AACN PCCN : Progressive Care Certified Nursing

PCCN real exams

Exam Code: PCCN

Exam Name: Progressive Care Certified Nursing

Updated: Aug 15, 2026

Q & A: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. When the amount of acid production in the body increases, and there is no change in the amount of base production, the pH:

                                              A) Decreases
                                              B) Cannot be determined by any blood test
                                              C) Stays the same
                                              D) Increases


                                              2. The use of a ventilator with a heated moisture exchanger (HME) is contraindicated in all of the following except:

                                              A) Patients who have frank bloody secretions
                                              B) Patients with a body temperature greater than 37 degrees Celsius
                                              C) Patients with body temperatures less than 32 degree Celsius
                                              D) Patients who have uncuffed endotracheal tubes


                                              3. Risk factors for meningitis include all of the following except:

                                              A) Gender
                                              B) Crowded living conditions
                                              C) Immunocompromise
                                              D) Trauma


                                              4. Which of the following is the single biomarker used to confirm the diagnosis of sepsis?

                                              A) Bilirubin
                                              B) Serum lactate
                                              C) Serum creatinine
                                              D) No single biomarker is able to confirm a diagnosis of sepsis


                                              5. Acute kidney injury (AKI) is characterized by three clinical phases, seen primarily due to intrarenal injury.
                                              The first phase of AKI is characterized by:

                                              A) A significant rise in BUN and creatinine levels; common complications include fluid overload and acute hyperkalemia
                                              B) A significant rise in BUN and creatinine levels along with acute hypokalemia
                                              C) A drop in BUN and creatinine levels
                                              D) An increase in urine output


                                              Solutions:

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

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