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Last Updated: Aug 29, 2026

No. of Questions: 502 Questions & Answers with Testing Engine

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AACN PCCN Exam Syllabus Topics:

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

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. To evaluate functional capacity as evidence of the patient's ability to reason about his or her own choices, which of the comments or questions would be the best for the nurse to make/ask?

                                              A) "Please tell me about some of the difficult health care choices you have made in the past."
                                              B) "Why are you in the hospital?"
                                              C) "Do you know what day it is?"
                                              D) "What is the name of your doctor?"


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

                                              A) Eye response, verbal, motor, respiration
                                              B) Eye response, pain response, verbal response, respirations
                                              C) Eyes, motor, brain stem reflexes, respirations
                                              D) Eyes, pain response, brain stem reflexes, respirations


                                              3. All of the following statements related to mycophenolate mofetil are true except:

                                              A) It has potent cytotoxic effects on lymphocytes and is used for cardiac transplantation patients
                                              B) Side effects include gastrointestinal tract ulcerations, nausea, vomiting, and diarrhea
                                              C) It is taken weekly in a dose of 1.5 grams
                                              D) It suppresses antibody formation against B lymphocytes


                                              4. All of the following statements are true related to cerebral perfusion pressure except:

                                              A) In adults, a cerebral perfusion pressure of at least 50 to 70 mm Hg is needed for adequate cerebral perfusion
                                              B) It decreases as a result of a decrease in mean arterial pressure
                                              C) It is calculated by subtracting intracranial pressure from mean arterial pressure
                                              D) It decreases as a result of a decrease in intracranial pressure


                                              5. All of the following are signs and symptoms of cardiac tamponade except:

                                              A) Sinus tachycardia
                                              B) Hypertension
                                              C) Muffled heart sounds
                                              D) Pulsus paradoxus


                                              Solutions:

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

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