AACN PCCN Exam Questions : Progressive Care Certified Nursing

  • Exam Code: PCCN
  • Exam Name: Progressive Care Certified Nursing
  • Updated: Sep 06, 2026
  • Q&As: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

SectionObjectives
Clinical Judgment- Patient Assessment and Prioritization
- Interpretation of Clinical Data
Gastrointestinal- Liver Failure and Pancreatitis
- GI Bleeding
Professional Caring and Ethical Practice- Ethical Decision Making
- Patient Advocacy and Communication
Neurology- Seizure Disorders
- Stroke Management
- Increased Intracranial Pressure
Pulmonary- Oxygenation and Ventilation Disorders
- Mechanical Ventilation Basics
- Respiratory Failure
Multisystem Failure- Shock Syndromes
- Organ Dysfunction Syndromes
Endocrine / Metabolic- Diabetes Management
- Electrolyte Imbalances
Cardiovascular- Heart Failure and Shock States
- Acute Coronary Syndromes
- Arrhythmia Management
Hematology / Immunology / Infectious Disease- Coagulation Disorders
- Sepsis Management

AACN Progressive Care Certified Nursing Sample Questions:

Question 1

A 60-year-old patient is admitted to the progressive care unit with pulmonary disease. She and her family speak very little English. Which of the following actions are the most appropriate for the nurse to take to help the patient and family understand what evaluation for hypoxemia will involve?

A. Show the patient and her family the unit's simple printed brochure describing the evaluation, which includes a picture of a treadmill, and write out simple instructions
B. Request a respiratory therapist come to the unit to demonstrate the procedure
C. Assume the pulmonary technician will explain the evaluation procedure
D. Explain the procedure in English, using short sentences


Question 2

Warning signs of torsades des pointes syndrome during the administration of a QT-prolonging drug that may be noted on electrocardiography include:

A. An increase in QTc (corrected QT interval) of > 60 msec from the predrug baseline QTc, or a QTc > 500 msec
B. A decrease in QTc (corrected QT interval) of > 60 msec from the predrug baseline QTc
C. A QTc (corrected QT interval) of > 300 msec
D. Narrowing of the T wave


Question 3

The single most important indicator of cerebral functioning is:

A. A complete cranial nerve assessment
B. Pupil size
C. Level of consciousness
D. Asymmetry of motor strength


Question 4

In the acute post-injury period, assessment of motor function in a patient with a spinal cord injury is performed:

A. Every hour
B. At least every 2 hours
C. At least every 4 hours
D. At least every 8 hours


Question 5

When assessing the patient's gastrointestinal status, the nurse keeps in mind that:

A. Before noting absent bowel sounds, a quadrant of the abdomen should be listened to for at least 60 to 90 seconds
B. Palpation is completed prior to auscultation
C. Adventitious bowel sounds include frictions rubs, bruits, and rhonchi
D. Auscultation of bowel sounds in all four quadrants is performed moving in a counter-clockwise direction


Solutions:

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

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