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Digital Seminar

Critical Care Nurse Certification: CCRN Exam Prep Course

Cyndi Zarbano, MSN-Ed, CCRN
12 Hours 36 Minutes
Audio and Video
Nov 07, 2022
Product Code:
Media Type:
Digital Seminar


Pass the Critical Care Certification Exam...The First Time

Elizabeth, a nurse from Chicago, wanted to become a Certified Critical Care Nurse but despite her dedication and best efforts she failed the CCRN exam.

Then her facility presented her with an ultimatum — pass the exam or be terminated.

Adding more anxiety to an already stressful situation, Elizabeth found herself paralyzed by the fear of failure…a feeling MANY critical care nurses can relate to when working towards their CCRN certification.

Prepare correctly and you’ll pass your exam and earn your CCRN…which opens new career opportunities, qualifies you for better raises and promotions, and makes you stand out as the critical care expert on your unit.

On the flip side… if you don’t prepare enough, you could suffer from the embarrassment of failing the exam, as well as wasting your precious time and resources. Worse yet… maybe your own position depends on passing and earning these important credentials!

That’s a lot of pressure from one test! So, how can you make sure you’re setting yourself up for success from square one?

With the Critical Care Nurse Certification: CCRN Exam Prep Course.

This all-inclusive online training covers EVERYTHING you’ll see on the CCRN exam and includes access to an online practice test — which you can take again and again, until you’re absolutely prepared to pass with flying colors!

Let expert certification coach Cyndi Zarbano, MSN, BSN, CCRN, CEN, PCCN, CLNC, transform your critical thinking skills and make you the go-to nurse on the unit.

Easily earn your CCRN certification with help from this self-paced training and:

  • Prove to patients and your employer that you have specialty expertise
  • Position yourself for better raises and future promotions
  • Feel more confident mentoring others
  • Advance your critical care assessment and intervention skills
  • Much, much more!

At least, that’s what Elizabeth did, as she passed the exam on her very next attempt! She was able to keep her job and now recommends this training to all her colleagues.

If it worked for Elizabeth it can work for you! Stop stressing and start effectively preparing for your future as a Certified Critical Care Nurse.


Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see below.  For speaker disclosures, please see the faculty biography.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 12.5 contact hours. Expires: 03/01/2026.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 12.5 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 12.5 self-study contact hours.

CE Broker

Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 12.5 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.



Cyndi Zarbano, MSN-Ed, CCRN's Profile

Cyndi Zarbano, MSN-Ed, CCRN Related seminars and products

Clinical Review

Cyndi Zarbano, MSN-Ed, CCRN, practices at Mayo Clinic in MN as an ICU nurse. Through her 25 years of clinical practice, she has drawn expertise from a variety of intensive care/critical care roles. Her insights have been sought in legal cases for the past 12 years. Cyndi has been a requested presenter, speaking to diverse healthcare audiences throughout the country.

Speaker Disclosures:
Financial: Cynthia Zarbano is the owner of Clinical Review Consultants and has employment relationships with Science 37 and Mayo Mankato. She receives a speaking honorarium, book, and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Cynthia Zarbano has no relevant non-financial relationships.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Visit our FAQ page at or contact us at


  1. Analyze complications of severe liver dysfunction and the pathophysiology that leads to their occurrence.

  2. Evaluate signs of peritoneal irritation for optimal intervention.

  3. Appraise radiographic clues that signify emergent findings.

  4. Analyze complex GI surgeries and potential patient complications.

  5. Differentiate DIC and HIT and how each is treated.

  6. Determine signals of HELLP syndrome and initial interventions.

  7. Categorize blood products and when each is utilized.

  8. Distinguish hemodynamic changes with different categories of shock.

  9. Analyze the significance of an elevated lactate.

  10. Differentiate the steps involved in the progression from SIRS to MODS.

  11. Extrapolate the Surviving Sepsis Campaign guidelines.

  12. Categorize the reversal agents and interventions for drug overdose.

  13. Demonstrate an understanding of specific drug overdoses and impact systemically.

  14. Differentiate diabetes from syndrome of inappropriate anti-diuretic hormone.

  15. Plan for a patient’s stage of chronic kidney disease using the glomerular filtration rate.

  16. Distinguish clues to life-threatening electrolyte abnormalities and how each is treated.

  17. Investigate a ST elevation myocardial infarction (STEMI), as compared to non-ST elevation.

  18. Determine clues to a patient having a low cardiac output.

  19. Differentiate heart blocks and interventions for each.

  20. Plan to use a quick tool to interpret ABG’s.

  21. Demonstrate ability to determine an appropriate tidal volume for vented patients.

  22. Calculate the cerebral perfusion pressure.

  23. Categorize preventable and unpreventable risk factors for cerebral vascular accidents.

  24. Assess the criteria for receiving thrombolytic therapy in CVA’s.



  • Spectrum of coronary ischemia
  • Heart cath
  • Peripheral vascular insufficiency
  • Heart failure
    • Pulmonary edema
  • Cardiomyopathies
  • Cardiac surgeries
  • Arrythmia’s and conduction abnormalities
  • Hypertensive crisis
  • Cardiogenic shock
    • Swan Ganz
    • Intra-aortic Balloon Pump
  • Structural defects
    • Acquired and congenital
    • Valve dysfunction 
  • Pericarditis and tamponade
  • Aortic anomalies
  • Cardiac trauma


  • ABG analysis: acid base imbalance
  • Acute pulmonary emboli
  • ARDS
  • Pneumonia’s
  • Status asthmaticus
  • Chronic conditions
  • Ventilator “must knows”
  • Pleural space abnormalities
  • Thoracic trauma
  • Respiratory failure
  • Thoracic surgeries


  • Acute GI hemorrhage
  • Bowel infarction, obstruction, perforation
  • GI surgeries
  • Abdominal compartment syndrome
  • Trauma


  • Diabetes mellitus, 1 and 2
  • Hypoglycemia
  • Hyperglycemic states
    • DKA
    • HHS
  • Diabetes insipidus
  • Syndrome of Inappropriate ADH


  • Anemia
  • Coagulopathies
    • DIC
    • HIT
  • Immune deficiencies
  • Leukopenia
  • Thrombocytopenia
  • Blood products
  • Transfusion reactions
    • TRALI


  • Kellie Monroe Doctrine
  • Increased intercranial pressures
  • Subarachnoid hemorrhage
  • Closed head injuries and neurosurgeries
    • Concussion
    • Basilar skull fracture
    • Subdural hematoma
    • Epidermal hematoma
  • Neurological infection diseases
  • Neuromuscular disorders
  • Spinal cord injuries
    • Autonomic dysreflexia
    • Central cord syndrome
  • Seizures
  • Stroke/TIA
  • Brain tumors
  • Dementia


  • Chronic kidney disease
  • Acute kidney injury
  • Infections
  • Life-threatening electrolyte imbalances
    • Potassium 
    • Calcium
    • Sodium
    • Magnesium
    • Phosphorous


  • Rhabdomyolysis


  • Shock
    • Distributive
    • Hypovolemic
    • Cardiogenic
    • Obstructive
  • Poisonings
  • SIRS, sepsis, septic shock, multiple organ dysfunction syndrome


  • Dementia
  • Abuse and neglect
  • Depression/anxiety
  • Substance abuse disorders
  • Suicidal ideation/gestures

Professional Caring and Ethics:

  • Synergy Model
  • Advocacy
  • Caring Practice
  • Response to diversity
  • Collaboration
  • Systems thinking
  • Clinical Inquiry

Test Prep Tips


Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists


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