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Last Updated: Jul 23, 2026

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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

1. In this type of aortic dissection, the original tear begins in the ascending aorta and the dissection extends to the descending aorta:

A) Type IV
B) Type I
C) Type III
D) Type II


2. conditions related to aortic aneurysm except:

A) Aortic dissection refractory to medical therapy
B) Asymptomatic patients with a fusiform aneurysm 4 cm or more in diameter
C) Aortic dissection in the ascending aorta
D) Acute aneurysm rupture


3. Which of the following statements regarding asthma is true?

A) Triggers often cause asthma exacerbation
B) First and foremost, asthma exacerbations are due to bronchospasm
C) Bronchoconstriction results from mediators released from mast cells
D) Unlike patients who have chronic obstructive pulmonary disease, asthma patients do not exhibit airway remodeling


4. Which of the following describes the situation in which the negative feelings brought about by an ethical problem are compounded by the unresolved feelings from previous similar experiences?

A) The phenomenon of moral residue
B) The phenomenon of moral influx
C) The phenomenon of unresolved conflict
D) The phenomenon of moral reflux


5. Which of the following statements is true regarding positive end-expiratory pressure (PEEP)?

A) Use of PEEP may decrease the risk of barotrauma due to lower mean and peak airway pressures during ventilation
B) PEEP may decrease intracranial pressure and increase renal perfusion
C) The application of positive pressure to the airways during expiration may keep alveoli open and prevent early closure during exhalation in conjunction with any of the ventilator modes
D) PEEP may decrease hepatic congestion


Solutions:

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

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