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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

1. Clinical signs and symptoms specific to right-sided heart failure include which of the following?

A) Dependent edema, nausea and vomiting, pansystolic murmur at the lower left sternal border
B) Dependent edema, nausea and vomiting, pansystolic murmur at the apex
C) Rales, pulsus alternans, dizziness and syncope
D) Dependent edema, rales, pansystolic murmur at the apex

2. An 85-year-old female patient, Ann, was admitted to the progressive care unit from a nursing home three days ago. She has a severely painful stage IV pressure ulcer and has been diagnosed with sepsis.
Ann is confused and frequently cries for "Fred." No family has been to visit. She has no advance directives. At 2 am, while the nurse is changing Ann's gown, she becomes unresponsive and stops breathing.
The correct action for the nurse to take is to:

A) Call Ann's physician to obtain a Do Not Resuscitate order
B) Run a "slow" code
C) Make Ann comfortable and do nothing, as she had no advance directive
D) Initiate CPR

3. Which of the following is the most widely-used opioid and is the gold standard against which other opioids are compared?

A) Fentanyl
B) Dilaudid
C) Hydromorphone
D) Morphine sulfate

4. The nurse would expect to find the following test results in a patient just admitted with a diagnosis of heart failure:

A) Brain natriuretic peptide: Elevated, Creatinine: Elevated, Serum sodium: Decreased
B) Brain natriuretic peptide: Decreased, Serum sodium: Decreased, Serum potassium: Decreased
C) Brain natriuretic peptide: Elevated, Serum sodium: Elevated, Albumin: Decreased
D) Brain natriuretic peptide: Decreased, Serum potassium: Elevated, Complete Blood Count: Low RBC count

5. Hydroxyurea is a medication sometimes prescribed to help prevent complications due to:

A) Myasthenia gravis
B) Chronic renal failure
C) Sickle cell disease
D) Acute renal failure

Solutions:

Question # 1
Answer: A

Question # 2
Answer: D

Question # 3
Answer: D

Question # 4
Answer: A

Question # 5
Answer: C