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AACN PCCN Practice Q&A's

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AACN PCCN Exam Syllabus Topics:

SectionWeightObjectives
Pulmonary21%- Respiratory Assessment
  • 1. Chest tube management
  • 2. Pulse oximetry
  • 3. ABG interpretation
- Chronic Respiratory Disorders
  • 1. Asthma management
  • 2. COPD exacerbation
- Acute Respiratory Failure
  • 1. Mechanical ventilation management
  • 2. Non-invasive ventilation (BiPAP/CPAP)
  • 3. ARDS
- Pulmonary Embolism
  • 1. Diagnosis and treatment
  • 2. Anticoagulation therapy
- Pneumonia
  • 1. Community-acquired
  • 2. Ventilator-associated
Cardiovascular33%- Structural Heart Disease
  • 1. Valvular disorders
  • 2. Cardiomyopathies
  • 3. Pericardial disease
- Acute Coronary Syndromes
  • 1. STEMI/NSTEMI management
  • 2. Cardiac biomarkers
  • 3. Unstable angina
- Hemodynamic Monitoring
  • 1. Cardiac output monitoring
  • 2. Central venous pressure
  • 3. Arterial lines
- Dysrhythmias
  • 1. Pacemakers and ICDs
  • 2. Cardioversion and defibrillation
  • 3. Identification and management
- Heart Failure
  • 1. Pharmacological management
  • 2. Acute and chronic HF
  • 3. Left vs right heart failure
- Vascular Disorders
  • 1. Peripheral vascular disease
  • 2. Aortic emergencies
Multisystem22%- Post-operative Care
  • 1. Complications management
  • 2. Pain management
- Palliative/End-of-Life Care
  • 1. Symptom management
  • 2. Goals of care
  • 3. Ethical considerations
- Multiorgan Dysfunction Syndrome
  • 1. Pathophysiology
  • 2. Management strategies
- Shock
  • 1. Hypovolemic shock
  • 2. Distributive shock
  • 3. Septic shock
  • 4. Cardiogenic shock
- Trauma
  • 1. Trauma assessment and management
  • 2. Burns
- Sepsis
  • 1. Early recognition and bundles
  • 2. Organ dysfunction
Endocrine/Hematology/Neurology/Gastrointestinal/Renal24%- Endocrine
  • 1. Adrenal crisis
  • 2. Thyroid disorders
  • 3. Diabetic emergencies (DKA, HHS)
- Neurology
  • 1. Increased intracranial pressure
  • 2. Traumatic brain injury
  • 3. Seizures and status epilepticus
  • 4. Stroke management
- Hematology
  • 1. Sickle cell crisis
  • 2. DIC (Disseminated Intravascular Coagulation)
  • 3. Blood product administration
- Renal
  • 1. CRRT/Dialysis
  • 2. Acute kidney injury
  • 3. Electrolyte imbalances
- Gastrointestinal
  • 1. Acute pancreatitis
  • 2. GI bleeding
  • 3. Liver failure

AACN Progressive Care Certified Nursing Sample Questions:

1. An effective bowel program in a patient with spinal cord injury:

A) Leads to urinary retention
B) Limits continence
C) Increases the patient's sense of control
D) Is maintained until the patient is hemodynamically stable


2. An aneurysm located between the aortic valve and the innominate artery is classified as which of the following?

A) Transverse
B) Ascending
C) Descending
D) Thoracoabdominal


3. A Type II second-degree atrioventricular block:

A) Is more common than a type I second-degree atrioventricular block and rarely requires treatment
B) Occurs below the atrioventricular node in the bundle of His or bundle-branch system
C) Is also known as a complete block
D) Is often referred to as a Wenckebach block


4. All of the following statements are true related to the visually displayed breath-to-breath values on a ventilator except:

A) Respiratory rate, exhaled volumes and the inspiratory to expiratory ratio are common visually displayed breath-to-breath values
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) The presence of positive end-expiratory pressure (PEEP) is indicated by a negative value at the end of expiration


5. All of the following statements related to cyclosporine are true except:

A) Adverse effects include hypertension, hepatotoxicity, nephrotoxicity, tremors, hirsutism, and gum hyperplasia
B) A daily trough level is measured to assess therapeutic dosage and avoid toxicity
C) When the first oral dose is administered, it is critical to closely assess the patient for histamine-type reactions with cardiovascular collapse
D) It creates a "selective immunosuppression" by selectively inhibiting T cells


Solutions:

Question # 1
Answer: C
Question # 2
Answer: B
Question # 3
Answer: B
Question # 4
Answer: D
Question # 5
Answer: C

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