AACN PCCN : Progressive Care Certified Nursing

Exam Code: PCCN

Exam Name: Progressive Care Certified Nursing

Updated: Sep 12, 2026

Q & A: 502 Questions and Answers

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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

Question #1

Capnography measures which of the following?

  • A. Exhaled carbon dioxide
  • B. Exhaled bicarbonate
  • C. Exhaled nitrogen
  • D. Exhaled carbon monoxide
Answer: A

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Question #2

A nurse is determining a patient's heart rate using the large boxes on the electrocardiogram. There are five large boxes between R waves. The nurse correctly determines the patient's heart rate in beats per minute is:

  • A. 60
  • B. 50
  • C. 100
  • D. 75
Answer: A

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Question #3

The Health Information Portability and Accountability Act Privacy Rules create a legal mandate to honor the ethical obligation of which of the following?

  • A. Autonomy
  • B. Confidentiality
  • C. Privacy and confidentiality
  • D. Privacy
Answer: B

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Question #4

Which of the following diagnostic test results would you most likely expect in a patient with an early acute upper gastrointestinal bleed?

  • A. Arterial blood gases: respiratory acidosis; white blood cell count: elevated; serum sodium: elevated
  • B. Arterial blood gases: metabolic acidosis; white blood cell count: elevated; serum sodium: elevated
  • C. Arterial blood gases: respiratory alkalosis; white blood cell count: elevated; serum sodium: decreased
  • D. Arterial blood gases: respiratory alkalosis; white blood cell count: elevated; serum sodium: elevated
Answer: D

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Question #5

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

  • A. Eyes, pain response, brain stem reflexes, respirations
  • B. Eye response, pain response, verbal response, respirations
  • C. Eye response, verbal, motor, respiration
  • D. Eyes, motor, brain stem reflexes, respirations
Answer: D

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