AACN Progressive Care Certified Nursing : PCCN Exam Questions

  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Aug 08, 2026
  • Q&As: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. Causes of hypovolemic shock may include:

                                              A) Internal hemorrhage, dysfunctional ischemia, diuretic administration
                                              B) An allergic reaction, thermal injury, diabetes insipidus
                                              C) Sepsis, anaphylaxis, hemorrhage
                                              D) Hyperglycemic osmotic diuresis, third spacing, sepsis


                                              2. Red blood cell indices are useful in determining the etiology of:

                                              A) Anemia
                                              B) Edema
                                              C) Infection
                                              D) Pain


                                              3. Conditions that may impair ventilation and lead to acute respiratory failure in an adult include:

                                              A) Phrenic nerve damage, Guillain-Barre syndrome, aspiration pneumonia
                                              B) Spinal cord injury (C4 or higher), Guillain-Barre syndrome, respiratory muscle fatigue
                                              C) Aspiration pneumonia, pulmonary edema, spinal cord injury (C4 or higher)
                                              D) Asthma, pneumonia, phrenic nerve damage


                                              4. Which of the following statements is true regarding the postsurgical care of the cardiac transplantation patient?

                                              A) With the loss of vagal tone, and if the sinus rate increases, there is a greater potential for junctional rhythms to develop
                                              B) If dysrhythmias such as supraventricular tachycardia occur, calcium channel blockers or beta-blockers are used
                                              C) Patients usually have a lower resting heart rate than normal
                                              D) In cases of chronic rejection with diffuse coronary artery disease, patients may experience severe angina


                                              5. The portion of the electrocardiogram that represents the time required for the impulse to travel through the atria, AV junction, and to the Purkinje system is:

                                              A) The PR interval
                                              B) The ST segment
                                              C) The QT interval
                                              D) The QRS complex


                                              Solutions:

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

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