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AACN PCCN Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Cardiovascular | - Acute Coronary Syndromes - Heart Failure and Shock States - Arrhythmia Management |
| Topic 2: Professional Caring and Ethical Practice | - Patient Advocacy and Communication - Ethical Decision Making |
| Topic 3: Pulmonary | - Respiratory Failure - Mechanical Ventilation Basics - Oxygenation and Ventilation Disorders |
| Topic 4: Endocrine / Metabolic | - Diabetes Management - Electrolyte Imbalances |
| Topic 5: Neurology | - Seizure Disorders - Stroke Management - Increased Intracranial Pressure |
| Topic 6: Multisystem Failure | - Shock Syndromes - Organ Dysfunction Syndromes |
| Topic 7: Clinical Judgment | - Interpretation of Clinical Data - Patient Assessment and Prioritization |
| Topic 8: Gastrointestinal | - Liver Failure and Pancreatitis - GI Bleeding |
| Topic 9: Hematology / Immunology / Infectious Disease | - Sepsis Management - Coagulation Disorders |
AACN Progressive Care Certified Nursing Sample Questions:
1. Which of the following statements is true related to sinus dysrhythmia?
A) Digitalis is the treatment of choice
B) It occurs as a normal response to emotion and exercise
C) It frequently occurs as a normal phenomenon and is often associated with the phases of respiration
D) It may occur as a response to vagal stimulation, or be a normal finding in athletes or during sleep
2. All of the following statements are true concerning ibutilide except:
A) The infusion of ibutilide should be stopped in the event of nonsustained or sustained ventricular tachycardia
B) The drug is more effective than procainamide and sotalol in terminating atrial fibrillation and atrial flutter
C) Serum potassium and magnesium levels should be measured and corrected before the drug is administered
D) The drug causes shortening of the refractory period and action potential duration with little effect on conduction velocity or automaticity
3. The portion of the electrocardiogram that represents the time required for the impulse to travel through the atria, AV junction, and to the Purkinje system is:
A) The PR interval
B) The QRS complex
C) The QT interval
D) The ST segment
4. Which of the following statements is true regarding arterial catheters?
A) The Allen test is performed prior to insertion in the radial artery
B) Following the removal of an arterial catheter, firm, direct pressure is maintained over the site for a minimum of 90 seconds, followed by the application of a pressure dressing
C) The most common insertion site is the femoral artery
D) Following the removal of an arterial catheter, firm, direct pressure is applied at the site for a minimum of 2 minutes, followed by the application of a pressure dressing
5. Brudzinski sign is:
A) Positive in acute appendicitis
B) Also referred to as Homan's sign
C) The involuntary flexion of the knees and hips when the neck is flexed
D) The presence of severe pain in the hamstring with knee flexion when the hip is flexed to 90 degrees
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: C |




