AACN PCCN Exam Questions : Progressive Care Certified Nursing

  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Aug 03, 2026
  • Q&As: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. A cortical bruise caused by the brain impacting the inside of the skull at the site of impact is described as:

                                              A) A diffuse axonal injury
                                              B) Coup
                                              C) Contrecoup
                                              D) Battle's sign


                                              2. A nurse is determining a patient's heart rate using the large boxes on the electrocardiogram. There are five large boxes between R waves. The nurse correctly determines the patient's heart rate in beats per minute is:

                                              A) 50
                                              B) 100
                                              C) 75
                                              D) 60


                                              3. Bruising of the spinal cord that includes bleeding into the spinal cord is known as:

                                              A) Concussion
                                              B) Contusion
                                              C) Laceration
                                              D) Hemorrhage


                                              4. Autonomic dysreflexia is a life-threatening complication that occurs in individuals with spinal cord injury at or above:

                                              A) L1
                                              B) T6
                                              C) L6
                                              D) C6


                                              5. All of the following statements related to the practice of checking gastric residual volume are true except:

                                              A) The type of feeding tube in place, as well as the method of aspiration, are factors which affect the assessment of gastric residual volume
                                              B) Unless other signs of intolerance are identified, automatic cessation of enteral feeding should not be considered unless GVRs of greater than 500 mL are obtained
                                              C) One to two liters per day of saliva and gastric secretions are produced above the pylorus
                                              D) The routine practice of checking gastric residual volume has not been validated


                                              Solutions:

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

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