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AACN PCCN : Progressive Care Certified Nursing

Exam Code: PCCN

Exam Name: Progressive Care Certified Nursing

Updated: Aug 23, 2026

Q & A: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. Acute kidney injury (AKI) is characterized by three clinical phases, seen primarily due to intrarenal injury.
                                              The first phase of AKI is characterized by:

                                              A) A drop in BUN and creatinine levels
                                              B) A significant rise in BUN and creatinine levels; common complications include fluid overload and acute hyperkalemia
                                              C) A significant rise in BUN and creatinine levels along with acute hypokalemia
                                              D) An increase in urine output


                                              2. When providing education and information in the progressive care unit, repetition of information is necessary because:

                                              A) Stress and the progressive care environment can alter comprehension
                                              B) Hospitalists often provide information to the patients that conflicts with what they have been told by their general practitioners
                                              C) All patients in the progressive care unit are heavily medicated
                                              D) In the progressive care unit, there is limited time allowed for the patient or family to ask questions


                                              3. Planning in the process of ethical analysis includes:

                                              A) Identification of the risks and benefits likely to arise from each action
                                              B) Anticipating objections
                                              C) Identification of what harm or good occurred as a result of the action
                                              D) Choosing a plan and acting


                                              4. Which of the following statements is true concerning opioids?

                                              A) They can induce constipation and, in palliative care patients, methylnaltrexone (Relistor) may be given per intramuscular injection
                                              B) They can induce constipation which is best treated by bulk-forming laxatives
                                              C) They have no effect on urine production
                                              D) They can worsen oliguria


                                              5. The three most common congenital long-QT syndromes are:

                                              A) LQT11, LQT12, LQT13
                                              B) LQT1, LQT2, LQT3
                                              C) LQT1, LQT12, LQT13
                                              D) LQT1, LQT3, LQT5


                                              Solutions:

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

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