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AACN PCCN Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Clinical Judgment | - Patient Assessment and Prioritization - Interpretation of Clinical Data |
| Topic 2: Hematology / Immunology / Infectious Disease | - Coagulation Disorders - Sepsis Management |
| Topic 3: Endocrine / Metabolic | - Diabetes Management - Electrolyte Imbalances |
| Topic 4: Gastrointestinal | - Liver Failure and Pancreatitis - GI Bleeding |
| Topic 5: Cardiovascular | - Arrhythmia Management - Heart Failure and Shock States - Acute Coronary Syndromes |
| Topic 6: Professional Caring and Ethical Practice | - Patient Advocacy and Communication - Ethical Decision Making |
| Topic 7: Multisystem Failure | - Organ Dysfunction Syndromes - Shock Syndromes |
| Topic 8: Pulmonary | - Oxygenation and Ventilation Disorders - Mechanical Ventilation Basics - Respiratory Failure |
| Topic 9: Neurology | - Seizure Disorders - Increased Intracranial Pressure - Stroke Management |
AACN Progressive Care Certified Nursing Sample Questions:
Question 1
Acute kidney injury (AKI) is characterized by three clinical phases, seen primarily due to intrarenal injury.
The first phase of AKI is characterized by:
A. A drop in BUN and creatinine levels
B. An increase in urine output
C. A significant rise in BUN and creatinine levels; common complications include fluid overload and acute hyperkalemia
D. A significant rise in BUN and creatinine levels along with acute hypokalemia
Question 2
All of the following statements related to hemodialysis are true except:
A. Both arterial and venous pressures are monitored in the dialysis circuitry
B. 14- or 16-gauge needles are used in coupling the dialysis catheter and the dialysis circuitry
C. Coupling requires strict adherence to sterile technique
D. When a synthetic graft is used, only one needle is required to "couple" the dialysis catheter and the dialysis circuitry, using clean technique
Question 3
When providing education and information in the progressive care unit, repetition of information is necessary because:
A. Stress and the progressive care environment can alter comprehension
B. All patients in the progressive care unit are heavily medicated
C. Hospitalists often provide information to the patients that conflicts with what they have been told by their general practitioners
D. In the progressive care unit, there is limited time allowed for the patient or family to ask questions
Question 4
Autonomic dysreflexia is a life-threatening complication that occurs in individuals with spinal cord injury at or above:
A. T6
B. C6
C. L6
D. L1
Question 5
All of the following statements related to stimulation threshold testing are true except:
A. The monitor much continuously be monitored during stimulation threshold testing
B. After the stimulus threshold is determined, the output should be set 2 to 3 times higher than the threshold
C. The pacing rate may need to be temporarily decreased to override an intrinsic rhythm
D. The stimulus threshold is determined by first decreasing the output until the pacing stimulus no longer captures the heart, and then slowly increasing the output until 1:1 capture resumes
Solutions:
| Question 1 Answer: C | Question 2 Answer: D | Question 3 Answer: A | Question 4 Answer: A | Question 5 Answer: C |
