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AACN PCCN Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Neurology | - Seizure Disorders - Increased Intracranial Pressure - Stroke Management |
| Topic 2: Clinical Judgment | - Patient Assessment and Prioritization - Interpretation of Clinical Data |
| Topic 3: Multisystem Failure | - Organ Dysfunction Syndromes - Shock Syndromes |
| Topic 4: Professional Caring and Ethical Practice | - Patient Advocacy and Communication - Ethical Decision Making |
| Topic 5: Pulmonary | - Respiratory Failure - Oxygenation and Ventilation Disorders - Mechanical Ventilation Basics |
| Topic 6: Endocrine / Metabolic | - Diabetes Management - Electrolyte Imbalances |
| Topic 7: Hematology / Immunology / Infectious Disease | - Sepsis Management - Coagulation Disorders |
| Topic 8: Gastrointestinal | - Liver Failure and Pancreatitis - GI Bleeding |
| Topic 9: Cardiovascular | - Heart Failure and Shock States - Arrhythmia Management - Acute Coronary Syndromes |
AACN Progressive Care Certified Nursing Sample Questions:
Question #1
All of the following statements related to the compensatory stage of shock are true except:
A. During the compensatory stage of shock, renal blood flow is reduced which activates hormonal response
B. During the compensatory stage of shock, angiotensin I, present in the blood, is converted to angiotensin II in the lungs
C. During the compensatory stage of shock, patients become restless and agitated due to respiratory alkalosis
D. During the compensatory stage of shock, hypovolemia and resultant hypotension lead to activation of the parasympathetic nervous system
Question #2
In communicating with families and patients, the least therapeutic interaction by the nurse is to:
A. Apologize for inconveniences
B. Provide concise explanations without using medical shorthand
C. Maintain confidentiality
D. Elicit care provider preferences
Question #3
Brudzinski sign is:
A. The presence of severe pain in the hamstring with knee flexion when the hip is flexed to 90 degrees
B. Positive in acute appendicitis
C. Also referred to as Homan's sign
D. The involuntary flexion of the knees and hips when the neck is flexed
Question #4
The most common cause of small bowel obstruction is:
A. Inflammatory bowel disease
B. Adhesions due to previous surgery
C. Hernias
D. Malignant tumors
Question #5
Clinical signs and symptoms specific to left heart failure include:
A. Pulmonary edema, atrial fibrillation, pansystolic murmur at apex
B. Liver enlargement and tenderness, decreased appetite, wide split S2
C. Ascites, rales, S3
D. Pulmonary edema, fatigue, pansystolic murmur at lower left sternal border
Solutions:
| Question #1 Correct Answer: D | Question #2 Correct Answer: D | Question #3 Correct Answer: D | Question #4 Correct Answer: B | Question #5 Correct Answer: A |
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