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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. Evidence-based practice guidelines related to family interventions that should occur during the intervention stage of the nursing process include all of the following except:

                                              A) Determine a family spokesperson and contact person
                                              B) Include family in direct care and decision making as appropriate
                                              C) Provide information according to family needs
                                              D) Including assistance with activities of daily living


                                              2. Bruising of the spinal cord that includes bleeding into the spinal cord is known as:

                                              A) Laceration
                                              B) Hemorrhage
                                              C) Concussion
                                              D) Contusion


                                              3. The surgical procedure that is defined as the removal of a bronchovascular segment of the lung lobe is:

                                              A) Pneumonectomy
                                              B) Lobectomy
                                              C) Segmental resection
                                              D) Wedge resection


                                              4. Treatment with folinic acid is suggested in the treatment of which of the following?

                                              A) Lithium overdose
                                              B) Phenobarbital overdose
                                              C) Methanol overdose
                                              D) Acetaminophen overdose


                                              5. A nurse is using an indwelling arterial catheter to obtain a blood sample for arterial blood gas analysis.
                                              How much blood is withdrawn prior to obtaining the sample to clear the catheter system of any flush system fluid?

                                              A) 1 mL
                                              B) 20 mL
                                              C) 8 to 10 mL
                                              D) 3 to 5 mL


                                              Solutions:

                                              Question # 1
                                              Answer: D
                                              Question # 2
                                              Answer: D
                                              Question # 3
                                              Answer: C
                                              Question # 4
                                              Answer: C
                                              Question # 5
                                              Answer: D

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