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Exam Number : PCCN
Exam Name : AACN Progressive Critical Care Nursing
Vendor Name : Medical
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PCCN exam Format | PCCN Course Contents | PCCN Course Outline | PCCN exam Syllabus | PCCN exam Objectives


The PCCN and PCCN-K certification exams focus 80 percent on clinical judgment and 20 percent on professional caring and ethical practice. Their comprehensive course prepares you in the following categories:

Clinical Judgment

- Cardiovascular
- Pulmonary
- Endocrine
- Hematology
- Gastrointestinal
- Renal
- Neurology
- Behavioral/Psychosocial
- Musculoskeletal
- Professional Caring and Ethical Practice
- Advocacy/Moral Agency
- Caring Practices
- Response to Diversity
- Facilitation of Learning
- Collaboration
- Systems Thinking
- Clinical Inquiry
- Learning Outcomes

At the completion of this learning activity, participants should be able to:

Validate their knowledge of progressive care nursing Briefly review the pathophysiology of single and multisystem dysfunction in adult patients and the medical and pharmacologic management of each Identify the progressive care nursing management needs for adult patients with single or multisystem organ abnormalities Successful Completion

Learners must complete 100 percent of the activity and the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.
12.8 contact hours awarded, CERP Category A
Exam Eligibility

Are you eligible to take the PCCN or PCCN-K exam=> Eligibility requirements and links to handbooks with test plans are available on their “Get Certified” pages — click here to get started: PCCN (Adult) or PCCN-K (Adult) .

PCCN and PCCN-K certifications emphasize the knowledge that the progressive nursing specialty requires and the essential acute care nursing practices that you can apply in your role every day in a step-down unit, emergency or telemetry department or another progressive care environment.

PCCN and PCCN-K specialty certifications also demonstrate your knowledge and dedication to hospital administrators, peers and patients, while giving you the satisfaction of your achievement. PCCN and PCCN-K credentials are granted by AACN Certification Corporation.

Validate and enhance your knowledge and Boost patient outcomes. Take advantage of this detailed review course and earn your PCCN or PCCN-K certification.

The American Association of Critical-Care Nurses (AACN) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Centers (ANCC's) Commission on Accreditation, ANCC Provider Number 0012. AACN has been approved as a provider of continuing education in nursing by the California Board of Registered Nursing (CBRN), Provider number CEP 1036. This activity is approved for 12.8 contact hours.

AACN programming meets the standards of most states that require mandatory CE contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

AACN and AACN Certification Corporation consider the American Nurses Association (ANA) Code of Ethics for Nurses foundational for nursing practice, providing a framework for making ethical decisions and fulfilling responsibilities to the public, colleagues and the profession. AACN Certification Corporations mission of public protection supports a standard of excellence where certified nurses have a responsibility to read about, understand and act in a manner congruent with the ANA Code of Ethics for Nurses.

