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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

1. A medication commonly prescribed to eradicate H. pylori is:

A) Levofloxacin
B) Cephalexin
C) Ceftriaxone
D) Clarithromycin


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

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


3. All of the following statements regarding the QT interval on an electrocardiogram are true except:

A) A normal corrected QT interval (QTc) is < 0.46 second in women and < 0.45 second in men
B) The most commonly used method of correcting the measured QT interval for heart rate is the Bazett formula
C) A shortened corrected QTc (corrected QT interval) indicates abnormally prolonged ventricular repolarization
D) A prolonged QTc (corrected QT interval) is associated with torsades de pointes and sudden cardiac death


4. The nurse is assessing a patient using the Full Outline of Unresponsive (FOUR) score tool. The patient she is assessing is not intubated, and his respirations are even and easy at rest. He opens his eyes on command, and his pupils are equal and reactive to light. He gives the nurse a "thumbs up" when asked.
What is this patient's FOUR score?

A) 16
B) 12
C) 20
D) 0


5. Evidence-based practice guidelines related to family interventions that should occur during the evaluation stage of the nursing process includes which of following?

A) Make referrals as appropriate for support services
B) Use multiple methods to evaluate achievement of meeting family needs
C) Provide information according to family needs
D) Establish optimum methods to contact the family


Solutions:

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

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