AACN PCCN Q&A - in .pdf

  • PCCN pdf
  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Nov 13, 2026
  • Q & A: 502 Questions and Answers
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AACN PCCN Q&A - Testing Engine

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  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Nov 13, 2026
  • Q & A: 502 Questions and Answers
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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

Question #1

In ethics, paternalism refers to instances in which the principle of beneficence overrides which of the following?

  • A. Advocacy
  • B. Autonomy
  • C. Veracity
  • D. Justice
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #2

Which of the following most accurately defines sepsis?

  • A. The dysregulated systemic response to infection
  • B. A dysregulated host response to an infection leading to life-threatening organ dysfunction
  • C. The presence of severe hypotension combined with a serum lactate level of greater than 2 mmol/L in a patient who has undergone fluid resuscitation
  • D. The systemic inflammatory response syndrome that occurs in response to a clinical insult
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #3

Assessment of pupil size and reaction to light provides information about the function of cranial nerves:
III and IV
II and III
I and III
I and II

Reveal Solution  Discussion  0

Correct Answer:

Correct answer: II and III
The optic nerve controls visual fields and visual acuity; the oculomotor nerve controls most extraocular eye movements, ability to elevate eyelid, muscular contraction of the iris in response to light.
* Olfactory Nerve - I
* Optic Nerve - II
* Oculomotor Nerve - III
* Trochlear Nerve - IV
* Trigeminal Nerve - V
* Abducens Nerve - VI
* Facial Nerve - VII
* Vestibulocochlear (Auditory) Nerve - VIII
* Glossopharyngeal Nerve - IX
* Vagus Nerve - X
* Accessory Nerve - XI
* Hypoglossal Nerve - XII

An illustration of the human brain highlights the 12 cranial nerves:
1. The olfactory nerve is located within the nasal cavity below the frontal lobe.
2. The optic nerve emerges from the optic disk in the forebrain.
3. The oculomotor nerve originates from the midbrain of the brainstem.
4. The trochlear nerve originates from the medial midbrain.
5. The trigeminal nerve emerges from the semilunar ganglion near the apex of the temporal bone.
6. The abducens is located on the floor of the fourth ventricle in pons.
7. The facial nerve emerges from pons.
8. The vestibulocochlear nerve is located in pons of the brainstem.
9. The glossopharyngeal nerve emerges from the medulla oblongata.
10. The vagus nerve arises from medulla oblongata.
11. The hypoglossal nerve originates near the top of the spinal cord at the base of the brain.
12. The accessory nerve arises from the cervical spinal cord and caudal medulla.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 302.

Question #4

Many chest x-rays taken in the progressive care unit are obtained with which of the following views, with the patient lying supine in bed?

  • A. An oblique view
  • B. A posterior-anterior view
  • C. A lateral view
  • D. An anterior-posterior view
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Correct Answer: D  🗳️

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Question #5

A Type II second-degree atrioventricular block:

  • A. Is more common than a type I second-degree atrioventricular block and rarely requires treatment
  • B. Occurs below the atrioventricular node in the bundle of His or bundle-branch system
  • C. Is often referred to as a Wenckebach block
  • D. Is also known as a complete block
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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