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AACN PCCN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Clinical Judgment | 80% | - Gastrointestinal
|
| Professional Caring & Ethical Practice | 20% | - Advocacy & ethical decision-making - Cultural competence & psychosocial support - Patient/family education & communication - Collaboration & systems thinking - Evidence-based practice & safety |
AACN Progressive Care Certified Nursing Sample Questions:
1. Typical treatment for the management of acute respiratory failure patients with chronic obstructive pulmonary disorder includes:
A) Routine chest physiotherapy
B) Limiting fluid intake
C) Lower than usual doses of short-acting beta-agonists with or without anticholinergics
D) Patient mobilization, coughing, and heated, moist aerosolization
2. To confirm a diagnosis of myocardial infarction, the nurse would expect the physician to order which laboratory tests?
A) Myoglobin, creatine kinase, and sedimentation rate
B) Tropin T, tropin I, myoglobin, and creatine kinase
C) Creatine kinase, tropin T, and sedimentation rate
D) Tropin I, aPTT, and myoglobin
3. A nurse receives a report from the previous shift on a patient with a BISAP score of 5. The patient is 62 years old and disoriented, his BUN is 30, his CT scan showed the presence of a pleural effusion, and his WBC count is 18,000.
Given this information, the patient is most likely being treated for which of the following conditions?
A) Pneumonia
B) Liver failure
C) Alcoholic liver disease
D) Acute pancreatitis
4. A patient is diagnosed with hypertrophic cardiomyopathy. Treatment will most likely include:
A) Administration of nitroprusside
B) Administration of diuretics
C) Administration of beta-blockers
D) Administration of dobutamine
5. Of the following precipitating events of acute respiratory failure in patients with chronic obstructive pulmonary disease (COPD), which are related to decreased lung capacity for gas exchange?
A) Pulmonary embolus and heart failure
B) Pleural effusions and pneumonia
C) Pulmonary embolism and airway edema
D) Atelectasis and bronchospasm
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: A |






