AACN PCCN : Progressive Care Certified Nursing

PCCN real exams

Exam Code: PCCN

Exam Name: Progressive Care Certified Nursing

Updated: Sep 01, 2026

Q & A: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

Question 1

Which of the following statements related to shock is true?

A. Cardiogenic shock activates the parasympathetic nervous system; hypovolemic and distributive shock activate the sympathetic nervous system
B. All three types of shock activate the parasympathetic nervous system
C. All three types of shock activate the sympathetic nervous system
D. Cardiogenic shock activates the sympathetic nervous system; hypovolemic and distributive shock activate the parasympathetic nervous system


Question 2

The exclusion criteria for the use of a ventricular assist device include:

A. Left or right atrial pressure > 20 mm Hg, urine output > 30 mL/h, coagulopathy
B. Mean arterial pressure > 60 mm Hg, severe peripheral vascular disease, severe hepatic disease
C. Cancer with metastasis, severe pulmonary disease, urine output > 30 mL/h
D. Cancer with metastasis, coagulopathy, tobacco use


Question 3

Which of the following statements is true related to the causes of hypoxemia?

A. A decrease in tidal volume reduces minute ventilation and results in overall hypoventilation which leads to hypoxemia
B. Atelectasis leads to hypoxemia due to diffusion defects
C. Tetrology of Fallot is a condition that leads to hypoxemia due to a diffusion defect
D. Chronic disease states such as sarcoidosis and pulmonary fibrosis lead to hypoxemia due to shunting


Question 4

Which of the following statements is true related to electrocardiography (ECG)?

A. On the calibrated graph paper used for electrocardiogram tracing, each small box on the horizontal axis is equal to 0.5 mV
B. On the calibrated graph paper used for electrocardiogram tracing, the horizontal axis measures time and the vertical axis measures voltage
C. On the calibrated graph paper used for electrocardiogram tracing, each small box on the vertical axis measures 1 mm and is equal to 1 mV
D. On the calibrated graph paper used for electrocardiogram tracing, the horizontal axis measures voltage and also represents mm of ST segment deviation


Question 5

Which of the following statements is true regarding positive end-expiratory pressure (PEEP)?

A. PEEP may decrease intracranial pressure and increase renal perfusion
B. Use of PEEP may decrease the risk of barotrauma due to lower mean and peak airway pressures during ventilation
C. PEEP may decrease hepatic congestion
D. The application of positive pressure to the airways during expiration may keep alveoli open and prevent early closure during exhalation in conjunction with any of the ventilator modes


Solutions:

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

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