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AACN PCCN Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Gastrointestinal | - Liver Failure and Pancreatitis - GI Bleeding |
| Endocrine / Metabolic | - Electrolyte Imbalances - Diabetes Management |
| Multisystem Failure | - Organ Dysfunction Syndromes - Shock Syndromes |
| Neurology | - Stroke Management - Seizure Disorders - Increased Intracranial Pressure |
| Pulmonary | - Oxygenation and Ventilation Disorders - Mechanical Ventilation Basics - Respiratory Failure |
| Hematology / Immunology / Infectious Disease | - Coagulation Disorders - Sepsis Management |
| Clinical Judgment | - Interpretation of Clinical Data - Patient Assessment and Prioritization |
| Cardiovascular | - Heart Failure and Shock States - Arrhythmia Management - Acute Coronary Syndromes |
| Professional Caring and Ethical Practice | - Ethical Decision Making - Patient Advocacy and Communication |
AACN Progressive Care Certified Nursing Sample Questions:
Question 1
The primary agent for treating acute hypertensive episodes in patients who are receiving monoamine oxidase inhibitors is:
A. Propanolol
B. Metoprolol
C. Esmolol
D. Phentolamine
Question 2
Acute kidney injury (AKI) is characterized by three clinical phases, seen primarily due to intrarenal injury.
The first phase of AKI is characterized by:
A. A significant rise in BUN and creatinine levels along with acute hypokalemia
B. An increase in urine output
C. A significant rise in BUN and creatinine levels; common complications include fluid overload and acute hyperkalemia
D. A drop in BUN and creatinine levels
Question 3
All of the following statements are true related to the visually displayed breath-to-breath values on a ventilator except:
A. The presence of positive end-expiratory pressure (PEEP) is indicated by a negative value at the end of expiration
B. The display of the patient's exhaled Vt reflects the amount of gas returned to the ventilator via the expiratory tubing with each respiratory cycle
C. Airway pressures are monitored during inspiration and exhalation and are often displayed as peak pressure, mean pressure and end-expiratory pressure
D. Respiratory rate, exhaled volumes and the inspiratory to expiratory ratio are common visually displayed breath-to-breath values
Question 4
All of the following statements related to an endotracheal tube are true except:
A. It is inserted with the use of a laryngoscope through the vocal cords into the trachea, 5-7 cm above the carina
B. The centimeter marking of the tube at the lip is documented and checked during each shift to monitor proper tube placement
C. Nasal intubation is associated with sinus infections
D. Tubes may be cuffed or uncuffed
Question 5
All of the following statements related to ketorolac tromethamine (Toradol) are true except:
A. It can be safely administered intravenously or by intramuscular injection
B. It is a nonsteroidal anti-inflammatory drug
C. It has a ceiling effect
D. Gastrointestinal irritation and bleeding may result from the use of this drug
Solutions:
| Question 1 Answer: D | Question 2 Answer: C | Question 3 Answer: A | Question 4 Answer: A | Question 5 Answer: A |


