AACN PCCN : Progressive Care Certified Nursing

  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Oct 24, 2026
  • Q & A: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

Question #1

Risk factors for meningitis include all of the following except:

  • A. Gender
  • B. Trauma
  • C. Crowded living conditions
  • D. Immunocompromise
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #2

Ketones accumulate in the blood when which of the following are being broken down faster than they can be metabolized?

  • A. Fats
  • B. Complex carbohydrates
  • C. Proteins
  • D. Triglycerides
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #3

If which of the following does not close properly, blood flows backward from the aorta into the left ventricle during diastole?

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

Correct Answer: C  🗳️

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Question #4

Evidence-based practice guidelines related to family interventions that should occur during the evaluation stage of the nursing process includes which of following?

  • A. Establish optimum methods to contact the family
  • B. Provide information according to family needs
  • C. Make referrals as appropriate for support services
  • D. Use multiple methods to evaluate achievement of meeting family needs
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #5

Which ethical principle affirms an obligation to prevent harm, remove harm, and promote good by actively helping others?

  • A. Nonmaleficence
  • B. Fidelity
  • C. Beneficence
  • D. Justice
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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