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The PCCN certification exams focus 80 percent on clinical judgment and 20 percent on professional caring and ethical practice. Our comprehensive course prepares you in the following categories:

Clinical Judgment

- Cardiovascular

- Pulmonary

- Endocrine

- Hematology

- Gastrointestinal

- Renal

- Neurology

- Behavioral/Psychosocial

- Musculoskeletal

- Professional Caring and Ethical Practice

- Advocacy/Moral Agency

- Caring Practices

- Response to Diversity

- Facilitation of Learning

- Collaboration

- Systems Thinking

- Clinical Inquiry

- Learning Outcomes

At the completion of this learning activity- participants should be able to:

Validate their knowledge of progressive care nursing Briefly review the pathophysiology of single and multisystem dysfunction in adult patients and the medical and pharmacologic management of each Identify the progressive care nursing management needs for adult patients with single or multisystem organ abnormalities Successful Completion

Learners must complete 100 percent of the activity and the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.

12.8 contact hours awarded- CERP Category A

Exam Eligibility

Are you eligible to take the PCCN or PCCN-K exam=> Eligibility requirements and links to handbooks with test plans are available on our “Get Certified” pages — click here to get started: PCCN (Adult) or PCCN-K (Adult) .

PCCN and PCCN-K certifications emphasize the knowledge that the progressive nursing specialty requires and the essential acute care nursing practices that you can apply in your role every day in a step-down unit- emergency or telemetry department or another progressive care environment.

PCCN and PCCN-K specialty certifications also demonstrate your knowledge and dedication to hospital administrators- peers and patients- while giving you the satisfaction of your achievement. PCCN and PCCN-K credentials are granted by AACN Certification Corporation.

Validate and enhance your knowledge and Strengthen patient outcomes. Take advantage of this detailed review course and earn your PCCN or PCCN-K certification.

The American Association of Critical-Care Nurses (AACN) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Centers (ANCC's) Commission on Accreditation- ANCC Provider Number 0012. AACN has been approved as a provider of continuing education in nursing by the California Board of Registered Nursing (CBRN)- Provider number CEP 1036. This activity is approved for 12.8 contact hours.

AACN programming meets the standards of most states that require mandatory CE contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

AACN and AACN Certification Corporation consider the American Nurses Association (ANA) Code of Ethics for Nurses foundational for nursing practice- providing a framework for making ethical decisions and fulfilling responsibilities to the public- colleagues and the profession. AACN Certification Corporations mission of public protection supports a standard of excellence where certified nurses have a responsibility to read about- understand and act in a manner congruent with the ANA Code of Ethics for Nurses.

I. CLINICAL JUDGMENT (80%)

A. Cardiovascular (27%)

1. Acute coronary syndromes

a. non-ST segment elevation myocardial infarction

b. ST segment elevation myocardial infarction

c. unstable angina

2. Acute inflammatory disease (e.g.- myocarditis- endocarditis- pericarditis)

3. Aneurysm

a. dissecting

b. repair

4. Cardiac surgery (e.g.- post ICU care)

5. Cardiac tamponade

6. Cardiac/vascular catheterization

a. diagnostic

b. interventional

7. Cardiogenic shock

8. Cardiomyopathies

a. dilated (e.g.- ischemic/non-ischemic)

b. hypertrophic

c. restrictive

9. Dysrhythmias

10. Heart failure

a. acute exacerbations (e.g.- pulmonary edema)

b. chronic

11. Hypertension (uncontrolled)

12. Hypertensive crisis

13. Minimally-invasive cardiac surgery (i.e. nonsternal approach)

14. Valvular heart disease

15. Vascular disease

B. Pulmonary (17%)

1. Acute respiratory distress syndrome (ARDS)

2. Asthma (severe)

3. COPD exacerbation

4. Minimally-invasive thoracic surgery (e.g.- VATS)

5. Obstructive sleep apnea

6. Pleural space complications (e.g.- pneumothorax- hemothorax- pleural effusion- empyema- chylothorax)

7. Pulmonary embolism

8. Pulmonary hypertension

9. Respiratory depression (e.g.- medicationinduced- decreased-LOC-induced)

10. Respiratory failure

a. acute

b. chronic

c. failure to wean

11. Respiratory infections (e.g.- pneumonia)

12. Thoracic surgery (e.g.- lobectomy- pneumonectomy)

C. Endocrine/Hematology/Neurology/Gastrointestinal/Renal (20%)

1. Endocrine

a. diabetes mellitus

b. diabetic ketoacidosis

c. hyperglycemia

d. hypoglycemia

2. Hematology/Immunology/Oncology

a. anemia

b. coagulopathies: medication-induced (e.g.- Coumadin- platelet inhibitors- heparin [HIT])

