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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

1. The ability of the pacing stimulus to result in depolarization of the chamber being paced is known as:

A) Stimulus release
B) Capture
C) Sensing
D) Refraction


2. If a patient does not respond meaningfully to the examiner without the need for stimulation, which of the following are used first in assessing level of consciousness?

A) Auditory stimuli
B) Painful stimuli
C) Tactile stimuli
D) Traumatic stimuli


3. A patient is tested for aphasia with the following results:
* Naming: Unable
* Fluency: Unable
* Comprehension: Intact
* Repetition: Unable
Which type of aphasia does this patient most likely have?

A) Transcortical motor aphasia
B) None of these
C) Wernicke's aphasia
D) Transcortical sensory aphasia
E) Broca's aphasia


4. The laparoscopic bariatric surgical procedure that results in restriction and malabsorption and also has a hormonal effect is:

A) Biliopancreatic diversion with duodenal switch surgery
B) Laparoscopic adjustable gastric band surgery
C) Laparoscopic sleeve gastrectomy surgery
D) Roux-en-Y surgery


5. To evaluate functional capacity as evidence of the patient's ability to reason about his or her own choices, which of the comments or questions would be the best for the nurse to make/ask?

A) "What is the name of your doctor?"
B) "Do you know what day it is?"
C) "Why are you in the hospital?"
D) "Please tell me about some of the difficult health care choices you have made in the past."


Solutions:

Question # 1
Answer: B
Question # 2
Answer: A
Question # 3
Answer: E
Question # 4
Answer: D
Question # 5
Answer: D

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