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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

1. Which of the following terms refers to the right of an individual to be free from unjustified or unnecessary access by others?

A) Confidentiality
B) Privacy
C) Justice
D) Autonomy


2. Which of the following terms refers to the use of one's own skills and knowledge to promote the interests of another?

A) Paternalism
B) Fidelity
C) Advocacy
D) Nonmaleficence


3. All of the following statements are true related to the visually displayed breath-to-breath values on a ventilator except:

A) The presence of positive end-expiratory pressure (PEEP) is indicated by a negative value at the end of expiration
B) Airway pressures are monitored during inspiration and exhalation and are often displayed as peak pressure, mean pressure and end-expiratory pressure
C) Respiratory rate, exhaled volumes and the inspiratory to expiratory ratio are common visually displayed breath-to-breath values
D) The display of the patient's exhaled Vt reflects the amount of gas returned to the ventilator via the expiratory tubing with each respiratory cycle


4. According to the United States Food and Drug Administration, the acceptable discrepancy between laboratory values and point-of-care glucometer values is:

A) + 2.5%
B) + 15%
C) + 10%
D) + 5%


5. The most common cause of respiratory failure in acutely ill patients is:

A) Asthma
B) Chronic obstructive pulmonary disease
C) Pneumonia
D) Pulmonary hypertension


Solutions:

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

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