AACN Progressive Critical Care Nursing Exam Dumps

PCCN Exam Format | Course Contents | Course Outline | Exam Syllabus | Exam Objectives

The PCCN and PCCN-K certification exams focus 80 percent on clinical judgment and 20 percent on professional caring and ethical practice. Our 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 our 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 improve 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 assessment tool (e.g., CAM)
o use alcohol withdrawal assessment tools (e.g., CIWA)
General
Administer medications and monitor patient response
Anticipate therapeutic regimens
Monitor diagnostic test results
Perform an assessment 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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PCCN PDF Sample Questions

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PCCN Progressive Exam Braindumps

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innovative lifestyles assurance review

innovative is not one among our finest existence coverage corporations. that you may review our listing of the optimal life coverage groups for what we think are superior alternate options.

professionals defined
  • high coverage limits: revolutionary’s lifestyles insurance guidelines come with coverage between $5,000 and $1 million, which will meet plenty of diverse needs.
  • valuable online equipment and articles: modern has numerous materials and on-line articles that can assist you opt for the most effective policy and the correct amount of insurance for your wants.
  • on-line quotes for time period existence insurance: you could get an immediate fee quote for time period existence assurance on-line and request a quote for total, ordinary, and final cost assurance from innovative’s website.
  • top notch client provider alternate options: progressive has 24/7 cellphone help, and you can additionally get aid using the on-line chatbot or during the company’s social media channels.
  • Cons defined
  • guidelines are underwritten by means of a partner enterprise: innovative doesn’t underwrite its own lifestyles assurance guidelines; functions get routed via eFinancial, which suits you with a provider in accordance with your insurance needs.
  • You don’t get to opt for your coverage underwriter: eFinancial’s associate community comprises companies like AIG, Transamerica, and fidelity lifestyles, but you gained’t get to opt for your underwriter, which might be a draw back for some americans.
  • Most policies require a clinical examination: apart from ultimate fee assurance, most applicants will should take a medical examination to get life insurance from modern.
  • attainable Plans

    modern offers 4 life insurance guidelines that are offered through eFinancial and are underwritten via typical providers, together with AIG, constancy lifestyles, Mutual of Omaha, protective, Prudential, and Transamerica. here’s a look at the alternatives available:

    time period life assurance

    innovative’s term lifestyles assurance offers insurance for 10, 15, 20, or 30 years for candidates between the ages of 18 and sixty five. It has stage premiums over the lifetime of the coverage, with a certain dying advantage beginning at $100,000. that you could get a time period life insurance quote online and if you’re chuffed with the price, you can post an utility correct from the web page. 

    time period existence assurance is a pretty good option for young, healthy individuals and households that are looking for most economical insurance over a definite number of years.

    entire lifestyles coverage

    entire lifestyles coverage presents permanent coverage for your lifetime. you can get a whole life insurance plan from modern when you are between the a long time of 18 and 65. coverage is obtainable from $50,000 to $1 million, and the policy builds cash price at a hard and fast hobby rate. as soon as the cash price balance reaches a certain amount, that you can pull out one of the crucial funds and use it as a private personal loan to cover costs like college tuition or medical bills. if you don’t use the money price, you are going to get hold of the funds when you give up your policy, or your beneficiaries get hold of the demise improvement upon your passing.

    popular lifestyles insurance

    generic life assurance is a kind of permanent lifestyles coverage that has an adjustable dying improvement and flexible premiums. You should buy this policy between the a long time of 18 and 65, with coverage starting from $50,000 to $1 million. With normal lifestyles coverage, your cash price grows at a hard and fast price, and you can use the money to trade the quantity and frequency of your premiums. which you can additionally enhance or lower your demise benefit over the lifetime of the coverage in accordance with your family’s economic needs.

    closing cost insurance

    final rate coverage, also referred to as burial insurance, is designed to aid cowl funeral costs and other end-of-lifestyles prices. remaining rate insurance from revolutionary is available for americans between the a while of fifty and 85 and doesn’t require a medical exam. that you could get coverage between $2,500 and $35,000, and in most instances, your policy will also be issued within several days, with out a ready period. according to progressive’s web page, its final cost policies beginning at $20 per 30 days.

