AACN PCCN real exam prep : Progressive Care Certified Nursing

  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Aug 20, 2026
  • Q&As: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. The doctrine of informed consent encompasses:

                                              A) Disclosure, comprehension, voluntariness, and competence
                                              B) Competence only
                                              C) Disclosure and comprehension only
                                              D) Voluntariness only


                                              2. The exclusion criteria for the use of a ventricular assist device include:

                                              A) Cancer with metastasis, severe pulmonary disease, urine output > 30 mL/h
                                              B) Mean arterial pressure > 60 mm Hg, severe peripheral vascular disease, severe hepatic disease
                                              C) Cancer with metastasis, coagulopathy, tobacco use
                                              D) Left or right atrial pressure > 20 mm Hg, urine output > 30 mL/h, coagulopathy


                                              3. The loss of the Frank-Starling response occurs in which of the following?

                                              A) Acute gastrointestinal bleeding
                                              B) The late stages of dementia
                                              C) Liver failure
                                              D) Heart failure


                                              4. Which benzodiazepine, which may be administered orally and intravenously as an intermittent bolus or continuous infusion, when used as a continuous infusion, its effect is long-term and awakening may take hours to days to accomplish?

                                              A) Lorazepam
                                              B) Diazepam
                                              C) Chlordiazepoxide
                                              D) Midazolam


                                              5. The surgical procedure that is defined as the removal of a bronchovascular segment of the lung lobe is:

                                              A) Pneumonectomy
                                              B) Lobectomy
                                              C) Wedge resection
                                              D) Segmental resection


                                              Solutions:

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

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