I. CLINICAL JUDGMENT (80%)
A. Cardiovascular (27%)
1. Acute coronary syndromes
a. non-ST segment elevation myocardial infarction
b. ST segment elevation myocardial infarction
c. unstable angina
2. Acute inflammatory disease (e.g., myocarditis, endocarditis, pericarditis)
3. Aneurysm
a. dissecting
b. repair
4. Cardiac surgery (e.g., post ICU care)
5. Cardiac tamponade
6. Cardiac/vascular catheterization
a. diagnostic
b. interventional
7. Cardiogenic shock
8. Cardiomyopathies
a. dilated (e.g., ischemic/non-ischemic)
b. hypertrophic
c. restrictive
9. Dysrhythmias
10. Heart failure
a. acute exacerbations (e.g., pulmonary edema)
b. chronic
11. Hypertension (uncontrolled)
12. Hypertensive crisis
13. Minimally-invasive cardiac surgery (i.e. nonsternal approach)
14. Valvular heart disease
15. Vascular disease
B. Pulmonary (17%)
1. Acute respiratory distress syndrome (ARDS)
2. Asthma (severe)
3. COPD exacerbation
4. Minimally-invasive thoracic surgery (e.g., VATS)
5. Obstructive sleep apnea
6. Pleural space complications (e.g., pneumothorax, hemothorax, pleural effusion, empyema, chylothorax)
7. Pulmonary embolism
8. Pulmonary hypertension
9. Respiratory depression (e.g., medicationinduced, decreased-LOC-induced)
10. Respiratory failure
a. acute
b. chronic
c. failure to wean
11. Respiratory infections (e.g., pneumonia)
12. Thoracic surgery (e.g., lobectomy, pneumonectomy)
C. Endocrine/Hematology/Neurology/Gastrointestinal/Renal (20%)
1. Endocrine
a. diabetes mellitus
b. diabetic ketoacidosis
c. hyperglycemia
d. hypoglycemia
2. Hematology/Immunology/Oncology
a. anemia
b. coagulopathies: medication-induced (e.g., Coumadin, platelet inhibitors, heparin [HIT])
3. Neurology
a. encephalopathy (e.g., hypoxic-ischemic, metabolic, infectious, hepatic)
b. seizure disorders
c. stroke
4. Gastrointestinal
a. functional GI disorders (e.g., obstruction, ileus, diabetic gastroparesis, gastroesophageal reflux, irritable bowel syndrome)
b. GI bleed
i. lower
ii. upper
c. GI infections (e.g., C. difficile)
d. GI surgeries (e.g., resections, esophagogastrectomy, bariatric)
e. hepatic disorders (e.g., cirrhosis, hepatitis, portal hypertension)
f. ischemic bowel
g. malnutrition (e.g., failure to thrive, malabsorption disorders)
h. pancreatitis
5. Renal
a. acute kidney injury (AKI)
b. chronic kidney disease (CKD)
c. electrolyte imbalances
d. end-stage renal disease (ESRD)
D. Musculoskeletal/Multisystem/Psychosocial (16%)
1. Musculoskeletal
a. functional issues (e.g., immobility, falls, gait disorders)
2. Multisystem
a. end of life
b. healthcare-acquired infections
i. catheter-associated urinary tract infections (CAUTI)
ii. central-line-associated bloodstream infections (CLABSI)
iii. surgical site infection (SSI)
c. infectious diseases
i. influenza
ii. multidrug-resistant organisms (e.g., MRSA, VRE, CRE, ESBL)
d. pain
i. acute
ii. chronic
e. palliative care
f. pressure injuries (ulcers)
g. rhabdomyolysis
h. sepsis
i. shock states
i. anaphylactic
ii. hypovolemic
j. toxic ingestion/inhalation/drug overdose
k. wounds (e.g., infectious, surgical, trauma)
3. Behavioral/Psychosocial
a. altered mental status
b. delirium
c. dementia
d. disruptive behaviors, aggression, violence
e. psychological disorders
i. anxiety
ii. depression
f. substance abuse
i. alcohol withdrawal
ii. chronic alcohol abuse
iii. chronic drug abuse
iv. drug-seeking behavior
v. drug withdrawal
II. PROFESSIONAL CARING AND ETHICAL PRACTICE (20%)
A. Advocacy/Moral Agency
B. Caring Practices
C. Response to Diversity
D. Facilitation of Learning
E. Collaboration
F. Systems Thinking
G. Clinical Inquiry Cardiovascular
• Identify, interpret and monitor
o dysrhythmias
o QTc intervals
o ST segments
• Manage patients requiring
o ablation
o arterial closure devices
o arterial/venous sheaths
o cardiac catheterization
o cardioversion
o defibrillation
o pacemakers
o percutaneous coronary intervention (PCI)
o transesophageal echocardiogram (TEE)
• Monitor hemodynamic status and recognize signs and symptoms of hemodynamic instability
• Select leads for cardiac monitoring for the indicated disease process
• Titrate vasoactive medications
o Dobutamine
o Dopamine
o Nitroglycerin Pulmonary
• Interpret ABGs
• Maintain airway
• Monitor patients pre and post
o bronchoscopy
o chest tube insertion
o thoracentesis
• Manage patients requiring mechanical ventilation
• Manage patients requiring non-invasive O2 or ventilation delivery systems
o BiPAP
o CPAP
o face masks
o high-flow therapy
o nasal cannula
o non-breather mask
o venti-masks
• Manage patients requiring respiratory monitoring devices:
o continuous SpO2
o end-tidal CO2 (capnography)
Manage patients requiring tracheostomy tubes
• Manage patients with chest tubes (including pleural drains)
• Recognize respiratory complications and initiate interventions
Endocrine/Hematology/Neurology/Gastrointestinal/Renal
• Endocrine
o manage and titrate insulin infusions
• Hematology/Immunology/Oncology
o administer blood products and monitor patient response
• Neurology
o perform bedside screening for dysphagia
o use NIH Stroke Scale (NIHSS)
• Gastrointestinal
o manage patients pre- and post-procedure (e.g., EGD, colonoscopy)
o manage patients who have fecal containment devices
o manage patients who have tubes and drains
o recognize indications for and complications of enteral and parenteral nutrition
• Renal
o identify medications that can be removed during dialysis
o identify medications that may cause nephrotoxicity
o initiate renal protective measures for nephrotoxic procedures
o manage patients pre- and post-hemodialysis Musculoskeletal/Multisystem/Psychosocial
• Musculoskeletal
o initiate and monitor progressive mobility measures
• Multisystem
o administer medications for procedural sedation and monitor patient response
o differentiate types of wounds, pressure injuries
o manage patients with complex wounds (e.g., fistulas, drains and vacuum-assisted closure devices)
o manage patients with infections
• Psychosocial
o implement suicide prevention measures
o screen patients using a delirium exam tool (e.g., CAM)
o use alcohol withdrawal exam tools (e.g., CIWA)
General
• Administer medications and monitor patient response
• Anticipate therapeutic regimens
• Monitor diagnostic test results
• Perform an exam pertinent to the system
• Provide health promotion interventions for patients, populations and diseases
• Provide patient and family education unique to the clinical situation
• Recognize procedural and surgical complications
• Recognize urgent situations and initiate interventions
• Use complementary alternative medicine techniques and non-pharmacologic interventions



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Medical Nursing exam Questions

Pop Quiz: Fundamentals for more desirable patient Care | PCCN braindumps and Practice Questions

You won't locate right here questions for your shelf examination or your boards exams -- yet, they symbolize probably the most most constructive expertise which you can cling as a doctor. This piece is set what I desire they could teach and grade in clinical training. at the conclusion of the day, building robust relationships is what concerns -- whether it's along with your patients, their families, or different members of the healthcare group. So, good luck, and bear in mind, there may be at all times extra to learn about affected person care a long way past what any formal clinical college curriculum will teach.

query #1: the place is the blanket hotter in the unit located?

