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AACN PCCN : Progressive Care Certified Nursing

Exam Code: PCCN

Exam Name: Progressive Care Certified Nursing

Updated: Jul 16, 2026

Q & A: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

1. All of the following electrolyte imbalances are likely to occur as a result of liver failure except:

A) Hypomagnesemia
B) Hypocalcemia
C) Hypokalemia
D) Hyperglycemia


2. All of the following are examples of proton pump inhibitors except:

A) Pepcid (Famotidine)
B) Aciphex (rabeprazole)
C) Protonix (pantoprazole)
D) Prilosec (omeprazole)


3. Regarding informed consent, an accurate tool for measuring a patient's capacity is based on which of the following:
* A: The patient's ability to concur with health care providers
* B: The patient's ability to concur with family members
* C: The patient's religious and cultural beliefs and values
* D: The patient's abilities as a decision-maker
* E: The consistency with which the patient states their preferences

A) A, B, D, E
B) D, E
C) C, D, E
D) D


4. All of the following statements are true regarding mannitol except:

A) It increases the excretion of water, sodium, and potassium
B) It is a loop diuretic
C) It is used to reduce intraocular and intracranial pressures and to treat acute oliguric renal failure
D) It can contribute to fluid overload


5. All of the following are correct nursing actions to be taken if acute dissection or rupture of an aneurysm occurs while waiting for the operating room team to arrive except:

A) Titrate vasoconstrictors to maintain the patient's blood pressure
B) Administer narcotics for pain
C) Administer fluids to prevent hypovolemia
D) Administer blood replacement products to maintain adequate hemoglobin and hematocrit levels


Solutions:

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

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