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AACN PCCN Exam Syllabus Topics:

Section	Weight	Objectives
Cardiovascular	33%	- Structural Heart Disease 1. Pericardial disease 2. Valvular disorders 3. Cardiomyopathies - Vascular Disorders 1. Peripheral vascular disease 2. Aortic emergencies - Hemodynamic Monitoring 1. Cardiac output monitoring 2. Central venous pressure 3. Arterial lines - Dysrhythmias 1. Pacemakers and ICDs 2. Identification and management 3. Cardioversion and defibrillation - Acute Coronary Syndromes 1. Cardiac biomarkers 2. STEMI/NSTEMI management 3. Unstable angina - Heart Failure 1. Left vs right heart failure 2. Pharmacological management 3. Acute and chronic HF
Pulmonary	21%	- Respiratory Assessment 1. ABG interpretation 2. Pulse oximetry 3. Chest tube management - Pneumonia 1. Ventilator-associated 2. Community-acquired - Chronic Respiratory Disorders 1. COPD exacerbation 2. Asthma management - Pulmonary Embolism 1. Anticoagulation therapy 2. Diagnosis and treatment - Acute Respiratory Failure 1. ARDS 2. Mechanical ventilation management 3. Non-invasive ventilation (BiPAP/CPAP)
Endocrine/Hematology/Neurology/Gastrointestinal/Renal	24%	- Renal 1. CRRT/Dialysis 2. Electrolyte imbalances 3. Acute kidney injury - Endocrine 1. Diabetic emergencies (DKA, HHS) 2. Adrenal crisis 3. Thyroid disorders - Gastrointestinal 1. GI bleeding 2. Liver failure 3. Acute pancreatitis - Hematology 1. Sickle cell crisis 2. DIC (Disseminated Intravascular Coagulation) 3. Blood product administration - Neurology 1. Traumatic brain injury 2. Increased intracranial pressure 3. Seizures and status epilepticus 4. Stroke management
Multisystem	22%	- Trauma 1. Burns 2. Trauma assessment and management - Sepsis 1. Organ dysfunction 2. Early recognition and bundles - Multiorgan Dysfunction Syndrome 1. Pathophysiology 2. Management strategies - Post-operative Care 1. Pain management 2. Complications management - Palliative/End-of-Life Care 1. Symptom management 2. Ethical considerations 3. Goals of care - Shock 1. Cardiogenic shock 2. Septic shock 3. Hypovolemic shock 4. Distributive shock

AACN Progressive Care Certified Nursing Sample Questions:

1. Pancytopenia is a drop in which of the following?

A) Red blood cells, white blood cells, and sodium
B) White blood cells, red blood cells, and platelets
C) Red blood cells, hemoglobin, and hematocrit
D) Red blood cells, sodium, and potassium

2. Emergency measures for ventricular assist devices failure may include all of the following except:

A) Vascular clamps available for cannula disconnections
B) Patients can be safely cardioverted and defibrillated with ventricular assist device in place
C) Cardiopulmonary resuscitation
D) Backup ventricular assist device in place and ready for operation in case mechanical failure occurs

3. The nurse suspects aortic insufficiency in the presence of the following signs and symptoms:

A) Angina, widened pulse pressure, increased pulmonary artery pressures
B) Hepatomegaly, paroxysmal nocturnal dyspnea, de Musset sign
C) Peripheral edema, angina, supraventricular tachycardia
D) Hepatomegaly, angina, peripheral edema

4. Caution must be taken not to diurese a heart failure patient too fast, as rapid loss of fluid can lead to:

A) Pulsus alternans
B) Stimulation of the Frank-Starling response
C) Disseminated intravascular coagulation
D) Activation of the renin-angiotensin system

5. Which of the following is a cardiac hormone that regulates cardiovascular homeostasis and fluid volume during states of volume and pressure overload?

A) Octreotide
B) Nesiritide
C) Nitroprusside
D) Hydralazine

Solutions:

Question # 1
Answer: B

Question # 2
Answer: C

Question # 3
Answer: A

Question # 4
Answer: D

Question # 5
Answer: B