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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

1. Which of the following risk factors for the development of acute respiratory distress syndrome is considered to be a secondary rather than a primary cause?

A) Smoke inhalation
B) Sepsis
C) Pulmonary contusion
D) Aspiration


2. All of the following statements are true related to Muromonab-CD3 (Othroclone OKT3) except:

A) It is administered for a 10- to 14-day course of therapy as a daily bolus dose of 5 to 10 mg IV
B) This medication is a monoclonal antibody which interferes with T-cell antigen recognition
C) There is a danger of flash pulmonary edema with this medication; therefore, the patient is often pre- medicated with steroids, acetaminophen, and diphenhydramine
D) This monoclonal antibody is frequently used after cardiac transplantation to prevent acute rejection


3. Management of a basilar skull fracture may include all of the following except:

A) Antibiotic therapy
B) Lumbar puncture to drain cerebrospinal fluid that is compressing the healing dura
C) Maintaining the head of the bed at less than 15 degrees elevation
D) Surgical repair of cerebrospinal fluid leaks


4. Which of the following statements is true regarding artificial airways?

A) Following the insertion of a tracheostomy or endotracheal tube, the cuff of the tube is inflated so that the pressure is maintained at less than 25 mm Hg
B) A fenestration is necessary to be able to talk with a tracheostomy tube
C) More nutrition options are available to patients with endotracheal tubes than with tracheostomy tubes
D) More communication options are available to patients with endotracheal tubes than with tracheostomy tubes


5. The American Association of Critical-Care Nurses (AACN) Standards for Establishing and Sustaining Healthy Work Environments identifies six standards which are needed in the workplace to promote the effective resolution of ethical dilemmas. Which of the following is one of these standards?

A) Authentic leadership
B) Autocratic leadership
C) Adequate staffing
D) Open-ended communication


Solutions:

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

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