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AACN PCCN Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Pulmonary | - Mechanical Ventilation Basics - Respiratory Failure - Oxygenation and Ventilation Disorders |
| Topic 2: Clinical Judgment | - Patient Assessment and Prioritization - Interpretation of Clinical Data |
| Topic 3: Multisystem Failure | - Shock Syndromes - Organ Dysfunction Syndromes |
| Topic 4: Endocrine / Metabolic | - Diabetes Management - Electrolyte Imbalances |
| Topic 5: Gastrointestinal | - Liver Failure and Pancreatitis - GI Bleeding |
| Topic 6: Professional Caring and Ethical Practice | - Patient Advocacy and Communication - Ethical Decision Making |
| Topic 7: Hematology / Immunology / Infectious Disease | - Coagulation Disorders - Sepsis Management |
| Topic 8: Neurology | - Stroke Management - Seizure Disorders - Increased Intracranial Pressure |
| 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 are true related to Ventavis (iloprost) except:
A. It is an inhibitor of platelet aggregation
B. It is used in the treatment of pulmonary hypertension and is administered per continuous intravenous infusion
C. It is a prostacyclin vasodilator of the pulmonary arterial vascular beds
D. It is a systemic vasodilator
Question #2
Conditions that may impair ventilation and lead to acute respiratory failure in an adult include:
A. Phrenic nerve damage, Guillain-Barre syndrome, aspiration pneumonia
B. Asthma, pneumonia, phrenic nerve damage
C. Spinal cord injury (C4 or higher), Guillain-Barre syndrome, respiratory muscle fatigue
D. Aspiration pneumonia, pulmonary edema, spinal cord injury (C4 or higher)
Question #3
Secondary causes of acute respiratory distress syndrome include:
A. Systemic sepsis, near drowning, smoke inhalation
B. Aspiration of stomach contents, pulmonary contusion, smoke inhalation
C. Fat emboli, acute pancreatitis, pulmonary contusion
D. Systemic sepsis, hypovolemic shock associated with chest trauma, acute pancreatitis
Question #4
All of the following statements related to ventricular assist devices are true except:
A. Once inserted, a ventricular assist device is never removed
B. Ventricular assist device support is predominately utilized for the left ventricle
C. An appropriate diagnosis for placement of a ventricular assist device is acute myocardial infarction with cardiogenic shock
D. Once a ventricular assist device is inserted, a patient may be removed from the transplant list
Question #5
Which of the following statements is true related to the principle of double effect?
A. It helps to distinguish palliative care from assisted suicide
B. It attests that inadequate pain management in palliative care patients is illegal
C. It states that the administration of medications that may inadvertently hasten death is illegal
D. It asserts that a provider who assists in a patient's death cannot be legally charged
Solutions:
| Question #1 Correct Answer: B | Question #2 Correct Answer: C | Question #3 Correct Answer: D | Question #4 Correct Answer: A | Question #5 Correct Answer: A |


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