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AACN PCCN Exam Syllabus Topics:

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

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


                                              Question 2

                                              To confirm a diagnosis of myocardial infarction, the nurse would expect the physician to order which laboratory tests?

                                              A. Tropin I, aPTT, and myoglobin
                                              B. Creatine kinase, tropin T, and sedimentation rate
                                              C. Tropin T, tropin I, myoglobin, and creatine kinase
                                              D. Myoglobin, creatine kinase, and sedimentation rate


                                              Question 3

                                              Which of the following refers to a technique that uses a combination of analgesics and sedatives to minimize discomfort during a procedure while assuring that the patient can maintain ventilation and communicate throughout the procedure?

                                              A. Conscious sedation
                                              B. Presence sedation
                                              C. Critical sedation
                                              D. Progressive sedation


                                              Question 4

                                              The Health Information Portability and Accountability Act (HIPAA) creates a legal mandate to honor the ethical obligation of:

                                              A. Veracity
                                              B. Beneficence
                                              C. Confidentiality
                                              D. Fidelity


                                              Question 5

                                              Which of the following is true related to pneumococcal vaccine recommendations?

                                              A. Infants and children < 2 years old should receive the pneumococcal conjugate vaccine (PCV13). This is a 4-dose series.
                                              B. Infants and children < 2 years old should receive the pneumococcal polysaccharide vaccine (PPSV23).
                                              This is a 4-dose series.
                                              C. Anyone aged 2 through 64 years with certain medical conditions should get 2 doses of pneumococcal conjugate vaccine (PCV13), five years apart
                                              D. An adult who previously received two doses of pneumococcal polysaccharide vaccine (PPSV23) before age 65, should receive one final dose at age 65 or older once 10 years have passed since the most recent PPSV23 dose


                                              Solutions:

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

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