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AACN PCCN Exam Syllabus Topics:

SectionObjectives
Topic 1: Gastrointestinal- GI Bleeding
- Liver Failure and Pancreatitis
Topic 2: Professional Caring and Ethical Practice- Patient Advocacy and Communication
- Ethical Decision Making
Topic 3: Endocrine / Metabolic- Electrolyte Imbalances
- Diabetes Management
Topic 4: Cardiovascular- Arrhythmia Management
- Heart Failure and Shock States
- Acute Coronary Syndromes
Topic 5: Hematology / Immunology / Infectious Disease- Sepsis Management
- Coagulation Disorders
Topic 6: Neurology- Stroke Management
- Seizure Disorders
- Increased Intracranial Pressure
Topic 7: Multisystem Failure- Shock Syndromes
- Organ Dysfunction Syndromes
Topic 8: Pulmonary- Oxygenation and Ventilation Disorders
- Mechanical Ventilation Basics
- Respiratory Failure
Topic 9: Clinical Judgment- Interpretation of Clinical Data
- Patient Assessment and Prioritization

AACN Progressive Care Certified Nursing Sample Questions:

Question 1

In this type of aortic dissection, the original tear begins and is contained in the ascending aorta:

A. Type III
B. Type II
C. Type IV
D. Type I


Question 2

The most common cause of cardiogenic shock is:

A. Myocardial contusion
B. Coronary artery disease
C. Pericardial tamponade
D. Ventricular rupture


Question 3

Which of the following statements is true related to pressure injuries?

A. To correctly stage pressure injuries, accurate measurements of the wound's depth must be taken
B. Dry eschar on the heel must always be debrided to expose the base of the wound before healing can occur
C. Unstageable pressure injuries are defined as full-thickness tissue loss
D. Stage 3 pressure injuries are defined as partial-thickness tissue loss


Question 4

Surgical options for the treatment of pulmonary arterial hypertension include all of the following except:

A. Pulmonary thromboendarterectomy
B. Lung transplantation
C. Atrial septostomy
D. No surgical treatment options currently exist for the treatment of pulmonary arterial hypertension


Question 5

When assessing the patient's gastrointestinal status, the nurse keeps in mind that:

A. Before noting absent bowel sounds, a quadrant of the abdomen should be listened to for at least 60 to 90 seconds
B. Adventitious bowel sounds include frictions rubs, bruits, and rhonchi
C. Auscultation of bowel sounds in all four quadrants is performed moving in a counter-clockwise direction
D. Palpation is completed prior to auscultation


Solutions:

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

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