AACN PCCN : Progressive Care Certified Nursing

PCCN real exams

Exam Code: PCCN

Exam Name: Progressive Care Certified Nursing

Updated: Aug 01, 2026

Q & A: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. Auto-PEEP (positive end-expiratory pressure) can be minimized by:

                                              A) Using smaller diameter endotracheal tubes
                                              B) Avoiding overventilation
                                              C) Auto-PEEP is intrinsic; there is no way to minimize its occurrence
                                              D) Decreasing inspiratory flow rates


                                              2. Which of the following medications is a combined alpha- and beta-adrenergic blocking agent?

                                              A) Nicardipine
                                              B) Labetalol
                                              C) Phentolamine
                                              D) Esmolol


                                              3. Which of the following statements is true related to electrocardiography (ECG)?

                                              A) On the calibrated graph paper used for electrocardiogram tracing, each small box on the horizontal axis is equal to 0.5 mV
                                              B) On the calibrated graph paper used for electrocardiogram tracing, the horizontal axis measures time and the vertical axis measures voltage
                                              C) On the calibrated graph paper used for electrocardiogram tracing, the horizontal axis measures voltage and also represents mm of ST segment deviation
                                              D) On the calibrated graph paper used for electrocardiogram tracing, each small box on the vertical axis measures 1 mm and is equal to 1 mV


                                              4. Cox-Maze procedures are nonpharmacological methods of treating which of the following conditions:

                                              A) Atrial flutter
                                              B) Atrial fibrillation
                                              C) Supraventricular tachycardia
                                              D) Wenckebach block


                                              5. A cortical bruise caused by the brain impacting the inside of the skull at the site of impact is described as:

                                              A) Battle's sign
                                              B) Contrecoup
                                              C) A diffuse axonal injury
                                              D) Coup


                                              Solutions:

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

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