AACN PCCN : Progressive Care Certified Nursing

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

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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

Question #1

Adequate closure of which of the following is important so that blood is ejected forward into the aorta, not backward into the left atrium during ventricular systole?

  • A. Pulmonary valve
  • B. Tricuspid valve
  • C. Aortic valve
  • D. Mitral valve
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #2

Assessment of the ability of the bone marrow to produce red blood cells is obtained by:

  • A. A platelet count
  • B. An absolute neutrophil count
  • C. A reticulocyte count
  • D. An erythrocyte count
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #3

The Medicare and Medicaid Electronic Health Record (EHR) Incentive Program, established by the Centers for Medicare and Medicaid Services, began offering incentives for hospitals and providers who demonstrated meaningful use of EHRs in:

  • A. 2011
  • B. 2006
  • C. 2007
  • D. 2014
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #4

A 10-year-old Native American girl is admitted to the progressive care unit for treatment of severe asthm a. When the girl's condition is stable, her grandmother brings her licorice tea, a common herbal remedy in the family's community. The nurse is concerned the family may not follow the appropriate medication regimen at home.
To show respect for the family's culture and maintain the patient's best interest, which of the following is the best action for the nurse to take?

  • A. Tell the grandmother the tea may interfere with the therapeutic effect of the medication prescribed by the doctor
  • B. Tell the grandmother the benefits of the tea have not be scientifically proven
  • C. Ask the patient's grandmother to explain the benefits of the herbal tea and also educate the grandmother on the need to follow the patient's medication regimen
  • D. Explain the correct use of inhalers to the grandmother
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #5

Which of the following diagnostic test results would you most likely expect in a patient with an early acute upper gastrointestinal bleed?

  • A. Arterial blood gases: respiratory alkalosis; white blood cell count: elevated; serum sodium: decreased
  • B. Arterial blood gases: metabolic acidosis; white blood cell count: elevated; serum sodium: elevated
  • C. Arterial blood gases: respiratory acidosis; white blood cell count: elevated; serum sodium: elevated
  • D. Arterial blood gases: respiratory alkalosis; white blood cell count: elevated; serum sodium: elevated
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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