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Exam Number : PCCN
Exam Name : AACN Progressive Critical Care Nursing
Vendor Name : Medical
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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 Strengthen 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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Medical Progressive test Questions

The progressive left is directionless, and anti-vax conspiracy theorists are seizing the chance to infiltrate | PCCN Practice Questions and PDF Dumps

Medicare for All signals REUTERS/Aaron P. Bernstein

  • A march for Medicare for All ultimate month grew to become right into a platform for far-right operators who have used the frenzy for standard healthcare to unfold conspiracy theories.

  • Anti-vax charlatans are shooting up far and wide, and the left must distance itself from the lethal ideology.

  • The Biden era has left the progressive movement rudderless, and right-wing commentators are hurting its credibility.

  • Eoin Higgins is a journalist in New England and a contributing opinion writer for Insider.

  • this is an opinion column. The options expressed are those of the writer.

  • See greater reports on Insider's company page.

  • On July 24, people in fifty six cities around the nation gathered for what become billed because the greatest ever march for Medicare for All. however in its place of an incredible push for the healthcare legislations the march flopped with low turnout in each metropolis, together with new york, la, and Washington.

    a part of the failure to turn people out become because of the adventure's lack of coherent firm which also had an unintended end result: appropriate-wing conspiracy theorists had been capable of infiltrate marches in some cities.

    An early controversy worried avowed neo-Nazi Matt Heimbach being billed as a keynote speaker at the Muncie, Indiana affiliate march. Former and future Kentucky senatorial candidate Charles Booker withdrew from an adventure in Louisville presently after I emailed and requested him to touch upon his involvement with the march in easy of Heimbach's prior involvement and comments made on social media via different speakers.

    even though the marches were billed as hobbies to push for ordinary healthcare, proponents of anti-vax conspiracy theories were included within the speaker record in cities like Columbus, Ohio and la - an indication of how advocates for the perimeter, anti-science perception system are working to infiltrate the innovative circulate.

    Left spaces are more and more becoming overrun through such far-appropriate conspiracy theorists who cite their adherence to definite, slim left-wing concepts, like Medicare for All, as an avenue to reach revolutionary audiences.

    Story continues

    by providing disappointed left-leaning voters a story that reinforces a feeling of betrayal by way of the innovative Democrats - who made Medicare for All a rallying cry in the 2020 election and then deserted it once in power - these right-wing personalities have discovered a method into the left so one can take critical work to undo.

    "Conspiracies had been adopted to reinforce people's decisions, and they then are searching for out justifications for the anxieties they suppose," Eric Ward, senior fellow at the Southern Poverty legislation center, advised me in a fresh interview.

    "What's new during this moment is that or not it's being equipped through americans who're tapping into it in order to provide political organization, particularly the seeds of political violence, to this anti-vax move."

    Spreading anti-vax ideologies

    Anti-vaxxers are not drawn to information. The conspiracy conception rests on baseless claims of vaccine hazard that have been time and again disproven. however that hasn't stopped dishonest actors, from naturopath grifters like Joseph Mercola to Fox news host Tucker Carlson, indulging the conspiracies and urging their audiences to reject science.

    "We learned that almost everything they instructed us concerning the COVID vaccine become incorrect," Carlson observed remaining week, regarding the return of masks mandates due to a surge in the coronavirus delta variant. "feels like we have been right to maintain asking questions."

    Feeding the flames of vaccine hesitancy is first rate company. In l. a., unemployed actors attend anti-vax rallies five days per week with, as activist Chad Loder cited, "no seen means of salary."

    one in all Carlson's familiar visitors on Fox, notorious anti-vax conspiracy theorist Alex Berneson, has repeatedly spread lies about the vaccines and about Covid itself, garnering a major following that pays off in subscriptions to his newsletter.

    Some media personalities are actually pushing the misinform left audiences and the usage of that platform to profit credibility.

    "We're observing the targeting of a cultural area," Ward noted.

    Conspiracy theorist streaming hosts Craig Jardula and Fiorella Isabel, who generally assert their leftist bona fides while spreading appropriate-wing talking aspects, often bask in anti-vaccine rhetoric. the two have additionally, at numerous instances, recommended conspiracy theories that Donald Trump won the 2020 election and counseled the use of unproven experimental drugs like anti-ringworm medicine ivermectin to deal with COVID, in addition to advocating towards vaccines.

