delivered each minute, and any additional breaths initiated by the patient, while allowed, are not delivered by the ventilator?

                                              A) Control ventilation
                                              B) Synchronized intermittent mandatory ventilation
                                              C) Spontaneous ventilation
                                              D) Assist-control ventilation


                                              2. Optimal cellular functioning occurs when the pH of the blood is:

                                              A) Between 7.35 and 7.45
                                              B) Between 7.55 and 7.60
                                              C) Between 7.45 and 7.55
                                              D) Between 7.25 and 7.35


                                              3. All of the following statements related to the compensatory stage of shock are true except:

                                              A) During the compensatory stage of shock, hypovolemia and resultant hypotension lead to activation of the parasympathetic nervous system
                                              B) During the compensatory stage of shock, patients become restless and agitated due to respiratory alkalosis
                                              C) During the compensatory stage of shock, renal blood flow is reduced which activates hormonal response
                                              D) During the compensatory stage of shock, angiotensin I, present in the blood, is converted to angiotensin II in the lungs


                                              4. To ensure consistency in QT-interval monitoring, a single method should be used by all practitioners who are responsible for cardiac monitoring. Each facility should have a protocol in place that defines this specific method of QT-interval monitoring and includes all of the following except:

                                              A) Defines the equipment to be used (manual or electronic)
                                              B) The method for determining the end of the Q wave
                                              C) The formula for heart rate correction
                                              D) Criteria for lead selection


                                              5. The progressive care environment can be anxiety-provoking for patients. Which of the following statements is most correct related to sedation and delirium in the progressive care unit?

                                              A) In clinical trials, oral quetiapine has been shown to reduce the duration of delirium
                                              B) Sedative-induced amnesia protects patients from the psychological stress associated with the progressive care environment and sedation infusions must not be interrupted
                                              C) The use of sedatives decreases the risk of delirium in acutely ill patients as sedatives induce the stages of sleep that provide a restorative state
                                              D) Lorazepam, a benzodiazepine, has a rapid onset of action and a short duration of effect


                                              Solutions:

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

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