{"id":2998,"date":"2025-01-03T05:04:31","date_gmt":"2025-01-03T05:04:31","guid":{"rendered":"https:\/\/nursehowie.net\/?page_id=2998"},"modified":"2026-04-10T01:25:00","modified_gmt":"2026-04-10T01:25:00","slug":"nbcrna-see-nce-content-outline-map","status":"publish","type":"page","link":"https:\/\/nursehowie.net\/?page_id=2998","title":{"rendered":"NBCRNA SEE\/NCE Content Map for CRNA"},"content":{"rendered":"\n<p>Updated NCE Content Outline<br>For NCE exams administered ON or AFTER 1\/2\/2024<br>SEE content areas are uniform at 25% each<br><br><\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-10115013\"><h2 class=\"uagb-heading-text\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-luminous-vivid-orange-color\">I. Basic Sciences (20%)<\/mark><\/strong><\/h2><\/div>\n\n\n\n<p>A. Anatomy and physiology<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Cardiovascular<\/li>\n\n\n\n<li>Respiratory<\/li>\n\n\n\n<li>Central nervous system<\/li>\n\n\n\n<li>Musculoskeletal<\/li>\n\n\n\n<li>Endocrine<\/li>\n\n\n\n<li>Hepatic and renal<\/li>\n\n\n\n<li>Hematologic<\/li>\n\n\n\n<li>Gastrointestinal<\/li>\n\n\n\n<li>Immune<br>B. Pathophysiology<\/li>\n\n\n\n<li>Cardiovascular<br>a. Ischemic heart disease<br>b. Valvular heart disease<br>c. Congenital heart defects<br>d. Cardiac conduction and rhythm abnormalities<br>e. Cardiovascular and peripheral vascular abnormalities<br>f. Infectious diseases<br>g. Pericardial diseases<br>h. Cardiomyopathy and heart failure<\/li>\n\n\n\n<li>Respiratory<br>a. Obstructive diseases<br>b. Restrictive diseases<br>c. Infectious diseases<br>d. Pulmonary vascular abnormalities<br>e. Altered airway anatomy<\/li>\n\n\n\n<li>Central nervous system<br>1<br>a. Neurodegenerative diseases<br>b. Myelin diseases<br>c. Cerebrovascular diseases<br>d. Neuropathies<br>e. Psychiatric disorders<br>f. Spinal cord disorders<br>g. Intracranial tumor<br>h. Congenital abnormalities (e.g., cerebral palsy)<br>i. Seizure disorders<br>j. Intracranial hypertension<br>k. Thermoregulation<\/li>\n\n\n\n<li>Musculoskeletal<br>a. Myopathies\/metabolic abnormalities (e.g., malignant hyperthermia)<br>b. Neuromuscular diseases<br>c. Skeletal diseases<br>d. Musculoskeletal disorders (genetic and acquired)<\/li>\n\n\n\n<li>Endocrine<br>a. Thyroid and parathyroid disorders<br>b. Pituitary disorders<br>c. Adrenal disorders<br>d. Pancreatic disorders (endocrine disorders)<br>e. Other endocrine disorders (thymus-, hypothalamus-, androgen-<br>,<br>and metabolic-related disorders)<\/li>\n\n\n\n<li>Hepatic<br>a. Infectious diseases<br>b. Biliary tract and bilirubin disorders<br>c. Cirrhotic disorders<br>d. Hepatovascular abnormalities<\/li>\n\n\n\n<li>Renal<br>a. Intrinsic kidney disorders<br>b. Acute kidney injury<br>c. Chronic kidney disease<\/li>\n\n\n\n<li>Hematologic<br>a. Anemias<br>b. Hemoglobin disorders<br>c. Coagulation disorders<\/li>\n\n\n\n<li>Gastrointestinal<br>a. Esophageal disorders<br>b. Gastric disorders<br>c. Pancreatic disorders (exocrine disorders)<br>d. Intestinal disorders<br>e. Tumors\/secreting lesions<br>f. Malabsorption disorders<br>2<\/li>\n\n\n\n<li>Immune<br>a. Infectious disorders (e.g., HIV, AIDS)<br>b. Hypersensitivity disorders (Type I-IV)<br>c. Autoimmune diseases<\/li>\n\n\n\n<li>Other conditions<br>a. Cancer<br>b. Burns (inhalational, cutaneous)<br>c. Trauma<br>d. Substance use disorder (alcohol, nicotine, other)<br>e. Sepsis<br>C. Pharmacology<\/li>\n\n\n\n<li>General principles<br>a. Pharmacodynamics<br>b. Pharmacokinetics<br>c. Pharmacology-related mathematics<\/li>\n\n\n\n<li>Inhalation anesthetics<\/li>\n\n\n\n<li>Intravenous anesthetics and antagonists<br>a. Barbiturates<br>b. Sedative\/hypnotics (e.g., propofol, etomidate, ketamine,<br>dexmedetomidine)<br>c. Benzodiazepines and benzodiazepine antagonists<br>d. Opioid agonists, agonist-antagonists, and antagonists<\/li>\n\n\n\n<li>Depolarizing and nondepolarizing neuromuscular relaxants and antagonists<\/li>\n\n\n\n<li>Local anesthetics<\/li>\n\n\n\n<li>Lipid emulsion<\/li>\n\n\n\n<li>Regional anesthesia adjuncts (neuraxial and peripheral)<\/li>\n\n\n\n<li>Anticholinergics\/cholinergic agonists<\/li>\n\n\n\n<li>Non-opioid analgesics<\/li>\n\n\n\n<li>Cardiovascular medications<br>a. Inotropes<br>b. Phosphodiesterase inhibitors<br>c. Cardiac glycosides (e.g., digitalis)<br>d. Alpha- and beta-receptor agonists and antagonists<br>e. Centrally acting alpha2-adrenergic agonists<br>f. ACE inhibitors<br>g. Angiotensin II receptor inhibitors<br>h. Vasodilators<br>i. Nitric oxide<br>j. Antidysrhythmics<br>k. Calcium channel blockers<\/li>\n\n\n\n<li>Bronchodilators<br>3<\/li>\n\n\n\n<li>Psychopharmacologic therapy<br>a. Antidepressants<br>b. Antipsychotics<br>c. Antiparkinsonian drugs<br>d. Others<\/li>\n\n\n\n<li>Prostaglandins<\/li>\n\n\n\n<li>Histamine receptor antagonists<\/li>\n\n\n\n<li>Antiemetics<br>a. 5-HT3 receptor antagonists<br>b. Gastrointestinal prokinetic medications (metoclopramide)<br>c. Antacids<br>d. Other<\/li>\n\n\n\n<li>Insulin<\/li>\n\n\n\n<li>Hypoglycemics<\/li>\n\n\n\n<li>Diuretics<\/li>\n\n\n\n<li>Anticoagulants and antagonists<br>a. Heparin and low-molecular-weight heparins<br>b. Heparin reversal\u2014protamine<br>c. Antiplatelet medications<br>d. Oral anticoagulants<br>e. Oral anticoagulant reversal<br>f. Thrombolytics<br>g. Thrombin inhibitors<\/li>\n\n\n\n<li>Procoagulants (e.g., antifibrinolytics, DDAVP)<\/li>\n\n\n\n<li>Antimicrobials and antivirals<\/li>\n\n\n\n<li>Antiepileptics<\/li>\n\n\n\n<li>Lipid-lowering agents<\/li>\n\n\n\n<li>Herbal remedies and dietary supplements<\/li>\n\n\n\n<li>Minerals and electrolytes<\/li>\n\n\n\n<li>Dantrolene<\/li>\n\n\n\n<li>Steroids (e.g., dexamethasone, hydrocortisone)<\/li>\n\n\n\n<li>Tocolytics<\/li>\n\n\n\n<li>Uterotonics<\/li>\n\n\n\n<li>Intravenous dyes<\/li>\n\n\n\n<li>Cannabinoids<br>D. Applied chemistry, biochemistry, physics, and mathematics<\/li>\n\n\n\n<li>Chemistry and biochemistry<br>a. Aqueous solutions and concentrations<br>b. Acids, bases, and salts<br>c. Chemical reactions: oxidation, reduction, hydrolysis, and conjugation<br>d. Metabolism<br>4<br>II. e. Cellular mechanisms of action<br>f. Drug receptor interaction<\/li>\n\n\n\n<li>Physics<br>a. Units of measurement<br>b. Gases and gas laws<br>c. Solubility, diffusion, and osmosis<br>d. Pressure and fluid flow<br>e. Electricity and electrical safety<br>f. Vaporization and humidification<br>g. Measurement of oxygen, carbon dioxide, and hydrogen ions<\/li>\n\n\n\n<li>Nonpharmacology-related mathematics<br><br><\/li>\n\n\n\n<li><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-luminous-vivid-orange-color\">Equipment, Instrumentation