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AACN PCCN Practice Q&A's

PCCN PDF
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AACN PCCN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Cardiovascular33%- Heart Failure
  • 1. Acute and chronic HF
  • 2. Pharmacological management
  • 3. Left vs right heart failure
- Structural Heart Disease
  • 1. Cardiomyopathies
  • 2. Pericardial disease
  • 3. Valvular disorders
- Hemodynamic Monitoring
  • 1. Arterial lines
  • 2. Central venous pressure
  • 3. Cardiac output monitoring
- Vascular Disorders
  • 1. Peripheral vascular disease
  • 2. Aortic emergencies
- Acute Coronary Syndromes
  • 1. Unstable angina
  • 2. STEMI/NSTEMI management
  • 3. Cardiac biomarkers
- Dysrhythmias
  • 1. Cardioversion and defibrillation
  • 2. Identification and management
  • 3. Pacemakers and ICDs
Topic 2: Multisystem22%- Palliative/End-of-Life Care
  • 1. Ethical considerations
  • 2. Symptom management
  • 3. Goals of care
- Shock
  • 1. Septic shock
  • 2. Distributive shock
  • 3. Cardiogenic shock
  • 4. Hypovolemic shock
- Sepsis
  • 1. Early recognition and bundles
  • 2. Organ dysfunction
- Trauma
  • 1. Burns
  • 2. Trauma assessment and management
- Post-operative Care
  • 1. Pain management
  • 2. Complications management
- Multiorgan Dysfunction Syndrome
  • 1. Pathophysiology
  • 2. Management strategies
Topic 3: Pulmonary21%- Pneumonia
  • 1. Community-acquired
  • 2. Ventilator-associated
- Respiratory Assessment
  • 1. Pulse oximetry
  • 2. ABG interpretation
  • 3. Chest tube management
- Acute Respiratory Failure
  • 1. ARDS
  • 2. Non-invasive ventilation (BiPAP/CPAP)
  • 3. Mechanical ventilation management
- Chronic Respiratory Disorders
  • 1. COPD exacerbation
  • 2. Asthma management
- Pulmonary Embolism
  • 1. Anticoagulation therapy
  • 2. Diagnosis and treatment
Topic 4: Endocrine/Hematology/Neurology/Gastrointestinal/Renal24%- Renal
  • 1. CRRT/Dialysis
  • 2. Electrolyte imbalances
  • 3. Acute kidney injury
- Hematology
  • 1. Sickle cell crisis
  • 2. Blood product administration
  • 3. DIC (Disseminated Intravascular Coagulation)
- Gastrointestinal
  • 1. Acute pancreatitis
  • 2. GI bleeding
  • 3. Liver failure
- Neurology
  • 1. Increased intracranial pressure
  • 2. Traumatic brain injury
  • 3. Stroke management
  • 4. Seizures and status epilepticus
- Endocrine
  • 1. Adrenal crisis
  • 2. Thyroid disorders
  • 3. Diabetic emergencies (DKA, HHS)

AACN Progressive Care Certified Nursing Sample Questions:

1. The leading causes of acute pancreatitis are:

A) Autoimmune disorders and gallstones/biliary tract disease
B) Drug-induced and gallstones/biliary tract disease
C) Chronic alcohol use and drug-induced
D) Chronic alcohol use and gallstones/biliary tract disease


2. Oliguria is defined as:

A) Urine output of less than 400 mL per day
B) Urine output of less than 200 mL per day
C) Urine output of less than 600 mL per day
D) Urine output of less than 50 mL per day


3. Of the following medications, which is a recombinant human b-type natriuretic peptide which is effective in decreasing pulmonary wedge pressure and improving dyspnea symptoms in acutely decompensated heart failure patients who have dyspnea at rest or with minimal activity?

A) Nesiritide
B) Ibutilide
C) Clevidipine
D) Dofetilide


4. Initially, when caring for a patient with a temporary pacemaker, stimulation threshold testing should be done:

A) By the physician
B) Every shift
C) Every 24 hours
D) Hourly


5. Of the following, which is the most important indicator of elevated intracranial pressure?

A) Change in level of consciousness
B) Abnormal posturing
C) Pupillary changes
D) Changes in vital signs


Solutions:

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

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