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AACN Progressive Care Certified Nursing : PCCN

PCCN

Exam Code: PCCN

Exam Name: Progressive Care Certified Nursing

Updated: Aug 09, 2026

Q & A: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. The FOUR score is a validated tool used in the assessment of neurological patients. The categories scored in this tool are:

                                              A) Eye response, pain response, verbal response, respirations
                                              B) Eyes, pain response, brain stem reflexes, respirations
                                              C) Eye response, verbal, motor, respiration
                                              D) Eyes, motor, brain stem reflexes, respirations


                                              2. Surgical options for the treatment of pulmonary arterial hypertension include all of the following except:

                                              A) Lung transplantation
                                              B) No surgical treatment options currently exist for the treatment of pulmonary arterial hypertension
                                              C) Pulmonary thromboendarterectomy
                                              D) Atrial septostomy


                                              3. Elements that serve as a foundation for addressing ethical problems include:

                                              A) Professional codes and standards, institutional policies, and ethical principles
                                              B) Patient preferences, professional standards, and community mores
                                              C) Ethical principles, community standards, and institutional policies
                                              D) Institutional policies, insurance regulations, and government directives


                                              4. The Affordable Care Act (ACA) requires hospitals to report quality indicators, for example, the rate of hospital-acquired infections and ties these indicators to financial reimbursement. In this way, the ACA offers a legal manifestation of the ethical principle of:

                                              A) Justice
                                              B) Beneficence
                                              C) Nonmaleficence
                                              D) Paternalism


                                              5. Signs and symptoms of oxygen toxicity mainly target which systems?

                                              A) Central nervous system and musculoskeletal system
                                              B) Pulmonary and central nervous systems
                                              C) Pulmonary and musculoskeletal systems
                                              D) Pulmonary and endocrine systems


                                              Solutions:

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

                                              Related Certifications
                                              AACN CCRN
                                              AACN Certification
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