and Technology (20%)<br><\/mark><\/strong>A. Anesthetic delivery systems<\/li>\n\n\n\n<li>High\/low pressure gas sources<\/li>\n\n\n\n<li>Regulators\/manifolds<\/li>\n\n\n\n<li>Flowmeters, valves, floats<\/li>\n\n\n\n<li>Vaporizers<\/li>\n\n\n\n<li>Proportioning systems<\/li>\n\n\n\n<li>Pressure failure safety devices<\/li>\n\n\n\n<li>Failsafe devices<\/li>\n\n\n\n<li>Ventilator<\/li>\n\n\n\n<li>Carbon dioxide absorbents<\/li>\n\n\n\n<li>Anesthetic circuits<br>a. Rebreathing, circle system<br>b. Nonrebreathing<br>c. Modified nonrebreathing<\/li>\n\n\n\n<li>Pneumatic and electronic alarm devices<br>B. Airway equipment<\/li>\n\n\n\n<li>Face masks<\/li>\n\n\n\n<li>Laryngoscope<br>a. Rigid<br>b. Video laryngoscope<br>c. Optically enhanced scopes<\/li>\n\n\n\n<li>Flexible fiberoptic bronchoscope<\/li>\n\n\n\n<li>Endotracheal tube<\/li>\n\n\n\n<li>Endobronchial tube<br>a. Double-lumen tubes<br>5<br>b. Bronchial blockers<\/li>\n\n\n\n<li>Airways<br>a. Oral<br>b. Nasal<\/li>\n\n\n\n<li>Tracheostomy tubes<\/li>\n\n\n\n<li>Supraglottic airways (e.g., LMA)<\/li>\n\n\n\n<li>Intubating supraglottic airways<\/li>\n\n\n\n<li>Jet ventilation<\/li>\n\n\n\n<li>Intubating stylets<\/li>\n\n\n\n<li>Cricothyrotomy (needle and surgical)<\/li>\n\n\n\n<li>Intubation aids (e.g., bougie, exchange catheter)<br>C. Monitoring devices<\/li>\n\n\n\n<li>Central nervous system<br>a. Evoked potential<br>b. Intracranial pressure<br>c. Modified EEG monitor<br>d. Cerebral oximetry<\/li>\n\n\n\n<li>Cardiovascular<br>a. Electrocardiogram (3-lead and 5-lead)<br>b. Arterial pressure monitoring<br>c. Noninvasive blood pressure monitoring<br>d. Central venous pressure monitoring<br>e. Pulmonary artery pressure monitoring\/SvO2<br>f. Hemodynamic monitoring<br>g. Precordial\/esophageal stethoscope<br>h. Transesophageal echocardiogram<\/li>\n\n\n\n<li>Respiratory<br>a. Capnography<br>b. Airway gas analysis<br>c. Pulse oximetry<br>d. Airway pressure<br>e. Blood gas analysis<\/li>\n\n\n\n<li>Others<br>a. Peripheral nerve stimulator (qualitative and quantitative)<br>b. Temperature monitoring<br>c. Maternal\/fetal monitoring<br>D. Patient warming equipment<\/li>\n\n\n\n<li>Fluid\/blood warmers<\/li>\n\n\n\n<li>Forced air warming devices<\/li>\n\n\n\n<li>Heat and moisture exchanger (HME)<br>6<\/li>\n\n\n\n<li>Radiant warmers<br>E. Infusion devices (e.g., rapid infusers)<br>F. Imaging and imaging safety<\/li>\n\n\n\n<li>Ultrasound<\/li>\n\n\n\n<li>Fluoroscopy<\/li>\n\n\n\n<li>Radiography<br>III. General Principles of Anesthesia (35%)<br>A. Ethical considerations<\/li>\n\n\n\n<li>Autonomy, beneficence, nonmalfeasance<\/li>\n\n\n\n<li>Research ethics<br>B. Legal issues<\/li>\n\n\n\n<li>Advance healthcare directives<\/li>\n\n\n\n<li>Informed consent<\/li>\n\n\n\n<li>Disclosure of errors\/ injuries<\/li>\n\n\n\n<li>Legal doctrines<\/li>\n\n\n\n<li>Torts<\/li>\n\n\n\n<li>Scope of practice<\/li>\n\n\n\n<li>Standards of practice<\/li>\n\n\n\n<li>Billing<br>C. Safety and wellness<\/li>\n\n\n\n<li>Provider substance abuse disorder<\/li>\n\n\n\n<li>Issues surrounding patient safety<\/li>\n\n\n\n<li>Impaired provider<\/li>\n\n\n\n<li>Wellness initiatives and peer assistance<br>D. Preoperative assessment and preparation of patient<br>E. Fluid volume assessment and management<\/li>\n\n\n\n<li>2. 