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AACN PCCN Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| 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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