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AACN PCCN

PCCN

Exam Code: PCCN

Exam Name: Progressive Care Certified Nursing

Updated: Aug 14, 2026

Q & A: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

SectionWeightObjectives
Endocrine/Hematology/Neurology/Gastrointestinal/Renal24%- Gastrointestinal
  • 1. Liver failure
  • 2. GI bleeding
  • 3. Acute pancreatitis
- Neurology
  • 1. Stroke management
  • 2. Seizures and status epilepticus
  • 3. Increased intracranial pressure
  • 4. Traumatic brain injury
- Renal
  • 1. CRRT/Dialysis
  • 2. Electrolyte imbalances
  • 3. Acute kidney injury
- Endocrine
  • 1. Diabetic emergencies (DKA, HHS)
  • 2. Adrenal crisis
  • 3. Thyroid disorders
- Hematology
  • 1. Sickle cell crisis
  • 2. Blood product administration
  • 3. DIC (Disseminated Intravascular Coagulation)
Multisystem22%- Multiorgan Dysfunction Syndrome
  • 1. Management strategies
  • 2. Pathophysiology
- Palliative/End-of-Life Care
  • 1. Goals of care
  • 2. Symptom management
  • 3. Ethical considerations
- Trauma
  • 1. Trauma assessment and management
  • 2. Burns
- Post-operative Care
  • 1. Complications management
  • 2. Pain management
- Sepsis
  • 1. Early recognition and bundles
  • 2. Organ dysfunction
- Shock
  • 1. Septic shock
  • 2. Hypovolemic shock
  • 3. Cardiogenic shock
  • 4. Distributive shock
Pulmonary21%- Respiratory Assessment
  • 1. ABG interpretation
  • 2. Chest tube management
  • 3. Pulse oximetry
- Pulmonary Embolism
  • 1. Diagnosis and treatment
  • 2. Anticoagulation therapy
- Chronic Respiratory Disorders
  • 1. Asthma management
  • 2. COPD exacerbation
- Acute Respiratory Failure
  • 1. ARDS
  • 2. Mechanical ventilation management
  • 3. Non-invasive ventilation (BiPAP/CPAP)
- Pneumonia
  • 1. Community-acquired
  • 2. Ventilator-associated
Cardiovascular33%- Structural Heart Disease
  • 1. Valvular disorders
  • 2. Cardiomyopathies
  • 3. Pericardial disease
- Dysrhythmias
  • 1. Cardioversion and defibrillation
  • 2. Pacemakers and ICDs
  • 3. Identification and management
- Hemodynamic Monitoring
  • 1. Central venous pressure
  • 2. Cardiac output monitoring
  • 3. Arterial lines
- Heart Failure
  • 1. Pharmacological management
  • 2. Left vs right heart failure
  • 3. Acute and chronic HF
- Acute Coronary Syndromes
  • 1. STEMI/NSTEMI management
  • 2. Unstable angina
  • 3. Cardiac biomarkers
- Vascular Disorders
  • 1. Peripheral vascular disease
  • 2. Aortic emergencies

AACN Progressive Care Certified Nursing Sample Questions:

1. To help prevent hospital-acquired pneumonia in a ventilated patient, which of the following is recommended?

A) Avoid supine positioning and, unless medically contraindicated, keep the head of the bed elevated at
45 to 60 degrees at all times
B) Implement a comprehensive oral hygiene program that includes teeth brushing and the use of oral
0.12% chlorhexidine gluconate for ventilator patients
C) Perform tracheostomy care and suctioning under clean conditions
D) If a suction catheter is to be used for reentry into the patient's lower respiratory tract, use clean fluid to remove secretions from the catheter


2. A patient with severe variceal bleeding is to undergo a percutaneous transjugular intrahepatic portosystemic shunt. The nurse is explaining the procedure to the patient's family. She tells the family:

A) Another name for this procedure is the Billroth II
B) This is a painless procedure
C) The advantage of this procedure is that it is not as invasive as surgery
D) A common side effect of this procedure is dumping syndrome


3. Which of the following is the most frequent trigger of COPD exacerbation?

A) Pulmonary embolus
B) Pulmonary hypertension
C) Heart disease
D) Respiratory infection


4. Pancytopenia is a drop in which of the following?

A) Red blood cells, white blood cells, and sodium
B) White blood cells, red blood cells, and platelets
C) Red blood cells, sodium, and potassium
D) Red blood cells, hemoglobin, and hematocrit


5. Following the administration of a warfarin dose, the peak depression of coagulation occurs in approximately how long?

A) 8 hours
B) 36 hours
C) 12 hours
D) 24 hours


Solutions:

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

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