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Real AACN PCCN practice exam questions for easy pass!

Last Updated: Aug 16, 2026

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AACN PCCN Practice Q&A's

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AACN PCCN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Multisystem22%- Sepsis
  • 1. Organ dysfunction
  • 2. Early recognition and bundles
- Multiorgan Dysfunction Syndrome
  • 1. Management strategies
  • 2. Pathophysiology
- Palliative/End-of-Life Care
  • 1. Ethical considerations
  • 2. Symptom management
  • 3. Goals of care
- Trauma
  • 1. Burns
  • 2. Trauma assessment and management
- Shock
  • 1. Cardiogenic shock
  • 2. Septic shock
  • 3. Distributive shock
  • 4. Hypovolemic shock
- Post-operative Care
  • 1. Pain management
  • 2. Complications management
Topic 2: Endocrine/Hematology/Neurology/Gastrointestinal/Renal24%- Endocrine
  • 1. Diabetic emergencies (DKA, HHS)
  • 2. Adrenal crisis
  • 3. Thyroid disorders
- Gastrointestinal
  • 1. Acute pancreatitis
  • 2. Liver failure
  • 3. GI bleeding
- Neurology
  • 1. Increased intracranial pressure
  • 2. Seizures and status epilepticus
  • 3. Stroke management
  • 4. Traumatic brain injury
- Renal
  • 1. Electrolyte imbalances
  • 2. CRRT/Dialysis
  • 3. Acute kidney injury
- Hematology
  • 1. DIC (Disseminated Intravascular Coagulation)
  • 2. Blood product administration
  • 3. Sickle cell crisis
Topic 3: Cardiovascular33%- Dysrhythmias
  • 1. Identification and management
  • 2. Pacemakers and ICDs
  • 3. Cardioversion and defibrillation
- Structural Heart Disease
  • 1. Valvular disorders
  • 2. Cardiomyopathies
  • 3. Pericardial disease
- Heart Failure
  • 1. Pharmacological management
  • 2. Left vs right heart failure
  • 3. Acute and chronic HF
- Acute Coronary Syndromes
  • 1. Unstable angina
  • 2. Cardiac biomarkers
  • 3. STEMI/NSTEMI management
- Hemodynamic Monitoring
  • 1. Central venous pressure
  • 2. Arterial lines
  • 3. Cardiac output monitoring
- Vascular Disorders
  • 1. Aortic emergencies
  • 2. Peripheral vascular disease
Topic 4: Pulmonary21%- Acute Respiratory Failure
  • 1. Mechanical ventilation management
  • 2. ARDS
  • 3. Non-invasive ventilation (BiPAP/CPAP)
- Chronic Respiratory Disorders
  • 1. Asthma management
  • 2. COPD exacerbation
- Pneumonia
  • 1. Ventilator-associated
  • 2. Community-acquired
- Respiratory Assessment
  • 1. Chest tube management
  • 2. Pulse oximetry
  • 3. ABG interpretation
- Pulmonary Embolism
  • 1. Anticoagulation therapy
  • 2. Diagnosis and treatment

AACN Progressive Care Certified Nursing Sample Questions:

1. In situations of acute or chronic rejection, the cardiac transplant patient may be "pulsed" with steroids.
These doses are typically:

A) 500 to 1000 mg IV daily for 3 days
B) 50 to 100 mg IV daily for 3 days
C) 50 to 100 mg po daily for one month
D) 1000 mg IV twice daily for one week


2. Which of the following is a legal term that reflects judicial involvement in the determination of a patient's decision-making capacity?

A) Capacity
B) Intelligence
C) Cognition
D) Competence


3. Which of the following statements is true regarding positive end-expiratory pressure (PEEP)?

A) PEEP may decrease hepatic congestion
B) The application of positive pressure to the airways during expiration may keep alveoli open and prevent early closure during exhalation in conjunction with any of the ventilator modes
C) Use of PEEP may decrease the risk of barotrauma due to lower mean and peak airway pressures during ventilation
D) PEEP may decrease intracranial pressure and increase renal perfusion


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

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


5. Which cranial nerve is the trigeminal nerve?

A) IX
B) VI
C) III
D) V


Solutions:

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

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