3. Neurology

a. encephalopathy (e.g.- hypoxic-ischemic- metabolic- infectious- hepatic)

b. seizure disorders

c. stroke

4. Gastrointestinal

a. functional GI disorders (e.g.- obstruction- ileus- diabetic gastroparesis- gastroesophageal reflux- irritable bowel syndrome)

b. GI bleed

i. lower

ii. upper

c. GI infections (e.g.- C. difficile)

d. GI surgeries (e.g.- resections- esophagogastrectomy- bariatric)

e. hepatic disorders (e.g.- cirrhosis- hepatitis- portal hypertension)

f. ischemic bowel

g. malnutrition (e.g.- failure to thrive- malabsorption disorders)

h. pancreatitis

5. Renal

a. acute kidney injury (AKI)

b. chronic kidney disease (CKD)

c. electrolyte imbalances

d. end-stage renal disease (ESRD)

D. Musculoskeletal/Multisystem/Psychosocial (16%)

1. Musculoskeletal

a. functional issues (e.g.- immobility- falls- gait disorders)

2. Multisystem

a. end of life

b. healthcare-acquired infections

i. catheter-associated urinary tract infections (CAUTI)

ii. central-line-associated bloodstream infections (CLABSI)

iii. surgical site infection (SSI)

c. infectious diseases

i. influenza

ii. multidrug-resistant organisms (e.g.- MRSA- VRE- CRE- ESBL)

d. pain

i. acute

ii. chronic

e. palliative care

f. pressure injuries (ulcers)

g. rhabdomyolysis

h. sepsis

i. shock states

i. anaphylactic

ii. hypovolemic

j. toxic ingestion/inhalation/drug overdose

k. wounds (e.g.- infectious- surgical- trauma)

3. Behavioral/Psychosocial

a. altered mental status

b. delirium

c. dementia

d. disruptive behaviors- aggression- violence

e. psychological disorders

i. anxiety

ii. depression

f. substance abuse

i. alcohol withdrawal

ii. chronic alcohol abuse

iii. chronic drug abuse

iv. drug-seeking behavior

v. drug withdrawal

II. PROFESSIONAL CARING AND ETHICAL PRACTICE (20%)

A. Advocacy/Moral Agency

B. Caring Practices

C. Response to Diversity

D. Facilitation of Learning

E. Collaboration

F. Systems Thinking

G. Clinical Inquiry Cardiovascular

• Identify- interpret and monitor

o dysrhythmias

o QTc intervals

o ST segments

• Manage patients requiring

o ablation

o arterial closure devices

o arterial/venous sheaths

o cardiac catheterization

o cardioversion

o defibrillation

o pacemakers

o percutaneous coronary intervention (PCI)

o transesophageal echocardiogram (TEE)

• Monitor hemodynamic status and recognize signs and symptoms of hemodynamic instability

• Select leads for cardiac monitoring for the indicated disease process

• Titrate vasoactive medications

o Dobutamine

o Dopamine

o Nitroglycerin Pulmonary

• Interpret ABGs

• Maintain airway

• Monitor patients pre and post

o bronchoscopy

o chest tube insertion

o thoracentesis

• Manage patients requiring mechanical ventilation

• Manage patients requiring non-invasive O2 or ventilation delivery systems

o BiPAP

o CPAP

o face masks

o high-flow therapy

o nasal cannula

o non-breather mask

o venti-masks

• Manage patients requiring respiratory monitoring devices:

o continuous SpO2

o end-tidal CO2 (capnography)

Manage patients requiring tracheostomy tubes

• Manage patients with chest tubes (including pleural drains)

• Recognize respiratory complications and initiate interventions

Endocrine/Hematology/Neurology/Gastrointestinal/Renal

• Endocrine

o manage and titrate insulin infusions

• Hematology/Immunology/Oncology

o administer blood products and monitor patient response

• Neurology

o perform bedside screening for dysphagia

o use NIH Stroke Scale (NIHSS)

• Gastrointestinal

o manage patients pre- and post-procedure (e.g.- EGD- colonoscopy)

o manage patients who have fecal containment devices

o manage patients who have tubes and drains

o recognize indications for and complications of enteral and parenteral nutrition

• Renal

o identify medications that can be removed during dialysis

o identify medications that may cause nephrotoxicity

o initiate renal protective measures for nephrotoxic procedures

o manage patients pre- and post-hemodialysis Musculoskeletal/Multisystem/Psychosocial

