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PCCN pdf
  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Aug 01, 2026
  • Q & A: 502 Questions and Answers
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  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Aug 01, 2026
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  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

1. The framework of principle-based ethics is one of the most influential perspectives in biomedical ethics today. Inherent in this viewpoint, is the belief that four basic principles and derivative rules are binding, but not absolute, and define the essence of ethical obligations in human society. The four basic principles used in principle-based ethics are:

A) Respect for persons (autonomy), fidelity, justice, veracity
B) Respect for persons (autonomy), nonmaleficence, fidelity, beneficence
C) Respect for persons (autonomy), nonmaleficence, justice, beneficence
D) Respect for persons (autonomy), fidelity, justice, beneficence


2. Upper gastrointestinal bleeding which results in a sudden loss of blood volume and decreased cardiac output triggers the release of:

A) Epinephrine and norepinephrine
B) Epinephrine and thromboplastin
C) Norepinephrine and thromboplastin
D) Thrombokinase and aldosterone


3. All of the following statements related to an endotracheal tube are true except:

A) The centimeter marking of the tube at the lip is documented and checked during each shift to monitor proper tube placement
B) Tubes may be cuffed or uncuffed
C) Nasal intubation is associated with sinus infections
D) It is inserted with the use of a laryngoscope through the vocal cords into the trachea, 5-7 cm above the carina


4. Clinical signs and symptoms specific to left heart failure include:

A) Pulmonary edema, atrial fibrillation, pansystolic murmur at apex
B) Liver enlargement and tenderness, decreased appetite, wide split S2
C) Ascites, rales, S3
D) Pulmonary edema, fatigue, pansystolic murmur at lower left sternal border


5. Related to family members of hospitalized patients, research has consistently identified five major areas of family needs. Included in these are all of the following except:

A) Need for diversion
B) Need to remain near the patient
C) Need to receive reassurance
D) Need to receive information


Solutions:

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

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