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Updated: Sep 03, 2026

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AACN PCCN Exam Overview:

Certification Vendor:AACN
Exam Name:AACN Progressive Care Certified Nurse (PCCN) Examination
Exam Number:PCCN
Exam Format:Multiple choice
Certificate Validity Period:3 years
Available Languages:English
Exam Price:USD 185 (AACN member) / USD 285 (non-member)
Real Exam Qty:150 (125 scored + 25 unscored)
Related Certifications:PCCN-K
CCRN
CCRN-K
Exam Duration:150 minutes
Passing Score:Scaled score 100–150 (passing typically ~68% correct equivalent)
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:

SectionObjectives
Topic 1: Clinical Judgment- Patient Assessment and Prioritization
- Interpretation of Clinical Data
Topic 2: Pulmonary- Oxygenation and Ventilation Disorders
- Mechanical Ventilation Basics
- Respiratory Failure
Topic 3: Neurology- Seizure Disorders
- Increased Intracranial Pressure
- Stroke Management
Topic 4: Professional Caring and Ethical Practice- Ethical Decision Making
- Patient Advocacy and Communication
Topic 5: Multisystem Failure- Organ Dysfunction Syndromes
- Shock Syndromes
Topic 6: Cardiovascular- Heart Failure and Shock States
- Acute Coronary Syndromes
- Arrhythmia Management
Topic 7: Hematology / Immunology / Infectious Disease- Sepsis Management
- Coagulation Disorders
Topic 8: Gastrointestinal- Liver Failure and Pancreatitis
- GI Bleeding
Topic 9: Endocrine / Metabolic- Diabetes Management
- Electrolyte Imbalances

AACN Progressive Care Certified Nursing Sample Questions:

Question 1

All of the following statements related to haloperidol are true except:

A. Extrapyramidal reactions to haloperidol are possible
B. It is associated with the development of tolerance
C. It sedates without significant respiratory depression
D. QTc interval monitoring is required when using haloperidol


Question 2

In addition to an insulin infusion, most hyperglycemic patients will also require the simultaneous infusion of:

A. Potassium phosphate
B. Potassium chloride
C. Magnesium
D. Calcium


Question 3

Which of the following statements related to endotracheal tube suctioning is true?

A. Hyperoxygenation is not required prior to suctioning using a closed suctioning technique
B. The open method of suctioning requires disconnection of the endotracheal tube from the ventilator every time the patient requires suctioning
C. Signs of airway obstruction include tachypnea, decrease in peak airway pressures, and expiratory crackles
D. The presence of an endotracheal tube inhibits effective coughing in that it prevents opening of the epiglottis


Question 4

Of the distributive shock syndromes, the one most commonly seen in the acute care setting is:

A. Neurogenic shock
B. Anaphylaxis
C. Septic shock
D. Cardiogenic shock


Question 5

Hydroxyurea is a medication sometimes prescribed to help prevent complications due to:

A. Sickle cell disease
B. Myasthenia gravis
C. Chronic renal failure
D. Acute renal failure


Solutions:

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

AACN PCCN Exam Overview:

Certification Vendor:AACN
Exam Name:AACN Progressive Care Certified Nurse (PCCN) Examination
Exam Number:PCCN
Exam Format:Multiple choice
Certificate Validity Period:3 years
Available Languages:English
Exam Price:USD 185 (AACN member) / USD 285 (non-member)
Real Exam Qty:150 (125 scored + 25 unscored)
Related Certifications:PCCN-K
CCRN
CCRN-K
Exam Duration:150 minutes
Passing Score:Scaled score 100–150 (passing typically ~68% correct equivalent)
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:

SectionObjectives
Topic 1: Clinical Judgment- Patient Assessment and Prioritization
- Interpretation of Clinical Data
Topic 2: Pulmonary- Oxygenation and Ventilation Disorders
- Mechanical Ventilation Basics
- Respiratory Failure
Topic 3: Neurology- Seizure Disorders
- Increased Intracranial Pressure
- Stroke Management
Topic 4: Professional Caring and Ethical Practice- Ethical Decision Making
- Patient Advocacy and Communication
Topic 5: Multisystem Failure- Organ Dysfunction Syndromes
- Shock Syndromes
Topic 6: Cardiovascular- Heart Failure and Shock States
- Acute Coronary Syndromes
- Arrhythmia Management
Topic 7: Hematology / Immunology / Infectious Disease- Sepsis Management
- Coagulation Disorders
Topic 8: Gastrointestinal- Liver Failure and Pancreatitis
- GI Bleeding
Topic 9: Endocrine / Metabolic- Diabetes Management
- Electrolyte Imbalances

AACN Progressive Care Certified Nursing Sample Questions:

Question 1

All of the following statements related to haloperidol are true except:

A. Extrapyramidal reactions to haloperidol are possible
B. It is associated with the development of tolerance
C. It sedates without significant respiratory depression
D. QTc interval monitoring is required when using haloperidol


Question 2

In addition to an insulin infusion, most hyperglycemic patients will also require the simultaneous infusion of:

A. Potassium phosphate
B. Potassium chloride
C. Magnesium
D. Calcium


Question 3

Which of the following statements related to endotracheal tube suctioning is true?

A. Hyperoxygenation is not required prior to suctioning using a closed suctioning technique
B. The open method of suctioning requires disconnection of the endotracheal tube from the ventilator every time the patient requires suctioning
C. Signs of airway obstruction include tachypnea, decrease in peak airway pressures, and expiratory crackles
D. The presence of an endotracheal tube inhibits effective coughing in that it prevents opening of the epiglottis


Question 4

Of the distributive shock syndromes, the one most commonly seen in the acute care setting is:

A. Neurogenic shock
B. Anaphylaxis
C. Septic shock
D. Cardiogenic shock


Question 5

Hydroxyurea is a medication sometimes prescribed to help prevent complications due to:

A. Sickle cell disease
B. Myasthenia gravis
C. Chronic renal failure
D. Acute renal failure


Solutions:

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

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