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AACN PCCN Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Cardiovascular | - Heart Failure and Shock States - Acute Coronary Syndromes - Arrhythmia Management |
| Topic 2: Clinical Judgment | - Interpretation of Clinical Data - Patient Assessment and Prioritization |
| Topic 3: Multisystem Failure | - Shock Syndromes - Organ Dysfunction Syndromes |
| Topic 4: Pulmonary | - Respiratory Failure - Mechanical Ventilation Basics - Oxygenation and Ventilation Disorders |
| Topic 5: Endocrine / Metabolic | - Diabetes Management - Electrolyte Imbalances |
| Topic 6: Hematology / Immunology / Infectious Disease | - Sepsis Management - Coagulation Disorders |
| Topic 7: Gastrointestinal | - Liver Failure and Pancreatitis - GI Bleeding |
| Topic 8: Neurology | - Increased Intracranial Pressure - Stroke Management - Seizure Disorders |
| Topic 9: Professional Caring and Ethical Practice | - Ethical Decision Making - Patient Advocacy and Communication |
AACN Progressive Care Certified Nursing Sample Questions:
1. Assessment of pupil size and reaction to light provides information about the function of cranial nerves:
III and IV
II and III
I and III
I and II
2. This medication is commonly given to manage an acute hypertensive episode. It is a beta-receptor agonist (beta-blocker) particularly indicated in patients with suspected myocardial infarction or angin a. To administer, a 5 mg bolus is given over 5 minutes and repeated three times. IV drip may then be started. What is the medication?
A) Nitroprusside
B) Labetalol
C) Nicardipine
D) Enalapril
3. Which of the following is the most frequent trigger of COPD exacerbation?
A) Pulmonary embolus
B) Respiratory infection
C) Heart disease
D) Pulmonary hypertension
4. Identifying the problem, gathering data, and clarifying who should make the final decision are steps in which phase of the process of ethical analysis?
A) Implementation
B) Planning
C) Assessment
D) Evaluation
5. Chest tubes are often used in the acutely ill to drain air, fluid, or blood from the mediastinum (mediastinal tubes) or the pleural spaces (pleural tubes). If fluid is to be removed from the pleural space, where would the nurse expect the chest tube to be inserted?
A) Second intercostal space; midclavicular line
B) Second intercostal space; midaxillary line
C) Fifth or sixth intercostal space; midaxillary line
D) Fifth or sixth intercostal space; midclavicular line
Solutions:
| Question # 1 Answer: Only visible for members | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: C |








