AACN PCCN : Progressive Care Certified Nursing

  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Oct 02, 2026     Q & A: 502 Questions and Answers

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Following are some reference material for actual AACN PCCN exam test

AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              Question #1

                                              Acute ischemic heart disease is most often caused by:

                                              • A. Thrombus formation at a site of atherosclerotic plaque rupture within a coronary artery
                                              • B. Coronary artery spasm
                                              • C. Spasm of the smooth wall of the coronary arteries
                                              • D. Fixed obstructions
                                              Reveal Solution  Discussion  0

                                              Correct Answer: A  🗳️

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                                              Question #2

                                              Causes of hypovolemic shock may include:

                                              • A. Hyperglycemic osmotic diuresis, third spacing, sepsis
                                              • B. Internal hemorrhage, dysfunctional ischemia, diuretic administration
                                              • C. An allergic reaction, thermal injury, diabetes insipidus
                                              • D. Sepsis, anaphylaxis, hemorrhage
                                              Reveal Solution  Discussion  0

                                              Correct Answer: C  🗳️

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                                              Question #3

                                              The clinical syndrome that results from ineffective pumping of the heart is known as:

                                              • A. Anaerobic shock
                                              • B. Distributive shock
                                              • C. Cardiogenic shock
                                              • D. Hypovolemic shock
                                              Reveal Solution  Discussion  0

                                              Correct Answer: C  🗳️

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                                              Question #4

                                              The progressive care environment can be anxiety-provoking for patients. Which of the following statements is most correct related to sedation and delirium in the progressive care unit?

                                              • A. Sedative-induced amnesia protects patients from the psychological stress associated with the progressive care environment and sedation infusions must not be interrupted
                                              • B. In clinical trials, oral quetiapine has been shown to reduce the duration of delirium
                                              • C. The use of sedatives decreases the risk of delirium in acutely ill patients as sedatives induce the stages of sleep that provide a restorative state
                                              • D. Lorazepam, a benzodiazepine, has a rapid onset of action and a short duration of effect
                                              Reveal Solution  Discussion  0

                                              Correct Answer: B  🗳️

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                                              Question #5

                                              Risk factors for the development of pulmonary fat emboli include:

                                              • A. Pancreatitis, long bone fracture, cyclosporin administration
                                              • B. Blunt trauma to the liver, obesity, paralysis
                                              • C. Positive pressure ventilation, cardiopulmonary bypass, burns
                                              • D. Cyclosporine administration, estrogen, central venous catheters
                                              Reveal Solution  Discussion  0

                                              Correct Answer: A  🗳️

                                              Explanation: Only visible for Pass4guide members. You can sign-up / login (it's free).

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