    accessible Riders

    life coverage riders are optional guidelines that will let you purchase insurance for specific instances. modern offers an extended listing of riders, which is most suitable in case you want to build a personalized coverage. listed here are one of the most riders that modern offers:

    Accelerated dying improvement Rider

    The accelerated dying benefit rider lets you use probably the most money from your demise improvement to pay for end-of-life care in case you get clinically determined with a terminal sickness.

    important disease Rider

    The crucial ailment rider allows you to use money from your loss of life advantage if you get clinically determined with a qualifying important or continual disease. Examples encompass heart assault, stroke, and late-stage cancer.

    Waiver of top rate disability Rider

    The waiver of premium incapacity rider will briefly cease your premium funds in case you turn into disabled and are unable to work. 

    household revenue improvement Rider

    The family earnings benefit rider gives your beneficiaries an additional loss of life advantage that gets paid out in monthly installments and is supposed to exchange constant revenue. 

    term Conversion life coverage Rider

    With a term conversion life assurance rider, which you can convert your time period existence coverage into a permanent coverage near the end of the time period, devoid of taking an additional scientific exam.

    lengthy-term Care Rider

    The long-term care rider lets you pull funds out of your death advantage and use it to cowl the can charge of in-home medical care, medical machine, nursing domestic stays, and different long-term care charges.

    existence insurance riders are a superb alternative if you need to fill gaps for your insurance, but take into account that the majority riders come at an further cost, so that they will raise your top rate. 

    consumer provider

    if you deserve to contact eFinancial directly, you could call the universal customer provider number at 800-482-6616. you can additionally fill out the on-line form to get in contact via electronic mail. in case you have specific questions on your policy or wish to make adjustments to your insurance, be sure to reach out to the business that underwrites your policy.

    grievance Index

    The national affiliation of insurance Commissioners (NAIC) enterprise criticism Index is a great way to gauge an coverage business’s customer service. The index rankings insurance organizations in keeping with customer feedback round claim settlements, denied claims, agent interactions, expenditures, and greater, all weighed in the case of the business's market share. 

    revolutionary has a excessive variety of enterprise complaints, which isn't extraordinary for a company of its size but is whatever to be aware about. In 2020, revolutionary had 159 complaints, with a rating of 1.seventy five, which is above the trade regular of 1.00. innovative had slightly greater complaints in 2019 and 2018.

    but when you buy lifestyles coverage through revolutionary, you’ll in most cases be coping with eFinancial and the business that underwrites your coverage. eFinancial isn't rated in the NAIC criticism Index, and its underwriting partners have various ratings.

    as an example, Mutual of Omaha has a far better variety of complaints than commonplace, with a ranking of 1.20. Transamerica additionally has above-average complaints, with a ranking of 1.31. having said that, protecting life has beneath-ordinary complaints, with a score of 0.33.

    Third-celebration ratings

    modern is very strong financially, with an A+ ranking from AM most excellent, which is the 2nd-maximum possible rating. assurance agencies that are financially solid aren't susceptible to going out of enterprise or declaring chapter, and it additionally implies that they’re able to repay policyholders without any considerations after a lined declare.

    besides the fact that children, it’s extra vital to appear at the third-celebration rankings for eFinancial and its underwriting companions. regrettably, eFinancial is not rated by way of AM most fulfilling or some other business rating organizations, like J.D. vigour.

    common, eFinancial’s underwriting partners have first rate fiscal energy ratings. for instance, Mutual of Omaha has an A+ ranking, AIG has an A ranking, and constancy lifestyles has an A+ score.

    in terms of universal delight, however, some partners are more desirable than others. Mutual of Omaha is the simplest business it really is rated above usual for universal customer delight in J.D. energy’s 2020 U.S. life coverage examine. shielding, Prudential, AIG, and Transamerica are all rated beneath normal.

