AACN Progressive Care Certified Nursing : PCCN

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

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About AACN Progressive Care Certified Nursing : PCCN Exam

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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

Question #1

Signs and symptoms of cocaine overdose include which of the following?

  • A. Seizures, dysrhythmias, heart failure
  • B. Hyperexcitability, nausea/vomiting/abdominal pain, fever
  • C. Tinnitus, vertigo, hyperthermia
  • D. Respiratory depression, hypotension, miosis
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #2

Typical treatment for the management of acute respiratory failure patients with chronic obstructive pulmonary disorder includes:

  • A. Lower than usual doses of short-acting beta-agonists with or without anticholinergics
  • B. Patient mobilization, coughing, and heated, moist aerosolization
  • C. Routine chest physiotherapy
  • D. Limiting fluid intake
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #3

A patient is tested for aphasia with the following results:
* Naming: Unable
* Fluency: Unable
* Comprehension: Intact
* Repetition: Unable
Which type of aphasia does this patient most likely have?

  • A. Transcortical motor aphasia
  • B. Transcortical sensory aphasia
  • C. Wernicke's aphasia
  • D. Broca's aphasia
  • E. None of these
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #4

Which of the following most accurately defines sepsis?

  • A. The presence of severe hypotension combined with a serum lactate level of greater than 2 mmol/L in a patient who has undergone fluid resuscitation
  • B. The dysregulated systemic response to infection
  • C. A dysregulated host response to an infection leading to life-threatening organ dysfunction
  • D. The systemic inflammatory response syndrome that occurs in response to a clinical insult
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #5

All of the following statements related to hemodialysis are true except:

  • A. 14- or 16-gauge needles are used in coupling the dialysis catheter and the dialysis circuitry
  • B. Coupling requires strict adherence to sterile technique
  • C. When a synthetic graft is used, only one needle is required to "couple" the dialysis catheter and the dialysis circuitry, using clean technique
  • D. Both arterial and venous pressures are monitored in the dialysis circuitry
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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