AACN PCCN : Progressive Care Certified Nursing

  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Aug 15, 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:

                                              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


                                              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


                                              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


                                              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


                                              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


                                              Solutions:

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

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