AACN PCCN : Progressive Care Certified Nursing

PCCN real exams

Exam Code: PCCN

Exam Name: Progressive Care Certified Nursing

Updated: Aug 31, 2026

Q & A: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              Question 1

                                              A patient tells the nurse, "I don't know if I want to get better. My life is meaningless." Which of the following is true about this and similar statements?

                                              A. Asking an individual if they are suicidal promotes thoughts of self-harm
                                              B. Verbalizing thoughts of self-harm can be a cover for wanting to talk about fear or loneliness
                                              C. The nurse should avoid asking if the person is feeling suicidal
                                              D. A psychiatric referral is warranted for further assessment of the patient


                                              Question 2

                                              All of the following statements related to extubation are true except:

                                              A. Complications associated with extubation include aspiration, bronchospasm and tracheal damage
                                              B. Blood pressure of more than 20% of baseline following extubation may indicate respiratory compromise, necessitating more extensive assessment and possible reintubation
                                              C. Inspiratory stridor may not occur for several hours following extubation
                                              D. Hyperoxygenation with 100% oxygen is provided for 30 to 60 seconds prior to extubation


                                              Question 3

                                              In which of the following situations would it be most appropriate for a surrogate decision-maker to apply the best interests standard to the informed consent process?

                                              A. A female patient with terminal lung cancer who is on hospice
                                              B. An 18-month-old who was struck by a car
                                              C. The surrogate's own 78-year-old mother
                                              D. A 35-year-old who has suffered a brain aneurysm but has a living will


                                              Question 4

                                              The laparoscopic bariatric surgical procedure that results in restriction and malabsorption and also has a hormonal effect is:

                                              A. Roux-en-Y surgery
                                              B. Laparoscopic adjustable gastric band surgery
                                              C. Biliopancreatic diversion with duodenal switch surgery
                                              D. Laparoscopic sleeve gastrectomy surgery


                                              Question 5

                                              Which of the following regulates the practice of nursing?

                                              A. Professional Codes of Ethics
                                              B. The American Nurses Association
                                              C. The nurse's place of employment
                                              D. State boards of nursing


                                              Solutions:

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

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