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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. A patient on the unit has cranial nerve VII dysfunction. Which of the following statements is most likely true about this patient?

                                              A) His hearing and equilibrium are affected
                                              B) He cannot protrude his tongue
                                              C) He is unable to close the eyelid on the affected side
                                              D) His gag reflex is affected


                                              2. All of the following statements are true concerning ibutilide except:

                                              A) The drug causes shortening of the refractory period and action potential duration with little effect on conduction velocity or automaticity
                                              B) The infusion of ibutilide should be stopped in the event of nonsustained or sustained ventricular tachycardia
                                              C) The drug is more effective than procainamide and sotalol in terminating atrial fibrillation and atrial flutter
                                              D) Serum potassium and magnesium levels should be measured and corrected before the drug is administered


                                              3. To be a candidate for bariatric surgery, an individual's body mass index must be:

                                              A) 40
                                              B) Greater than 40
                                              C) 45
                                              D) 35


                                              4. A Type II second-degree atrioventricular block:

                                              A) Is also known as a complete block
                                              B) Is often referred to as a Wenckebach block
                                              C) Is more common than a type I second-degree atrioventricular block and rarely requires treatment
                                              D) Occurs below the atrioventricular node in the bundle of His or bundle-branch system


                                              5. Of the cardiomyopathies, which is the least common?

                                              A) Dilated
                                              B) Hypotrophic
                                              C) Hypertrophic obstructive
                                              D) Restrictive


                                              Solutions:

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

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