  • subsequent to the nourishment room
  • below the can charge RN's desk
  • Trick question, the closest hotter is on the unit next door
  • Blanket heaters are might be the most underrated piece of scientific device. Most hospitalized sufferers are there as a result of they think horrific -- and there are few things more soothing than a heat blanket. When your sufferers bitch they are too bloodless or too sizzling, be aware that the sanatorium is basically the world's least relaxed waiting room. Your patients frequently can not get off the bed without environment off alarms, and they're stuck in a circumstance the place they have got very nearly no handle. in the event that they are too cold, carry them a heat blanket, and ensure you tuck it underneath the existing blankets (you can also remove the good blanket if vital). For additional credit score, take two blankets and wrap one around their shoulders like a shawl and area the different round their legs and ft, tucking them in. Honors for the student who also restocks the hotter with clean blankets.

    query #2: How does your patient take their coffee?

  • Black
  • Cream and sugar
  • They don't drink coffee, however they love Coca Cola (and you're in a Pepsi health facility)
  • plenty like query #1, this has a great deal to do with the inability of manage a patient has over their ambiance. They should not have the luxurious of leaving to run an errand and purchase meals for themselves, and they already be aware of sufficient about clinic meals to understand there are about 4 first rate options on rotation. lucky sufferers will have family unit usher in meals for them, however many shouldn't have the support or financial capability for this. anytime you're in a affected person's room, it takes little effort to ascertain they have got everything they want. if they are thirsty, bring them anything to drink. most likely, be certain you tell somebody if they have any particular restrictions or if you're doubtful, but for many patients, having a clean glass of ice-cold water goes a protracted means. additional credit score to the pupil who knows which patients opt for ice chips and people who like their water lukewarm. Honors if they can find Coca Cola for their patient who refuses Pepsi.

    question #3: can you select your affected person's nurse out of this picture lineup?

    we are absolutely nothing with out the different individuals of their healthcare team. Their nurses, nursing assistants, technicians, secretaries, and janitors are all there for a purpose and deserve so much greater credit score than they're given. I could not do my job without trusting the nursing and aid group of workers on the flooring. Their nurses are their eyes and ears during the day, and they're going to be the first to note a transformation in patient repute. when you are asked to come back to bedside, go to bedside. take some time to grasp your affected person's nurses and locate them right through rounds within the morning. Face-to-face interactions are so a whole lot more meaningful -- you will understand far more about your patient by means of speakme to their nurse than you're going to from chart reviewing. similarly, you probably have the chance, go see your affected person work with healing procedures (physical, occupational, speech-language pathology, etc.) -- there's so a lot that you would be able to be trained from every member of the healthcare group!

    question #4: searching beyond your patient's medical condition, what's essential to them? have they got a family to provide guide? do they have a pet they should find care for?

    be aware of your patient's aid equipment and maintain them updated daily -- no longer simply when issues go incorrect. constructing rapport with sufferers and households is a must-have to what they do. it be one thing to grasp the verify reply, but a further altogether to work out a treatment plan your affected person should be compliant with. on the end of each historical past and genuine exam (H&P), I always ask what people get pleasure from doing backyard of the clinic -- that gives me more tips than even probably the most targeted genuine examination. within the afternoons, go back and spend time together with your patients. find out about them as people, now not just ailment states. here's extra useful than any flashcard set will ever be.

    query #5: Why for those who care about notes?

  • Billing factors
  • To seem busy all the way through the day
  • To communicate your plan
  • Notes (and word bloat) are in all places -- with "replica ahead" many notes undergo from lazy and incorrect suggestions, or they turn into nothing more than an inventory of drugs. Use your notes to clarify your thought system: why bumetanide in its place of furosemide (Lasix); why you selected the antibiotics you are the usage of. if you are in doubt, appear it up and decide to what you believe is the most fulfilling plan. when you are right, you appear to be a rock celebrity. if you're incorrect, you study why. no longer a single resident or attending will remember how many diagnoses you get correct or wrong. The worst plan is to half-deal with, so don't be afraid to follow a differential diagnosis, however be bendy enough to exchange your intellect when new suggestions comes in.

    I can't promise that knowing the answers to these questions will make you properly in the class, however i will be able to promise it'll make you a better doctor. on the end of the day, your patients will be aware you because the one who took extra time to know them as greater than just a diagnosis and disposition -- not what grade you bought on your exams.

    Jennifer A. Woodard (she/her), MD, is an inner medicine/Geriatrics PGY-2 at clinical school of Wisconsin.

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