    "Forcing experimental vaccines on people is fascistic," Isabel tweeted simply days before closing month's Medicare for All marches.

    working interference

    Isabel and Jardula had been booked for the los angeles march despite their correct-wing ties and relentless anti-vax rhetoric. That the pair had been chosen to talk at an event ostensibly about healthcare did not break out criticism, and after event organizers instructed Jardula he'd need to wear a masks and existing proof he wasn't infected, he stop in a huff.

    "The local organizers, after asking me if i was vaccinated, demanded I wear a masks & take a Covid check," Jardula announced on Twitter. "I refused. I usually are not advised when & what to do with my body. I aid M4A. no longer medical Tyranny for All."

    while Isabel stated she supported Jardula's choice, she nonetheless spoke, offering a rant pointing to participants of the Squad for perceived state of being inactive on well-known healthcare. it's been a tactic of Isabel, Jardula, and others in their nook of the modern media sphere to amp up anger on the normal Democratic contributors of the condominium over Medicare for All whereas now not presenting doable options - a tactical choice that, intentional or not, outcomes in operating interference for the right-wing of the Democratic birthday celebration and the GOP.

    This isn't to assert that they're even doing a passable job at disguising that working of interference as based in left concepts. Jimmy Dore, the comedian became podcast gadfly presenting himself as the ür-authority on progressive politics, and who lots of the new left-adjoining media varieties model themselves after, has had a number friendly interviews with Carlson on Fox and counseled conspiracy theories across the demise of former DNC worker Seth rich.

    Dore takes in hundreds of bucks from supporters - which his wife then donates to politicians like one-time Democratic presidential nominee Tulsi Gabbard. Gabbard principally backed off from assisting Medicare for All all over 2020, a circulate that Dore defended, curiously ample.

    Niko apartment, one more former booster of Gabbard, celebrates his friendship with far-appropriate white nationalists like Jack Posobiec. he is an anti-vaxxer, too, claiming, "We really do not want a vaccine for this specific virus. or not it's fairly average feel at this element."

    As for Isabel and Jardula, they rarely make a secret of their affiliation to the some distance right, hosting contributors of the a ways right militia the Boogaloo Boys on their demonstrate and assisting stop the Steal conspiracies.

    Rudderless and enraged

    with out a transparent chief and goal when you consider that Bernie Sanders misplaced the Democratic nomination to now-President Joe Biden, the left is extra open than ever to attempts with the aid of appropriate-wing grifters seeking to enhance their brands with the aid of spreading conspiracies.

    For the USA left, which is adrift and mostly powerless with a conservative Democrat in workplace, there's a need to locate somebody to blame. Supposed capitulation to the Biden agenda with the aid of innovative Democrats has are available for harsh criticism, with some commentators suggesting - if not outright declaring - that individuals of the lefty "Squad" had been double brokers covertly working for the birthday party institution.

    This storyline found buy in December 2020, when an sick-conceived plan to "force the vote" on Medicare for All by way of making Nancy Pelosi's speakership contingent on the performative, and likely to fail, vote on the policy. notwithstanding the tactic wasn't ever severely regarded by way of any individual in specific vigour, anger over the fallout from the failed effort has pushed efforts by actors like the above conspiracy theorists to divide the left ever considering that, as they use Medicare for All as a wedge difficulty to additional their personal brands and amplify the anger of their base.

    To their credit score, final month's march organizers tried to locate a method to place pressure on politicians to convey long late commonplace healthcare to american citizens. They took an method that had genuine substance rather than empty gestures intended to extra enrage social media followers and supporters. but the infiltration of the left by bad actors and correct-wing conspiracy theorists hurt that effort and damaged its credibility.

    "We may still be troubled about movements that aren't grounded in rational considering or flip their again on scientific evidence," Ward informed me. "but the larger difficulty in this moment is that the anti-vax flow is being politicized and, at least in the existing time, it has ended in multiplied deaths, it has resulted in elevated restrictions in society as we're unable to to get out of the pandemic section, and it be also led to large violence."

    Political rage is not always a bad factor. the public has a right to demand every little thing from elected representatives, from the president to Congress all of the approach right down to local officials. however when that anger is misplaced and misdirected via rip-off artists trying to manipulate americans's fears and uncertainty, it will probably come to be in the bowels of the far-right.

    it be increasingly unclear if a considerable a part of the left can see these opportunists for who they are and shake off their makes an attempt to seize on innovative disarray - and if they even need to.

    read the original article on company Insider




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