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AACN PCCN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Endocrine/Hematology/Neurology/Gastrointestinal/Renal | 24% | - Neurology
|
| Topic 2: Multisystem | 22% | - Post-operative Care
|
| Topic 3: Pulmonary | 21% | - Acute Respiratory Failure
|
| Topic 4: Cardiovascular | 33% | - Heart Failure
|
AACN Progressive Care Certified Nursing Sample Questions:
1. All of the following statements related to the practice of checking gastric residual volume are true except:
A) One to two liters per day of saliva and gastric secretions are produced above the pylorus
B) The type of feeding tube in place, as well as the method of aspiration, are factors which affect the assessment of gastric residual volume
C) Unless other signs of intolerance are identified, automatic cessation of enteral feeding should not be considered unless GVRs of greater than 500 mL are obtained
D) The routine practice of checking gastric residual volume has not been validated
2. Individuals who develop rheumatic fever often experience which of the following later in life?
A) Endocarditis
B) Brugada syndrome
C) Cardiac myopathy
D) Valvular heart disease
3. The three most common congenital long-QT syndromes are:
A) LQT1, LQT12, LQT13
B) LQT11, LQT12, LQT13
C) LQT1, LQT3, LQT5
D) LQT1, LQT2, LQT3
4. In renal replacement therapy, the process by which substrates move from an area of high concentration to one of a lesser concentration is known as:
A) Osmosis
B) Convection
C) Diffusion
D) Filtration
5. Treatment of torsades de pointes may include all of the following except:
A) Teaching the patient lifestyle modifications such as avoidance of swimming and startling loud noises like alarm clocks
B) Managing the patient with pacing and magnesium as temporary strategies until the underlying cause of the disorder can be eliminated
C) Defibrillation with an unsynchronized shock to terminate the episode if torsades de pointes degenerates into ventricular fibrillation
D) Overdrive atrial or ventricular pacing at a rate of 80 beats per minute or faster to prevent the pauses that may precipitate episodes of torsades de pointes
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: A |



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