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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

1. All of the following statements related to the treatment/prevention of hypoglycemia are true except:

A) If symptoms of mild hypoglycemia are present, and the next meal is more than 2 hours away, a complex carbohydrate should be consumed
B) Alcohol intake per 24 hours should be limited to no more than 4-ounces of hard liquor
C) Instruct the patient to always carry a source of fast-acting carbohydrate
D) Teach the patient and family or friends how to administer glucagon for severe reactions


2. Which of the following statements is true regarding the QT interval and long-QT syndromes?

A) Acquired-type long-QT syndrome may be caused by electrolyte abnormalities, especially hyperkalemia
B) To determine the QT interval corrected for heart rate (QTc), the measured QT interval is multiplied by the square root of the preceding R-R interval (all measurements are in seconds)
C) The QT interval on an electrocardiogram is heart rate dependent
D) The QT interval lengthens at more rapid heart rates and shortens at slower heart rates


3. Conditions that may cause airway obstruction leading to acute respiratory failure in the adult include:

A) Pulmonary edema, aspiration pneumonia, aspiration of a foreign body
B) Pneumonia, aspiration of a foreign body, pulmonary embolism
C) Asthma, emphysema, aspiration of a foreign body
D) Aspiration of a foreign body, asthma, thoracic tumors


4. Mallory-Weiss Syndrome is most often associated with which of the following?

A) Alcoholism
B) Morbid obesity
C) Diabetes
D) Hypertension


5. Which of the following statements is true regarding the postsurgical care of the cardiac transplantation patient?

A) If dysrhythmias such as supraventricular tachycardia occur, calcium channel blockers or beta-blockers are used
B) With the loss of vagal tone, and if the sinus rate increases, there is a greater potential for junctional rhythms to develop
C) In cases of chronic rejection with diffuse coronary artery disease, patients may experience severe angina
D) Patients usually have a lower resting heart rate than normal


Solutions:

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

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