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AACN PCCN Exam Syllabus Topics:

SectionWeightObjectives
Multisystem22%- Multiorgan Dysfunction Syndrome
  • 1. Management strategies
  • 2. Pathophysiology
- Post-operative Care
  • 1. Pain management
  • 2. Complications management
- Shock
  • 1. Distributive shock
  • 2. Cardiogenic shock
  • 3. Septic shock
  • 4. Hypovolemic shock
- Sepsis
  • 1. Organ dysfunction
  • 2. Early recognition and bundles
- Palliative/End-of-Life Care
  • 1. Symptom management
  • 2. Ethical considerations
  • 3. Goals of care
- Trauma
  • 1. Burns
  • 2. Trauma assessment and management
Pulmonary21%- Chronic Respiratory Disorders
  • 1. COPD exacerbation
  • 2. Asthma management
- Acute Respiratory Failure
  • 1. ARDS
  • 2. Non-invasive ventilation (BiPAP/CPAP)
  • 3. Mechanical ventilation management
- Respiratory Assessment
  • 1. ABG interpretation
  • 2. Chest tube management
  • 3. Pulse oximetry
- Pneumonia
  • 1. Ventilator-associated
  • 2. Community-acquired
- Pulmonary Embolism
  • 1. Diagnosis and treatment
  • 2. Anticoagulation therapy
Endocrine/Hematology/Neurology/Gastrointestinal/Renal24%- Renal
  • 1. Acute kidney injury
  • 2. Electrolyte imbalances
  • 3. CRRT/Dialysis
- Hematology
  • 1. Sickle cell crisis
  • 2. Blood product administration
  • 3. DIC (Disseminated Intravascular Coagulation)
- Endocrine
  • 1. Diabetic emergencies (DKA, HHS)
  • 2. Adrenal crisis
  • 3. Thyroid disorders
- Gastrointestinal
  • 1. GI bleeding
  • 2. Liver failure
  • 3. Acute pancreatitis
- Neurology
  • 1. Increased intracranial pressure
  • 2. Seizures and status epilepticus
  • 3. Traumatic brain injury
  • 4. Stroke management
Cardiovascular33%- Vascular Disorders
  • 1. Aortic emergencies
  • 2. Peripheral vascular disease
- Dysrhythmias
  • 1. Identification and management
  • 2. Pacemakers and ICDs
  • 3. Cardioversion and defibrillation
- Structural Heart Disease
  • 1. Cardiomyopathies
  • 2. Valvular disorders
  • 3. Pericardial disease
- Hemodynamic Monitoring
  • 1. Central venous pressure
  • 2. Arterial lines
  • 3. Cardiac output monitoring
- Heart Failure
  • 1. Pharmacological management
  • 2. Left vs right heart failure
  • 3. Acute and chronic HF
- Acute Coronary Syndromes
  • 1. STEMI/NSTEMI management
  • 2. Unstable angina
  • 3. Cardiac biomarkers

AACN Progressive Care Certified Nursing Sample Questions:

Question 1

The Health Information Portability and Accountability Act (HIPAA) creates a legal mandate to honor the ethical obligation of:

A. Veracity
B. Fidelity
C. Confidentiality
D. Beneficence


Question 2

Factors that may play a role in the development of gastritis include all of the following except:

A. An increase in bile salts
B. An increase in mucosal blood flow
C. An increase in the production of pepsin
D. A decrease in bicarbonate secretion


Question 3

Of the following, which is the most important indicator of elevated intracranial pressure?

A. Changes in vital signs
B. Change in level of consciousness
C. Pupillary changes
D. Abnormal posturing


Question 4

All of the following statements related to ketorolac tromethamine (Toradol) are true except:

A. It can be safely administered intravenously or by intramuscular injection
B. It has a ceiling effect
C. Gastrointestinal irritation and bleeding may result from the use of this drug
D. It is a nonsteroidal anti-inflammatory drug


Question 5

Following educational interventions, it is essential:

A. That information gathered in the assessment is organized into a format that is meaningful to the learner
B. To determine if the education outcomes have been achieved
C. That information be prioritized
D. That the learners be assessed for readiness to learn


Solutions:

Question 1
Answer: C
Question 2
Answer: B
Question 3
Answer: B
Question 4
Answer: A
Question 5
Answer: B

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