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Updated: Jul 16, 2026
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AACN PCCN Exam Overview:
| Certification Vendor: | AACN |
| Exam Name: | AACN Progressive Care Certified Nurse (PCCN) Examination |
| Exam Number: | PCCN |
| Related Certifications: | CCRN CCRN-K PCCN-K |
| Exam Format: | Multiple choice |
| Real Exam Qty: | 150 (125 scored + 25 unscored) |
| Exam Duration: | 150 minutes |
| Certificate Validity Period: | 3 years |
| Available Languages: | English |
| Passing Score: | Scaled score 100–150 (passing typically ~68% correct equivalent) |
| Exam Price: | USD 185 (AACN member) / USD 285 (non-member) |
| Recommended Training: | AACN PCCN Review Course |
| Exam Registration: | AACN Certification Registration |
| Sample Questions: | AACN PCCN Sample Questions |
| Exam Way: | Computer-based testing at authorized testing centers or online proctored (depending on region availability) |
| Pre Condition: | Registered nurse (RN) licensure with clinical experience in progressive care or step-down/telemetry units recommended |
| Official Syllabus URL: | https://www.aacn.org/certification/get-certified/pccn |
AACN PCCN Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Professional Caring and Ethical Practice | - Patient Advocacy and Communication - Ethical Decision Making |
| Topic 2: Pulmonary | - Mechanical Ventilation Basics - Oxygenation and Ventilation Disorders - Respiratory Failure |
| Topic 3: Endocrine / Metabolic | - Diabetes Management - Electrolyte Imbalances |
| Topic 4: Clinical Judgment | - Interpretation of Clinical Data - Patient Assessment and Prioritization |
| Topic 5: Multisystem Failure | - Shock Syndromes - Organ Dysfunction Syndromes |
| Topic 6: Hematology / Immunology / Infectious Disease | - Coagulation Disorders - Sepsis Management |
| Topic 7: Neurology | - Increased Intracranial Pressure - Stroke Management - Seizure Disorders |
| Topic 8: Gastrointestinal | - GI Bleeding - Liver Failure and Pancreatitis |
| Topic 9: Cardiovascular | - Heart Failure and Shock States - Acute Coronary Syndromes - Arrhythmia Management |
AACN Progressive Care Certified Nursing Sample Questions:
1. Which of the following statements is true related to the principle of double effect?
A) It states that the administration of medications that may inadvertently hasten death is illegal
B) It helps to distinguish palliative care from assisted suicide
C) It attests that inadequate pain management in palliative care patients is illegal
D) It asserts that a provider who assists in a patient's death cannot be legally charged
2. Of the following, which is an absolute contraindication for chest tube insertion?
A) A lung that is adherent to the chest wall through the hemithorax
B) Multiple adhesions
C) Coagulopathy
D) Extensive pulmonary blebs
3. Following bariatric surgery, leakage of gastric contents at the site of the anastomosis can lead to overwhelming sepsis. Signs and symptoms of this potentially life-threatening complication include which of the following?
A) Fever, right shoulder pain, tachycardia, tachypnea
B) Tachycardia, left shoulder pain, tachypnea, fever
C) Abdominal pain, tachycardia, tachypnea
D) Fever, bradycardia, bradypnea
4. View the supporting details to answer the following question.
Based on the patient's blood gas results provided, the nurse suspects which of the following?
A patient's blood gas results are as follows:
pH 7.21
PaCO2 51
HCO3 25
Base Excess -1
PaO2 63
SaO2 89
A) Respiratory alkalosis, no compensation, with hypoxemia
B) Respiratory acidosis, no compensation, with hypoxemia
C) Metabolic acidosis, no compensation, without hypoxemia
D) Respiratory acidosis, full compensation, with hypoxemia
5. This medication is a calcium channel blocker indicated for the treatment of hypertension. Its onset is 2 minutes faster than nicardipine.
A) Amiodarone
B) Clonidine
C) Clevidipine
D) Procainamide
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: C |
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