AACN Progressive Care Certified Nursing : PCCN

PCCN
  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Aug 17, 2026
  • Q & A: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. If a pacemaker is operating as an AOO pacemaker, all of the following are true except:

                                              A) It is pacing the atria
                                              B) It is pacing in demand mode
                                              C) It does not respond to intrinsic atrial activity
                                              D) It does not sense


                                              2. A nurse is caring for a patient named Joe who just returned from surgery. Joe is very frightened and states there are bugs on the ceiling. The nurse's most appropriate first response is to:

                                              A) Turn on the television to distract Joe's attention away from the "bugs."
                                              B) Administer a sedative-hypnotic medication
                                              C) Minimize the patient's fear by turning off the lights so he cannot see the "bugs."
                                              D) Minimize the patient's fear by saying for example, "Hello, Joe. My name is Beth and I'm your nurse.
                                              You are in the hospital. I will stay here with you."


                                              3. All of the following statements related to an endotracheal tube are true except:

                                              A) It is inserted with the use of a laryngoscope through the vocal cords into the trachea, 5-7 cm above the carina
                                              B) Tubes may be cuffed or uncuffed
                                              C) The centimeter marking of the tube at the lip is documented and checked during each shift to monitor proper tube placement
                                              D) Nasal intubation is associated with sinus infections


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

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


                                              5. Normal blood carbon dioxide tension (PaCO2 ) ranges from:

                                              A) 40 - 45 mm Hg
                                              B) 7.35 - 7.45 mm Hg
                                              C) 22 - 26 mm Hg
                                              D) 35 - 45 mm Hg


                                              Solutions:

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

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