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AACN PCCN

PCCN

Exam Code: PCCN

Exam Name: Progressive Care Certified Nursing

Updated: Aug 10, 2026

Q & A: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Endocrine/Hematology/Neurology/Gastrointestinal/Renal24%- Neurology
  • 1. Seizures and status epilepticus
  • 2. Stroke management
  • 3. Increased intracranial pressure
  • 4. Traumatic brain injury
- Gastrointestinal
  • 1. Liver failure
  • 2. GI bleeding
  • 3. Acute pancreatitis
- Hematology
  • 1. Sickle cell crisis
  • 2. DIC (Disseminated Intravascular Coagulation)
  • 3. Blood product administration
- Renal
  • 1. CRRT/Dialysis
  • 2. Electrolyte imbalances
  • 3. Acute kidney injury
- Endocrine
  • 1. Thyroid disorders
  • 2. Adrenal crisis
  • 3. Diabetic emergencies (DKA, HHS)
Topic 2: Multisystem22%- Post-operative Care
  • 1. Complications management
  • 2. Pain management
- Shock
  • 1. Hypovolemic shock
  • 2. Distributive shock
  • 3. Cardiogenic shock
  • 4. Septic shock
- Palliative/End-of-Life Care
  • 1. Goals of care
  • 2. Ethical considerations
  • 3. Symptom management
- Sepsis
  • 1. Early recognition and bundles
  • 2. Organ dysfunction
- Trauma
  • 1. Trauma assessment and management
  • 2. Burns
- Multiorgan Dysfunction Syndrome
  • 1. Pathophysiology
  • 2. Management strategies
Topic 3: Pulmonary21%- Acute Respiratory Failure
  • 1. Non-invasive ventilation (BiPAP/CPAP)
  • 2. ARDS
  • 3. Mechanical ventilation management
- Respiratory Assessment
  • 1. Chest tube management
  • 2. Pulse oximetry
  • 3. ABG interpretation
- Pneumonia
  • 1. Ventilator-associated
  • 2. Community-acquired
- Chronic Respiratory Disorders
  • 1. Asthma management
  • 2. COPD exacerbation
- Pulmonary Embolism
  • 1. Anticoagulation therapy
  • 2. Diagnosis and treatment
Topic 4: Cardiovascular33%- Heart Failure
  • 1. Acute and chronic HF
  • 2. Pharmacological management
  • 3. Left vs right heart failure
- Dysrhythmias
  • 1. Identification and management
  • 2. Pacemakers and ICDs
  • 3. Cardioversion and defibrillation
- Vascular Disorders
  • 1. Peripheral vascular disease
  • 2. Aortic emergencies
- Structural Heart Disease
  • 1. Cardiomyopathies
  • 2. Valvular disorders
  • 3. Pericardial disease
- Hemodynamic Monitoring
  • 1. Arterial lines
  • 2. Central venous pressure
  • 3. Cardiac output monitoring
- Acute Coronary Syndromes
  • 1. Unstable angina
  • 2. STEMI/NSTEMI management
  • 3. Cardiac biomarkers

AACN Progressive Care Certified Nursing Sample Questions:

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

A) One to two liters per day of saliva and gastric secretions are produced above the pylorus
B) The type of feeding tube in place, as well as the method of aspiration, are factors which affect the assessment of gastric residual volume
C) 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
D) The routine practice of checking gastric residual volume has not been validated


2. Individuals who develop rheumatic fever often experience which of the following later in life?

A) Endocarditis
B) Brugada syndrome
C) Cardiac myopathy
D) Valvular heart disease


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

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


4. In renal replacement therapy, the process by which substrates move from an area of high concentration to one of a lesser concentration is known as:

A) Osmosis
B) Convection
C) Diffusion
D) Filtration


5. Treatment of torsades de pointes may include all of the following except:

A) Teaching the patient lifestyle modifications such as avoidance of swimming and startling loud noises like alarm clocks
B) Managing the patient with pacing and magnesium as temporary strategies until the underlying cause of the disorder can be eliminated
C) Defibrillation with an unsynchronized shock to terminate the episode if torsades de pointes degenerates into ventricular fibrillation
D) Overdrive atrial or ventricular pacing at a rate of 80 beats per minute or faster to prevent the pauses that may precipitate episodes of torsades de pointes


Solutions:

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

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