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Last Updated: Aug 17, 2026

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AACN PCCN Exam Syllabus Topics:

SectionWeightObjectives
Clinical Judgment80%- Pulmonary
  • 1. Pulmonary embolism & pneumonia
    • 2. Post-extubation care
      • 3. Oxygen therapy & ventilation support
        • 4. Respiratory failure & COPD exacerbation
          - Multisystem & Integumentary
          • 1. Shock & trauma management
            • 2. Wound care & infection control
              - Cardiovascular
              • 1. Acute coronary syndromes & heart failure
                • 2. Hemodynamic monitoring & management
                  • 3. Valvular & structural heart disease
                    • 4. Post-cardiac procedure care
                      • 5. Arrhythmias & 12-lead ECG interpretation
                        - Gastrointestinal
                        • 1. GI bleeding & liver dysfunction
                          • 2. Nutrition & fluid/electrolyte balance
                            - Renal
                            • 1. Fluid/electrolyte & acid-base regulation
                              • 2. Acute kidney injury & chronic kidney disease
                                - Neurology
                                • 1. Seizure management
                                  • 2. Stroke & neurological monitoring
                                    • 3. Post-neurosurgical care
                                      - Endocrine
                                      • 1. Diabetes & DKA management
                                        • 2. Adrenal & thyroid disorders
                                          - Hematology & Immunology
                                          • 1. Anticoagulation & blood product therapy
                                            • 2. Sepsis & immune response
                                              Professional Caring & Ethical Practice20%- Evidence-based practice & safety
                                              - Advocacy & ethical decision-making
                                              - Cultural competence & psychosocial support
                                              - Patient/family education & communication
                                              - Collaboration & systems thinking

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. Which of the following regulates the practice of nursing?

                                              A) The nurse's place of employment
                                              B) State boards of nursing
                                              C) Professional Codes of Ethics
                                              D) The American Nurses Association


                                              2. All of the following statements related to peritoneal dialysis are true except:

                                              A) Peritoneal dialysis is contraindicated in patients with respiratory distress
                                              B) In peritoneal dialysis, diffusion and convection occur across the peritoneal membrane
                                              C) During peritoneal dialysis, dialysate flows into the peritoneal cavity by gravity
                                              D) With an optimally functioning catheter, it takes approximately one hour for 2L of fluid to infuse


                                              3. Which of the following are statements made by an individual with decision-making capabilities that describe the care or treatment he or she wishes to receive when no longer competent?

                                              A) Advance notice
                                              B) Informed consent documents
                                              C) Assignment of executor
                                              D) Advance directives


                                              4. Current recommendations related to the nutritional needs of acutely ill patients suggest feeding about
                                              25 total calories per kg per day based on the patient's ideal body weight and, in the presence of conditions that increase catabolism, increasing the total calories to 27.5 per kg per day. One serious potential complication of the overfeeding of carbohydrates in an attempt to improve nutrition status is:

                                              A) Impaired immune response
                                              B) Fat overload syndrome
                                              C) Thrombocyte adhesiveness
                                              D) Hepatic steatosis


                                              5. Which of the following statements is true related to the causes of hypoxemia?

                                              A) A decrease in tidal volume reduces minute ventilation and results in overall hypoventilation which leads to hypoxemia
                                              B) Atelectasis leads to hypoxemia due to diffusion defects
                                              C) Tetrology of Fallot is a condition that leads to hypoxemia due to a diffusion defect
                                              D) Chronic disease states such as sarcoidosis and pulmonary fibrosis lead to hypoxemia due to shunting


                                              Solutions:

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

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