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

                                              1. As a result of which of the following, when hemoglobin becomes desaturated with oxygen, the affinity for carbon dioxide increases. The administration of oxygen then displaces carbon dioxide on hemoglobin and increases carbon dioxide levels in the plasma:

                                              A) The Haldane effect
                                              B) Hypoxic vasoconstriction
                                              C) Decreased minute ventilation
                                              D) The Bohr effect


                                              2. The management of patients with acute exacerbation of hypertension focuses on three primary goals.
                                              Which of the following is not included in these primary objectives?

                                              A) Reduction of arterial pressure
                                              B) Evaluation and treatment of target organ damage
                                              C) Preparation and planning for continuous and consistent outpatient follow up
                                              D) Maintenance of cerebral perfusion pressure


                                              3. If a pacemaker is operating as an AOO pacemaker, all of the following are true except:

                                              A) It does not sense
                                              B) It does not respond to intrinsic atrial activity
                                              C) It is pacing in demand mode
                                              D) It is pacing the atria


                                              4. The three categories scored on the Glasgow Coma Scale are:

                                              A) Eye opening, Motor response, Verbal response
                                              B) Pupil reactivity, Verbal response, Motor response
                                              C) Pupil reactivity, Respiratory response, Verbal response
                                              D) Eye opening, Motor response, Respiratory response


                                              5. Treatment of torsades de pointes may include all of the following except:

                                              A) Teaching the patient lifestyle modifications such as avoidance of swimming and startling loud noises like alarm clocks
                                              B) Managing the patient with pacing and magnesium as temporary strategies until the underlying cause of the disorder can be eliminated
                                              C) Overdrive atrial or ventricular pacing at a rate of 80 beats per minute or faster to prevent the pauses that may precipitate episodes of torsades de pointes
                                              D) Defibrillation with an unsynchronized shock to terminate the episode if torsades de pointes degenerates into ventricular fibrillation


                                              Solutions:

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

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