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AACN PCCN Exam Syllabus Topics:

Section	Weight	Objectives
Endocrine/Hematology/Neurology/Gastrointestinal/Renal	24%	- Hematology 1. DIC (Disseminated Intravascular Coagulation) 2. Sickle cell crisis 3. Blood product administration - Endocrine 1. Adrenal crisis 2. Diabetic emergencies (DKA, HHS) 3. Thyroid disorders - Renal 1. Electrolyte imbalances 2. Acute kidney injury 3. CRRT/Dialysis - Neurology 1. Increased intracranial pressure 2. Stroke management 3. Traumatic brain injury 4. Seizures and status epilepticus - Gastrointestinal 1. GI bleeding 2. Acute pancreatitis 3. Liver failure
Multisystem	22%	- Multiorgan Dysfunction Syndrome 1. Management strategies 2. Pathophysiology - Shock 1. Cardiogenic shock 2. Distributive shock 3. Hypovolemic shock 4. Septic shock - Trauma 1. Trauma assessment and management 2. Burns - Sepsis 1. Early recognition and bundles 2. Organ dysfunction - Post-operative Care 1. Complications management 2. Pain management - Palliative/End-of-Life Care 1. Goals of care 2. Symptom management 3. Ethical considerations
Pulmonary	21%	- Chronic Respiratory Disorders 1. Asthma management 2. COPD exacerbation - Pulmonary Embolism 1. Diagnosis and treatment 2. Anticoagulation therapy - Acute Respiratory Failure 1. Mechanical ventilation management 2. Non-invasive ventilation (BiPAP/CPAP) 3. ARDS - Respiratory Assessment 1. Chest tube management 2. ABG interpretation 3. Pulse oximetry - Pneumonia 1. Ventilator-associated 2. Community-acquired
Cardiovascular	33%	- Structural Heart Disease 1. Pericardial disease 2. Valvular disorders 3. Cardiomyopathies - Acute Coronary Syndromes 1. Unstable angina 2. STEMI/NSTEMI management 3. Cardiac biomarkers - Vascular Disorders 1. Peripheral vascular disease 2. Aortic emergencies - Dysrhythmias 1. Identification and management 2. Pacemakers and ICDs 3. Cardioversion and defibrillation - Hemodynamic Monitoring 1. Central venous pressure 2. Cardiac output monitoring 3. Arterial lines - Heart Failure 1. Left vs right heart failure 2. Acute and chronic HF 3. Pharmacological management

AACN Progressive Care Certified Nursing Sample Questions:

Question 1

Regarding pneumonia and cross-contamination, which of the following statements is true?

A. The use of large-volume room-air humidifiers that create aerosols (nebulizers) is acceptable if they can be sterilized at least daily and filled only with sterile water
B. The appropriate use of gloves is the most effective strategy for decreasing the risk of cross- contamination via the hands of hospital personnel
C. It is not necessary to wear gloves when handling the respiratory secretions of a patient who has been afebrile for the past 48 hours
D. Hand washing is not necessary after contact with a respiratory device that is used by a patient when gloves are worn

Question 2

The FOUR score is a validated tool used in the assessment of neurological patients. The categories scored in this tool are:

A. Eye response, pain response, verbal response, respirations
B. Eyes, motor, brain stem reflexes, respirations
C. Eye response, verbal, motor, respiration
D. Eyes, pain response, brain stem reflexes, respirations

Question 3

A patient is receiving apixaban (Eliquis) for venous thromboembolism (VTE) prophylaxis. Which of the following statements is true related to this agent?

A. It can be reversed with idarucizumab (Praxbind)
B. It is an oral factor Xa inhibitor and is also indicated for the treatment of pulmonary embolism and deep venous thrombosis
C. The appropriate dose for this patient is 5 mg p.o. twice daily
D. The appropriate dose for this patient is 20 mg p.o. daily

Question 4

Which of the following terms refers to a type of pleural effusion in which lymph collects in the pleural cavity?

A. Pleurodesis
B. Chylothorax
C. Cholethorax
D. Pyothorax

Question 5

The most common anatomical sites for pressure injuries to occur are the:

A. Trochanter (hips) and sacrum
B. Heels and trochanter (hips)
C. Sacrum and heels
D. Sacrum and elbows

Solutions:

Question 1
Answer: A

Question 2
Answer: B

Question 3
Answer: B

Question 4
Answer: B

Question 5
Answer: C