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AACN PCCN Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Hematology / Immunology / Infectious Disease | - Sepsis Management - Coagulation Disorders |
| Professional Caring and Ethical Practice | - Patient Advocacy and Communication - Ethical Decision Making |
| Multisystem Failure | - Organ Dysfunction Syndromes - Shock Syndromes |
| Gastrointestinal | - Liver Failure and Pancreatitis - GI Bleeding |
| Neurology | - Seizure Disorders - Increased Intracranial Pressure - Stroke Management |
| Clinical Judgment | - Patient Assessment and Prioritization - Interpretation of Clinical Data |
| Pulmonary | - Respiratory Failure - Oxygenation and Ventilation Disorders - Mechanical Ventilation Basics |
| Endocrine / Metabolic | - Electrolyte Imbalances - Diabetes Management |
| Cardiovascular | - Heart Failure and Shock States - Arrhythmia Management - Acute Coronary Syndromes |
AACN Progressive Care Certified Nursing Sample Questions:
Question 1
A patient's level of consciousness is being assessed by a physician who applies a left trapezius squeeze in order to elicit a response. The patient responds by lifting his right arm to his left shoulder. This action would be recognized by the nurse as a response to pain known as:
A. Withdrawal
B. Localization
C. Decerebrate posturing
D. Decorticate posturing
Question 2
Which of the following long-acting benzodiazepines is infrequently used for sedation in acute care except under special circumstances?
A. Ketamine
B. Diazepam
C. Lorazepam
D. Midazolam
Question 3
Management of a basilar skull fracture may include all of the following except:
A. Lumbar puncture to drain cerebrospinal fluid that is compressing the healing dura
B. Antibiotic therapy
C. Maintaining the head of the bed at less than 15 degrees elevation
D. Surgical repair of cerebrospinal fluid leaks
Question 4
According to the United States Food and Drug Administration, the acceptable discrepancy between laboratory values and point-of-care glucometer values is:
A. + 10%
B. + 2.5%
C. + 15%
D. + 5%
Question 5
Management of a patient with increased intracranial pressure most likely includes:
A. Keeping the head of the bed elevated to no more than 15 degrees
B. Maintaining hip flexion
C. Long-acting analgesic administration to ensure agitation due to pain does not occur
D. Instituting a bowel regimen to avoid constipation
Solutions:
| Question 1 Answer: B | Question 2 Answer: B | Question 3 Answer: C | Question 4 Answer: C | Question 5 Answer: D |
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