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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              Question 1

                                              All of the following statements regarding bedside monitoring for cardiac arrhythmias are true except:

                                              A. Electrodes should be replaced daily
                                              B. Document the monitoring lead on every rhythm strip
                                              C. Mark electrode placement with indelible ink to ensure consistent lead placement
                                              D. Use V6 as the primary dysrhythmia monitoring lead whenever possible


                                              Question 2

                                              Which of the following defines the purpose of professional codes?

                                              A. To impose regulations for licensure, regulate the practice of the profession, and evaluate and monitor the actions of those practicing in the profession
                                              B. To identify the moral requirements of a profession and the relationships in which those practicing the profession engage
                                              C. To define the criteria for the assessment and evaluation of the practice of the profession
                                              D. To delineate standards that govern the practice of the profession in various jurisdictions


                                              Question 3

                                              Which ethical principle is defined as fairness?

                                              A. Beneficence
                                              B. Justice
                                              C. Privacy and confidentiality
                                              D. Fidelity


                                              Question 4

                                              Generally, any of the vocal treatments for tracheostomized patients require that the cuff of the tracheostomy be:

                                              A. Completely inflated
                                              B. Completely deflated
                                              C. Inflated
                                              D. Partially deflated


                                              Question 5

                                              All of the following statements regarding pacemakers are true except:

                                              A. The set rate of the pacemaker is called the pacing interval
                                              B. The refractory period follows either pacing or sensing in the chamber
                                              C. An AAI pacemaker is expected to pace the ventricle at the set rate unless spontaneous activity occurs to inhibit pacing
                                              D. Capture represents the ability of the pacing stimulus to depolarize the chamber being paced


                                              Solutions:

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

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