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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. Which of the following statements is true related to hospital-acquired pneumonia?

                                              A) Most cases are due to aspiration of bacteria colonizing the upper gastrointestinal tract or oropharynx
                                              B) Most cases are caused by inhalation of particles or aerosols containing organisms
                                              C) Most cases are caused by decreased level of consciousness and mechanical ventilation
                                              D) Most cases are caused by hematogenous spread of the organism to the lung from another site in the body


                                              2. Which of the following statements is true regarding positive end-expiratory pressure (PEEP)?

                                              A) PEEP may decrease hepatic congestion
                                              B) Use of PEEP may decrease the risk of barotrauma due to lower mean and peak airway pressures during ventilation
                                              C) PEEP may decrease intracranial pressure and increase renal perfusion
                                              D) The application of positive pressure to the airways during expiration may keep alveoli open and prevent early closure during exhalation in conjunction with any of the ventilator modes


                                              3. Of the following, which is the most common cause of large-bowel obstruction in the United States?

                                              A) Colorectal cancer
                                              B) Fecal impaction
                                              C) Diverticulitis
                                              D) Adhesions


                                              4. Which of the following statements related to gastrointestinal bleeding is true?

                                              A) Lower gastrointestinal bleeding is more common than upper gastrointestinal bleeding
                                              B) A rapid upper gastrointestinal bleed may present as the presence of blood in the lower gastrointestinal tract
                                              C) In acute upper gastrointestinal bleeding, death is typically a direct result of blood loss
                                              D) Life-threatening gastrointestinal bleeding originates most commonly in the lower gastrointestinal tract


                                              5. All of the following statements are true related to Ventavis (iloprost) except:

                                              A) It is a prostacyclin vasodilator of the pulmonary arterial vascular beds
                                              B) It is used in the treatment of pulmonary hypertension and is administered per continuous intravenous infusion
                                              C) It is an inhibitor of platelet aggregation
                                              D) It is a systemic vasodilator


                                              Solutions:

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

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