3. Fluid\/blood component therapy replacement (including plasma expanders)<br>Bloodless medicine (including blood salvage devices and hemodilution<br>techniques)<br>Goal-directed fluid management (crossover with equipment)<br>7<\/li>\n\n\n\n<li>Massive transfusion protocol<\/li>\n\n\n\n<li>Thromboelastography<br>F. Positioning<\/li>\n\n\n\n<li>Techniques<\/li>\n\n\n\n<li>Physiologic alterations<\/li>\n\n\n\n<li>Complications<br>G. Utilization and interpretation of testing data<\/li>\n\n\n\n<li>2. Lab tests (blood gases, activated clotting time)<br>Diagnostic exams (including basic 12-lead ECG interpretation)<br>H. Airway management<\/li>\n\n\n\n<li>Assessment<\/li>\n\n\n\n<li>Techniques, procedures, and devices<\/li>\n\n\n\n<li>Complications<\/li>\n\n\n\n<li>Difficult airway management (difficult airway algorithm)<br>I. Local\/regional anesthetics (technique, physiologic alterations, complications)<\/li>\n\n\n\n<li>Anatomy<\/li>\n\n\n\n<li>Infiltration<\/li>\n\n\n\n<li>Topical<\/li>\n\n\n\n<li>Neuraxial blocks<\/li>\n\n\n\n<li>Peripheral blocks<\/li>\n\n\n\n<li>Other blocks (airway, retrobulbar)<\/li>\n\n\n\n<li>Ultrasound and\/or nerve stimulator guided concepts and techniques<\/li>\n\n\n\n<li>Management of complications (e.g., local anesthetic systemic toxicity)<br>J. Light, moderate, and deep sedation (monitored anesthesia care)<br>K. Total intravenous anesthesia<br>L. Pain<\/li>\n\n\n\n<li>Pain theory (anatomy, physiology, pathology, and psychodynamics)<br>a. Acute<br>b. Chronic<\/li>\n\n\n\n<li>Pain management<br>a. Acute<br>b. Chronic<br>8<br>c. Multimodal pain therapy<br>M. Enhanced recovery after surgery (ERAS)<br>N. Hypotensive technique and risks<br>O. Postanesthesia care\/respiratory therapy<br>P. Infection control<\/li>\n\n\n\n<li>2. Provider (e.g., personal protective equipment, room air handling,<br>ultraviolet sanitizers)<br>Patient (e.g., aseptic technique, workstation cleanliness, needle safety)<br>Q. Intraoperative fire safety<br>IV. Anesthesia for Surgical Procedures and Special Populations (25%)<br>A. Surgical and diagnostic anesthesia, including management of complications<\/li>\n\n\n\n<li>Intra-abdominal<br>a. Hepatobiliary system<br>b. Gastrointestinal tract procedures<br>c. Endocrine organ procedures<br>d. Renal\/genitourinary<br>e. Gynecologic procedures<br>f. Peritoneal procedures (including hernia repair)<\/li>\n\n\n\n<li>Extrathoracic<br>a. Breast<br>b. Plastics and\/or reconstructive<\/li>\n\n\n\n<li>Head<br>a. Extracranial<br>i. Otolaryngological<br>ii. Ophthalmologic<br>iii. Nasal<br>iv. Craniofacial<br>v. Plastics and\/or reconstructive<br>vi. Orthodontic\/dental<br>b. Intracranial<br>i. Decompression (burr holes, ventriculoperitoneal shunt)<br>ii. Space-occupying lesion<br>9<br>iii. Vascular<br>iv. Transsphenoidal hypophysectomy<br>v. Stereotactic procedures<\/li>\n\n\n\n<li>Cardiac anesthesia<br>a. Open procedures (e.g., coronary artery bypass grafting)<br>b. Minimally invasive procedures (e.g., transcatheter aortic valve<br>replacement\/implantation [TAVR\/TAVI], left atrial appendage closure<br>implant, mitral clips)<br>c. Interventional cardiology (e.g., pacemakers, automated internal<br>cardiac defibrillator devices, electrophysiology cases)<br>d. Management of patients with cardiac devices (e.g., ventricular