AACN PCCN Exam : Progressive Care Certified Nursing

  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Sep 10, 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
      - Hematology & Immunology
      • 1. Sepsis & immune response
        • 2. Anticoagulation & blood product therapy
          - Pulmonary
          • 1. Oxygen therapy & ventilation support
            • 2. Post-extubation care
              • 3. Pulmonary embolism & pneumonia
                • 4. Respiratory failure & COPD exacerbation
                  - Gastrointestinal
                  • 1. GI bleeding & liver dysfunction
                    • 2. Nutrition & fluid/electrolyte balance
                      - Renal
                      • 1. Acute kidney injury & chronic kidney disease
                        • 2. Fluid/electrolyte & acid-base regulation
                          - Multisystem & Integumentary
                          • 1. Shock & trauma management
                            • 2. Wound care & infection control
                              - Neurology
                              • 1. Post-neurosurgical care
                                • 2. Seizure management
                                  • 3. Stroke & neurological monitoring
                                    - Cardiovascular
                                    • 1. Valvular & structural heart disease
                                      • 2. Acute coronary syndromes & heart failure
                                        • 3. Hemodynamic monitoring & management
                                          • 4. Post-cardiac procedure care
                                            • 5. Arrhythmias & 12-lead ECG interpretation
                                              Topic 2: Professional Caring & Ethical Practice20%- Patient/family education & communication
                                              - Evidence-based practice & safety
                                              - Collaboration & systems thinking
                                              - Advocacy & ethical decision-making
                                              - Cultural competence & psychosocial support

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              Question #1

                                              This medication is commonly given to manage an acute hypertensive episode. It is a beta-receptor agonist (beta-blocker) particularly indicated in patients with suspected myocardial infarction or angin a. To administer, a 5 mg bolus is given over 5 minutes and repeated three times. IV drip may then be started. What is the medication?

                                              • A. Nicardipine
                                              • B. Nitroprusside
                                              • C. Enalapril
                                              • D. Labetalol
                                              Reveal Solution  Discussion  0

                                              Correct Answer: D  🗳️

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                                              Question #2

                                              A 55-year-old type 2 diabetic with severe dementia was started on insulin during her stay in the progressive care unit. She will be discharged with orders for blood glucose monitoring and sliding scale insulin. The patient has a 24-hour a day live-in caregiver who has assisted with her oral medications in the past and who has visited the patient daily in the hospital. One daughter, who is the patient's power of attorney, lives out-of-state and has visited only one time during the patient's five-day stay in the hospital. She is leaving today. Home care nursing has been arranged to provide care for the patient at home following discharge.
                                              Who is it essential for the nurse to include in instructions related to glucose testing and insulin administration?

                                              • A. The in-home care giver
                                              • B. The patient
                                              • C. No instructions need to be given since the patient will be receiving home care nursing services
                                              • D. The power of attorney
                                              Reveal Solution  Discussion  0

                                              Correct Answer: A  🗳️

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                                              Question #3

                                              Related to family members of hospitalized patients, research has consistently identified five major areas of family needs. Included in these are all of the following except:

                                              • A. Need for diversion
                                              • B. Need to receive information
                                              • C. Need to receive reassurance
                                              • D. Need to remain near the patient
                                              Reveal Solution  Discussion  0

                                              Correct Answer: A  🗳️

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                                              Question #4

                                              The diagnostic test that provides information related to the state of renal perfusion is the:

                                              • A. Fractional excretion of sodium (FeNa)
                                              • B. Urine osmolality
                                              • C. Blood urea nitrogen level
                                              • D. Urine specific gravity
                                              Reveal Solution  Discussion  0

                                              Correct Answer: C  🗳️

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                                              Question #5

                                              The stimulation threshold:

                                              • A. Is usually very high when the pacing lead is first placed
                                              • B. Decreases over time
                                              • C. Should be checked every hour when a tempory pacemaker is initially placed
                                              • D. Is the minimum output of the pacemaker needed to capture the heart consistently
                                              Reveal Solution  Discussion  0

                                              Correct Answer: D  🗳️

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