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AACN AACN Certification PCCN

PCCN

Exam Code: PCCN

Exam Name: Progressive Care Certified Nursing

Updated: Aug 02, 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
- Evidence-based practice & safety
- Advocacy & ethical decision-making
- Cultural competence & psychosocial support
- Collaboration & systems thinking
Clinical Judgment80%- Gastrointestinal
  • 1. GI bleeding & liver dysfunction
    • 2. Nutrition & fluid/electrolyte balance
      - Multisystem & Integumentary
      • 1. Wound care & infection control
        • 2. Shock & trauma management
          - Pulmonary
          • 1. Pulmonary embolism & pneumonia
            • 2. Oxygen therapy & ventilation support
              • 3. Respiratory failure & COPD exacerbation
                • 4. Post-extubation care
                  - Renal
                  • 1. Acute kidney injury & chronic kidney disease
                    • 2. Fluid/electrolyte & acid-base regulation
                      - Hematology & Immunology
                      • 1. Sepsis & immune response
                        • 2. Anticoagulation & blood product therapy
                          - Cardiovascular
                          • 1. Post-cardiac procedure care
                            • 2. Acute coronary syndromes & heart failure
                              • 3. Hemodynamic monitoring & management
                                • 4. Valvular & structural heart disease
                                  • 5. Arrhythmias & 12-lead ECG interpretation
                                    - Endocrine
                                    • 1. Diabetes & DKA management
                                      • 2. Adrenal & thyroid disorders
                                        - Neurology
                                        • 1. Stroke & neurological monitoring
                                          • 2. Post-neurosurgical care
                                            • 3. Seizure management

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. Weaning or "liberation" from a mechanical ventilator is considered to be successful, or complete, when the patient has been extubated successfully without the need for reintubation within:

                                              A) 12 hours
                                              B) 48 hours
                                              C) 72 hours
                                              D) 24 hours


                                              2. The physician orders a D-dimer test on a patient who has been admitted to the unit. The doctor most likely suspects which of the following conditions?

                                              A) Diabetes insipidus
                                              B) Deep vein thrombosis
                                              C) Impaired renal function
                                              D) Hypothyroidism


                                              3. Of the following, which is the gold standard for detecting pulmonary embolism?

                                              A) Ventilation-perfusion (V/Q) scanning
                                              B) Pulmonary angiography
                                              C) Computed tomography of the pulmonary arteries (CTPAs)
                                              D) MRI


                                              4. All of the following statements are true related to the visually displayed breath-to-breath values on a ventilator except:

                                              A) Airway pressures are monitored during inspiration and exhalation and are often displayed as peak pressure, mean pressure and end-expiratory pressure
                                              B) The display of the patient's exhaled Vt reflects the amount of gas returned to the ventilator via the expiratory tubing with each respiratory cycle
                                              C) The presence of positive end-expiratory pressure (PEEP) is indicated by a negative value at the end of expiration
                                              D) Respiratory rate, exhaled volumes and the inspiratory to expiratory ratio are common visually displayed breath-to-breath values


                                              5. Which of the following refers to the suffering that occurs when individuals feel compelled to act in ways they think are unethical?

                                              A) Moral distress
                                              B) Ethical distress
                                              C) Moral stress
                                              D) Ethical stress


                                              Solutions:

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

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