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AACN PCCN real answers - Progressive Care Certified Nursing

PCCN
  • 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:

SectionWeightObjectives
Clinical Judgment80%- Renal
  • 1. Acute kidney injury & chronic kidney disease
    • 2. Fluid/electrolyte & acid-base regulation
      - Neurology
      • 1. Seizure management
        • 2. Post-neurosurgical care
          • 3. Stroke & neurological monitoring
            - Cardiovascular
            • 1. Arrhythmias & 12-lead ECG interpretation
              • 2. Acute coronary syndromes & heart failure
                • 3. Hemodynamic monitoring & management
                  • 4. Post-cardiac procedure care
                    • 5. Valvular & structural heart disease
                      - Endocrine
                      • 1. Adrenal & thyroid disorders
                        • 2. Diabetes & DKA management
                          - Hematology & Immunology
                          • 1. Sepsis & immune response
                            • 2. Anticoagulation & blood product therapy
                              - Pulmonary
                              • 1. Post-extubation care
                                • 2. Respiratory failure & COPD exacerbation
                                  • 3. Pulmonary embolism & pneumonia
                                    • 4. Oxygen therapy & ventilation support
                                      - Gastrointestinal
                                      • 1. Nutrition & fluid/electrolyte balance
                                        • 2. GI bleeding & liver dysfunction
                                          - Multisystem & Integumentary
                                          • 1. Shock & trauma management
                                            • 2. Wound care & infection control
                                              Professional Caring & Ethical Practice20%- Patient/family education & communication
                                              - Cultural competence & psychosocial support
                                              - Collaboration & systems thinking
                                              - Evidence-based practice & safety
                                              - Advocacy & ethical decision-making

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              Question #1

                                              All of the following statements are true regarding the current guideline recommendations on red blood cell transfusion except:

                                              • A. Transfusions decisions should be made according to patient symptoms as well as hemoglobin levels
                                              • B. In hospitalized patients with preexisting cardiovascular disease, transfusions should be limited to patients with symptoms or hemoglobin levels of 10 g/dL or less
                                              • C. In hospitalized patients, a hemoglobin threshold of 8 g/dL is recommended for those undergoing orthopedic surgery
                                              • D. For hospitalized patients who are stable, transfusions should be restricted to patients with a hemoglobin below 7 g/dL
                                              Reveal Solution  Discussion  0

                                              Correct Answer: B  πŸ—³οΈ

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                                              Question #2

                                              Risk factors for the development of an acute severe asthma episode include all of the following except:

                                              • A. Frequent past emergency room visits
                                              • B. Regular use of "controller" medications
                                              • C. Frequent need for the use of "rescue" inhalers
                                              • D. Prior intubation
                                              Reveal Solution  Discussion  0

                                              Correct Answer: B  πŸ—³οΈ

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                                              Question #3

                                              In this type of aortic dissection, the original tear begins in the ascending aorta and the dissection extends to the descending aorta:

                                              • A. Type III
                                              • B. Type I
                                              • C. Type II
                                              • D. Type IV
                                              Reveal Solution  Discussion  0

                                              Correct Answer: B  πŸ—³οΈ

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                                              Question #4

                                              All of the following statements are true regarding the atrioventricular (AV) node except:

                                              • A. It screens out rapid atrial impulses to protect the ventricles from dangerously rapid rates when the atrial rate is very fast
                                              • B. It is a small group of cells located in the upper right atrium
                                              • C. Its rate of automaticity is 40 to 60 beats per minute and it can function as a backup pacemaker if the sinus node fails
                                              • D. It functions to slow conduction of the impulse from the atria to the ventricles to allow time for the atria to contract and empty their blood into the ventricles
                                              Reveal Solution  Discussion  0

                                              Correct Answer: B  πŸ—³οΈ

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                                              Question #5

                                              Which of the following statements is true regarding arterial catheters?

                                              • A. The Allen test is performed prior to insertion in the radial artery
                                              • B. Following the removal of an arterial catheter, firm, direct pressure is maintained over the site for a minimum of 90 seconds, followed by the application of a pressure dressing
                                              • C. Following the removal of an arterial catheter, firm, direct pressure is applied at the site for a minimum of 2 minutes, followed by the application of a pressure dressing
                                              • D. The most common insertion site is the femoral artery
                                              Reveal Solution  Discussion  0

                                              Correct Answer: A  πŸ—³οΈ

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