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AACN PCCN Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Pulmonary | - Respiratory Failure - Oxygenation and Ventilation Disorders - Mechanical Ventilation Basics |
| Topic 2: Cardiovascular | - Acute Coronary Syndromes - Heart Failure and Shock States - Arrhythmia Management |
| Topic 3: Endocrine / Metabolic | - Diabetes Management - Electrolyte Imbalances |
| Topic 4: Neurology | - Seizure Disorders - Stroke Management - Increased Intracranial Pressure |
| Topic 5: Professional Caring and Ethical Practice | - Patient Advocacy and Communication - Ethical Decision Making |
| Topic 6: Gastrointestinal | - Liver Failure and Pancreatitis - GI Bleeding |
| Topic 7: Hematology / Immunology / Infectious Disease | - Sepsis Management - Coagulation Disorders |
| Topic 8: Clinical Judgment | - Interpretation of Clinical Data - Patient Assessment and Prioritization |
| Topic 9: Multisystem Failure | - Organ Dysfunction Syndromes - Shock Syndromes |
AACN Progressive Care Certified Nursing Sample Questions:
1. According to the National Pressure Ulcer Advisory Panel, a purple or maroon localized area of discolored intact skin, or a blood-filled blister due to damage of subcutaneous tissue that occurs under intact skin is:
A) An Unstageable-Unknown Depth pressure injury
B) A Category/Stage 1 pressure injury
C) A Category/Stage 2 pressure injury
D) Deep tissue injury
2. In which of the following situations would it be most appropriate for a surrogate decision-maker to apply the best interests standard to the informed consent process?
A) A female patient with terminal lung cancer who is on hospice
B) A 35-year-old who has suffered a brain aneurysm but has a living will
C) The surrogate's own 78-year-old mother
D) An 18-month-old who was struck by a car
3. Unless contraindicated or not tolerated, ACE inhibitors are recommended in all heart failure patients with a left ventricular ejection fraction of less than:
A) 50%
B) 60%
C) 40%
D) 90%
4. Which of the following statements is true related to nurses and the ethical problems they face?
A) When faced with ethical problems, nurses are more likely to reach a resolution if a consistent process is applied
B) Due to the risk of breaching patient trust, a nurse should never seek the support of colleagues in solving an ethical dilemma
C) A structured approach to ethical analysis increases the risk of overlooking relevant information
D) A seasoned nurse rarely finds that obligations to oneself, the patient, other members of the health care team, or the institution are in conflict
5. Of the following, which insulin would be expected to peak the most quickly:
A) NPH
B) Aspart
C) Glulisine
D) Regular
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: C |