assist<br>device, extracorporeal membrane oxygenation, intraarterial balloon<br>pump)<\/li>\n\n\n\n<li>Noncardiac intrathoracic (including open and thoracoscopic approach)<br>a. Diaphragm<br>b. Endoscopic procedures (bronchoscopy, mediastinoscopy)<br>c. Esophagus<br>d. Lung<br>e. Mediastinum<\/li>\n\n\n\n<li>Neck<br>a. Larynx\/trachea<br>b. Lymph node biopsies<br>c. Parathyroid\/thyroid<br>d. Neck tumors<\/li>\n\n\n\n<li>Neuroskeletal<br>a. Cervical spine (anterior and posterior approach)<br>b. Laminectomy\/discectomy fusions at all levels<br>c. Pain management procedures<br>d. Other<\/li>\n\n\n\n<li>Orthopedic<br>a. Arthroscopic procedures<br>b. Closed reduction<br>c. Fractures<br>d. Total joint replacements\/arthroplasty<br>e. Procedures of the hand and foot<\/li>\n\n\n\n<li>Perineal and pelvic procedures<br>a. Gynecologic<br>b. Genitourinary<br>c. Anal\/rectal<\/li>\n\n\n\n<li>Vascular (open versus endovascular)<br>a. Carotid<br>b. Thoracic<br>c. Abdominal (including renal)<br>10<br>d. Extremity<br>i. Occlusive disease<br>ii. Vascular access<br>e. Thromboembolic prevention<br>f. Surgical management of portal hypertension<\/li>\n\n\n\n<li>Non-operating-room anesthesia (NORA)<br>a. Diagnostic imaging and radiology<br>b. Electroconvulsive therapy<br>c. Interventional radiology<br>d. Radiation therapy<br>e. Endoscopy<\/li>\n\n\n\n<li>Robotic\/laparoscopic surgery<\/li>\n\n\n\n<li>Other surgical procedures<br>a. Trauma<br>b. Burns<br>c. Organ transplants (including management of posttransplant<br>patient for nontransplant surgery)<br>d. Organ procurement<br>e. Laser procedures<br>B. Anesthesia for special populations<\/li>\n\n\n\n<li>Pediatrics<br>a. Anatomy, physiology, and pathophysiology<br>i. Normal<br>ii. Prematurity<br>iii. Congenital abnormalities<br>b. Pharmacology<br>c. Anesthesia techniques\/procedures<br>d. Management of complications<\/li>\n\n\n\n<li>Obstetrics<br>a. Anatomy, physiology, and pathophysiology<br>b. Pharmacology<br>c. Anesthesia techniques\/procedures<br>d. High-risk parturients<br>e Nonobstetric surgery in the parturient<br>f. Management of complications (e.g., amniotic fluid embolism, HELLP<br>syndrome)<br>g. Postpartum hemorrhage<\/li>\n\n\n\n<li>Geriatrics<br>a. Anatomy, physiology, and pathophysiology<br>b. Pharmacology<br>c. Anesthesia techniques\/procedures<br>11<br>d. Management of complications (e.g., postoperative cognitive dysfunction)<\/li>\n\n\n\n<li>Obesity<br>a. Anatomy, physiology, and pathophysiology<br>b. Pharmacology<br>c. Anesthesia techniques\/procedures (including bariatric)<br>d. Management of complications<\/li>\n\n\n\n<li>Substance use disorder population<br>a. Medication-assisted therapy (MAT) (e.g., methadone, buprenorphine)<br>b. Pharmacologic interactions (e.g., acute intoxication)<br>c. Pain management<br>d. Management of complications<\/li>\n\n\n\n<li>Immune compromised and oncology patients<br>a. Pharmacology<br>b. Anesthesia techniques\/procedures<br>c. Management<br>12<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Updated NCE Content OutlineFor NCE exams administered ON or AFTER 1\/2\/2024SEE content areas are uniform at 25% each I. Basic Sciences (20%) A. 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Basic Sciences (20%) A. 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