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AACN PCCN : Progressive Care Certified Nursing

PCCN real exams

Exam Code: PCCN

Exam Name: Progressive Care Certified Nursing

Updated: Aug 24, 2026

Q & A: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              Question 1

                                              An example of primary brain injury is:

                                              A. Increased intracranial pressure
                                              B. Epidural hematoma
                                              C. Hypocapnia
                                              D. Hypoxemia


                                              Question 2

                                              A 28-year-old female patient is in the progressive care unit following a motor vehicle accident. She wants her seven-year-old son to visit but is concerned he will be frightened by all the equipment. Which of the following actions could demonstrate caring practices by the nurse?

                                              A. Tell the patient it would be better for her child not to visit
                                              B. Tell the patient to delay her son's visit until there is less equipment to worry about
                                              C. Tell the patient not to worry; her son has probably viewed worse things on video games
                                              D. Offer to explain to the child what to expect when he sees his mother


                                              Question 3

                                              Plasma levels of fibrinogen may be increased in all of the following conditions except:

                                              A. Disseminated intravascular coagulation
                                              B. Inflammatory response
                                              C. Acute infection
                                              D. Pregnancy


                                              Question 4

                                              A patient tells the nurse, "I don't know if I want to get better. My life is meaningless." Which of the following is true about this and similar statements?

                                              A. A psychiatric referral is warranted for further assessment of the patient
                                              B. Asking an individual if they are suicidal promotes thoughts of self-harm
                                              C. The nurse should avoid asking if the person is feeling suicidal
                                              D. Verbalizing thoughts of self-harm can be a cover for wanting to talk about fear or loneliness


                                              Question 5

                                              Clinical situations or conditions that cause respiratory acidosis include:

                                              A. Hypokalemia
                                              B. Neurogenic hyperventilation
                                              C. Excessive mechanical ventilation
                                              D. Hypoventilation associated with respiratory failure


                                              Solutions:

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

                                              Related Certifications
                                              AACN CCRN
                                              AACN Certification
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