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AACN PCCN exam : Progressive Care Certified Nursing

PCCN Exam Questions
  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Aug 10, 2026
  • Q & A: 502 Questions and Answers
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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. Congenital Long-QT syndrome type 3 (LQT3) dysrhythmia events:

                                              A) Often occur during physical activity
                                              B) Commonly occur during rest or sleep
                                              C) Are typically triggered by emotional upset
                                              D) Are typically triggered by loud noises


                                              2. All of the following statements related to the treatment/prevention of hypoglycemia are true except:

                                              A) Teach the patient and family or friends how to administer glucagon for severe reactions
                                              B) Instruct the patient to always carry a source of fast-acting carbohydrate
                                              C) If symptoms of mild hypoglycemia are present, and the next meal is more than 2 hours away, a complex carbohydrate should be consumed
                                              D) Alcohol intake per 24 hours should be limited to no more than 4-ounces of hard liquor


                                              3. On a positive-pressure ventilator, which mode of ventilation ensures that patients receive a predetermined number and volume of breaths each minute and no deviations from the respiratory rate or Vt settings are delivered?

                                              A) Control ventilation
                                              B) Assist-control ventilation
                                              C) Synchronized intermittent mandatory ventilation
                                              D) Spontaneous breathing


                                              4. All of the following are correct nursing actions to be taken if acute dissection or rupture of an aneurysm occurs while waiting for the operating room team to arrive except:

                                              A) Titrate vasoconstrictors to maintain the patient's blood pressure
                                              B) Administer blood replacement products to maintain adequate hemoglobin and hematocrit levels
                                              C) Administer fluids to prevent hypovolemia
                                              D) Administer narcotics for pain


                                              5. Of the cardiomyopathies, which is the least common?

                                              A) Hypotrophic
                                              B) Restrictive
                                              C) Dilated
                                              D) Hypertrophic obstructive


                                              Solutions:

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

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