    Cancellation policy

    in case you want to cancel a progressive life protection, you have got alternate options; you can cease paying the premiums or formally cancel your policy by contacting an eFinancial agent or the company that underwrites your insurance. There aren't any costs to cancel a time period life insurance plan, but you received’t acquire any compensation. in case you cancel a everlasting policy, there may be surrender costs depending on how lengthy the coverage changed into in drive. you're going to additionally acquire a assess for the money price steadiness minus any give up fees if you cancel an entire, normal, or final expense policy.

    rate

    existence insurance premiums are personalised based on components like your age, your normal fitness, and the amount of coverage you need. you can use modern’s online quote generator to get an immediate price for term lifestyles coverage. listed here are some pattern quotes for progressive time period life insurance:

    Age/Gender $250,000 in insurance $500,000 in coverage 25-year-ancient feminine $12.18 per month $18.27 per 30 days 35-12 months-historic male  $14.35 monthly  $22.62 monthly  forty-12 months-historic feminine  $15.22 per 30 days  $24.36 per month 

    if you happen to apply for all times coverage, businesses also accept as true with your gender assigned at beginning to calculate your expense. when you are non-binary, which you can nonetheless get existence insurance, but you’ll be asked to mark “male” or “feminine” as your gender on progressive’s software. We recommend accomplishing out to the business to study extra about their underwriting procedure if you identify as transgender or non-binary. 

    competitors

    one among progressive’s largest rivals within the existence coverage space is John Hancock, which is at present the ninth-biggest lifestyles coverage provider when it comes to market share. usual, John Hancock is a a bit of greater existence assurance provider than revolutionary, but the two are fairly related.

    when it comes to coverage, John Hancock offers one other policy alternative than revolutionary, but it surely does not promote whole existence assurance. despite the fact, John Hancock sells indexed usual and variable ordinary lifestyles coverage, which revolutionary doesn’t offer. 

    John Hancock is smartly commonplace for its wellbeing rewards application, referred to as Vitality. The software rewards participants for suit living by featuring discounts on wearable health instruments, match foods at the food market, inn reductions, a free Amazon prime subscription, a free subscription to the meditation app Headspace, and more.  

    youngsters innovative is a great lifestyles assurance company, we think that John Hancock is a more robust alternative since it underwrites its own policies, so that you’ll most effective be coping with one company. moreover, John Hancock’s Vitality software is an enormous perk, and modern doesn’t offer any well being rewards or stop smoking incentives.

      revolutionary John Hancock Market shareN/A Ninth-greatest, 2.seventy three% market percentagenumber of Plans  four fiveDividends for 2020  no longer applicable now not relevant  health program coupon codes/quit Smoking Incentives  now not applicable surecarrier formulation  agents monetary advisors and brokers AM foremost score  A+ A+ expense Rank  About commonplace About common Complaints vogue  Varies in response to the policy underwriter 0.sixty seven (beneath typical) last Verdict

    modern is a pretty good lifestyles coverage business normal, and it’s worth searching into. The business offers an outstanding mix of guidelines with high insurance limits, lots of riders for customization, and 24/7 client support. despite the fact that modern doesn’t underwrite its own guidelines, eFinancial works with a number of official providers which have robust reputations and decent third-birthday party rankings.

    Methodology

    Our stories of lifestyles assurance businesses are in keeping with a quantitative methodology that analyzes each and every insurer on their stability and reliability, client service, claims experience, range of product traces, and price. We examine the terms of each and every class of coverage offered—including available insurance amounts, non-compulsory riders, and top class fee alternatives—with those of alternative important lifestyles insurance agencies. lastly, we analyze how the enterprise is rated by third-birthday celebration organizations to investigate its reliability and overall popularity.

    Investopedia requires writers to make use of fundamental sources to help their work. These consist of white papers, executive records, common reporting, and interviews with business experts. We also reference long-established research from other authentic publishers where applicable. that you could be taught greater in regards to the specifications we follow in producing accurate, impartial content material in our editorial policy .

    References


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