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The American Association of Critical Care Nurses (AACN) offers a certification exam for nurses seeking to demonstrate their proficiency in progressive care nursing. Progressive Care Certified Nursing certification is known as the Progressive Care Certified Nursing (PCCN) exam. The PCCN certification is designed for nurses who work in progressive care settings, such as telemetry, step-down, intermediate care units, and emergency departments. The AACN PCCN certification exam is an opportunity for nurses to showcase their knowledge, skills, and expertise in providing high-quality care to acutely ill patients.

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AACN PCCN (Progressive Care Certified Nursing) Certification Exam is a specialized certification exam designed for nurses who work in progressive care units. PCCN exam is administered by the American Association of Critical-Care Nurses (AACN) and is intended to demonstrate a nurse’s knowledge and competence in providing progressive care to patients who require complex monitoring and interventions.

AACN PCCN Exam Syllabus Topics:

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

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