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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              Appropriate reasons for the use of sedation in the progressive care unit include all of the following except:

                                              • A. Ventilator tolerance, patient safety and agitation, amnesia
                                              • B. Anxiety and fear, sleep deprivation, delirium
                                              • C. Amnesia, patient safety and agitation, sleep deprivation
                                              • D. Pain, amnesia, patient safety and agitation
                                              Reveal Solution  Discussion  0

                                              Correct Answer: D  🗳️

                                              Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

                                              Weaning or "liberation" from a mechanical ventilator is considered to be successful, or complete, when the patient has been extubated successfully without the need for reintubation within:

                                              • A. 72 hours
                                              • B. 24 hours
                                              • C. 48 hours
                                              • D. 12 hours
                                              Reveal Solution  Discussion  0

                                              Correct Answer: C  🗳️

                                              Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

                                              All of the following medications are examples of oral medications used in the treatment of pulmonary arterial hypertension except:

                                              • A. Bosentan (Tracleer)
                                              • B. Ambrisentan (Letairis)
                                              • C. Flolan (epoprostenol)
                                              • D. Sildenafil (Revatio)
                                              Reveal Solution  Discussion  0

                                              Correct Answer: C  🗳️

                                              Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

                                              Which of the following statements is true regarding arterial catheters?

                                              • A. The Allen test is performed prior to insertion in the radial artery
                                              • B. Following the removal of an arterial catheter, firm, direct pressure is applied at the site for a minimum of 2 minutes, followed by the application of a pressure dressing
                                              • C. The most common insertion site is the femoral artery
                                              • D. Following the removal of an arterial catheter, firm, direct pressure is maintained over the site for a minimum of 90 seconds, followed by the application of a pressure dressing
                                              Reveal Solution  Discussion  0

                                              Correct Answer: A  🗳️

                                              Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

                                              Of the distributive shock syndromes, the one most commonly seen in the acute care setting is:

                                              • A. Neurogenic shock
                                              • B. Cardiogenic shock
                                              • C. Septic shock
                                              • D. Anaphylaxis
                                              Reveal Solution  Discussion  0

                                              Correct Answer: C  🗳️

                                              Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

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