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AACN PCCN Exam Syllabus Topics:

SectionObjectives
Endocrine / Metabolic- Electrolyte Imbalances
- Diabetes Management
Cardiovascular- Heart Failure and Shock States
- Arrhythmia Management
- Acute Coronary Syndromes
Multisystem Failure- Organ Dysfunction Syndromes
- Shock Syndromes
Clinical Judgment- Interpretation of Clinical Data
- Patient Assessment and Prioritization
Neurology- Increased Intracranial Pressure
- Stroke Management
- Seizure Disorders
Professional Caring and Ethical Practice- Ethical Decision Making
- Patient Advocacy and Communication
Gastrointestinal- GI Bleeding
- Liver Failure and Pancreatitis
Hematology / Immunology / Infectious Disease- Sepsis Management
- Coagulation Disorders
Pulmonary- Oxygenation and Ventilation Disorders
- Respiratory Failure
- Mechanical Ventilation Basics

AACN Progressive Care Certified Nursing Sample Questions:

1. Which of the following is a balanced vasodilator which affects the arterial and venous systems and, if used for longer than 48 hours, carries the risk of thiocyanate toxicity, especially in patients with renal dysfunction?

A) Nitroprusside
B) Nitroglycerin
C) Diazoxide
D) Hydralazine


2. The following statements regarding the use of nitroglycerin to manage acute hypertensive episodes are true except:

A) Rate of IV administration of nitroglycerin for acute hypertensive episode is 5 to 100 mcg/min.
B) Nitroglycerin dilates veins more than arterioles
C) Nitroglycerin dilates arterioles more than veins
D) For IV administration, 100 mg nitroglycerin is mixed in 100 mL NS or D5


3. Arterial blood gas monitoring may be used to assess:

A) Acid-base balance, ventilation, and oxygenation
B) Ventilation and oxygenation; pH is not included
C) Oxygenation only
D) Oxygenation and pH only; ventilation is not included


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

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


5. Factors that may play a role in the development of gastritis include all of the following except:

A) A decrease in bicarbonate secretion
B) An increase in the production of pepsin
C) An increase in mucosal blood flow
D) An increase in bile salts


Solutions:

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

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