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Last Updated: Sep 09, 2026
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AACN PCCN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Clinical Judgment | 80% | - Pulmonary
|
| Professional Caring & Ethical Practice | 20% | - Patient/family education & communication - Evidence-based practice & safety - Advocacy & ethical decision-making - Cultural competence & psychosocial support - Collaboration & systems thinking |
AACN Progressive Care Certified Nursing Sample Questions:
An 85-year-old female patient, Ann, was admitted to the progressive care unit from a nursing home three days ago. She has a severely painful stage IV pressure ulcer and has been diagnosed with sepsis.
Ann is confused and frequently cries for "Fred." No family has been to visit. She has no advance directives. At 2 am, while the nurse is changing Ann's gown, she becomes unresponsive and stops breathing.
The correct action for the nurse to take is to:
- A. Initiate CPR
- B. Run a "slow" code
- C. Call Ann's physician to obtain a Do Not Resuscitate order
- D. Make Ann comfortable and do nothing, as she had no advance directive
Correct Answer: A 🗳️
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Which of the following is the leading cause of acute liver failure in the United States?
- A. Nonalcoholic fatty liver disease
- B. Acetaminophen overdose
- C. Hepatitis A
- D. Hepatitis B
Correct Answer: B 🗳️
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The framework of principle-based ethics is one of the most influential perspectives in biomedical ethics today. Inherent in this viewpoint, is the belief that four basic principles and derivative rules are binding, but not absolute, and define the essence of ethical obligations in human society. Which of the following is included in the derivative rules?
- A. Nonmaleficence
- B. Privacy
- C. Beneficence
- D. Justice
Correct Answer: B 🗳️
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The Society of Critical Care Medicine recommends that which of the following should be considered as first-line treatment for non-neuropathic pain?
- A. Corticosteroids
- B. Nonsteroidal anti-inflammatory drugs
- C. Acetaminophen
- D. Opioids
Correct Answer: D 🗳️
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Intravenous administration of neostigmine is indicated in the treatment of which of the following conditions?
- A. Ileus
- B. Small bowel obstruction
- C. Ischemic colitis
- D. Ogilvie syndrome
Correct Answer: D 🗳️
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