• Musculoskeletal

o initiate and monitor progressive mobility measures

• Multisystem

o administer medications for procedural sedation and monitor patient response

o differentiate types of wounds- pressure injuries

o manage patients with complex wounds (e.g.- fistulas- drains and vacuum-assisted closure devices)

o manage patients with infections

• Psychosocial

o implement suicide prevention measures

o screen patients using a delirium test tool (e.g.- CAM)

o use alcohol withdrawal test tools (e.g.- CIWA)

General

• Administer medications and monitor patient response

• Anticipate therapeutic regimens

• Monitor diagnostic test results

• Perform an test pertinent to the system

• Provide health promotion interventions for patients- populations and diseases

• Provide patient and family education unique to the clinical situation

• Recognize procedural and surgical complications

• Recognize urgent situations and initiate interventions

• Use complementary alternative medicine techniques and non-pharmacologic interventions

Read these questions, or be prepared to fail the PCCN exam.

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PCCN PDF MCQs

PDF Questions and Answers	: 542 (Complete Set)
File Format	: PDF
Latest Update	: March 17, 2026
Files Delivery	: Instant (5 to 10 min.)
Compatibility	: All Desktop and Mobile Devices
Delivery Method	: download Account
Sample Download	: PCCN test PDF

The Progressive Care Certified Nurse (PCCN) credential, administered by the American Association of Critical-Care Nurses (AACN), is an essential specialty certification for RNs and APRNs providing direct care to acutely ill adult patients in settings such as step-down, telemetry, and emergency departments. The test is grounded in the AACN Synergy Model for Patient Care, which emphasizes the alignment of patient needs with nurse competencies. Candidates are tested on advanced clinical terminologies and procedures ranging from hemodynamic monitoring to the management of life-threatening arrhythmias and sepsis. As of , the test heavily prioritizes Clinical Judgment, which accounts for 80% of the content, while the remaining 20% evaluates Professional Caring and Ethical Practice. This structure ensures that certified nurses possess both the technical expertise and the ethical framework required to handle complex patient transitions and high-acuity scenarios.

MCQs Cover the Following Domains
Number	Section	Weight
01	Clinical Judgment: Cardiovascular System	27%
02	Clinical Judgment: Pulmonary System	17%
03	Professional Caring and Ethical Practice	20%
04	Clinical Judgment: Other Systems (Endocrine, Renal, GI, Neuro)	20%
05	Clinical Judgment: Multisystem and Psychosocial	16%

Preparing for the PCCN exam requires not only understanding the test subjects but also practicing with realistic exam-style questions. Our Progressive Critical Care Nursing test questions and practice tests help candidates review key concepts and familiarize themselves with the format and difficulty of exams.

At Killexams.com, our team works to maintain up-to-date practice content. We continuously review and refine our question sets and explanations to cover the latest relevant syllabus areas and help learners strengthen their understanding of core subjects before the official exam. practice questions allow you to identify areas where you need improvement by measuring your readiness and provide you exam questions to polish those areas.

By using our PCCN test PDF and Test Engine, you can practice with a structured set of questions and answers that are representative of the kinds of items you encounter on the exam. Wherever possible, content includes detailed explanations to clarify reasoning and support deeper learning. To successfully clear the PCCN exam, candidates must navigate a rigorous testing environment consisting of 125 multiple-choice questions to be completed within a 2.5-hour time limit. It is important to note that only 100 of these questions are scored, while the remaining 25 serve as pre-test items for future statistical analysis. The current passing standard, or cut score, typically requires a minimum of 68 correct answers out of the 100 scored items. Effective tips for passing include utilizing the official AACN PCCN test Handbook and focusing on application-level questions rather than simple rote memorization. Candidates should prioritize the Cardiovascular and Pulmonary sections during their review, as these carry the highest weightage. Practicing with timed assessments is crucial to building the stamina needed for the computer-based testing format, whether taken at a PSI testing center or via live remote proctoring.

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For many candidates, utilizing authentic resources like Killexam PDF Questions and Answers and test engine can significantly streamline the preparation process. These PDF test questions are designed to mirror the actual test environment, offering features such as high-quality practice items, detailed rationales for every answer, and frequent updates to reflect the latest AACN test plan changes. The portability of the PDF format allows for flexible study sessions on various devices, helping nurses fit test prep into their busy clinical schedules. These guides are particularly helpful for identifying knowledge gaps in complex clinical scenarios, such as multisystem failure or ethical dilemmas, which are frequently encountered in the actual PCCN test. By focusing on these curated practice questions, candidates gain the confidence and speed necessary to meet the passing threshold on their first attempt.

Online Test Engine

Online Test Engine Questions	: 542
Testing Limit	: Unlimited
Access Type	: Online
Latest Update	: March 17, 2026
Access Activation	: Instant (5 to 10 min.)
Supported OS	: Mac, Windows, Android, iPhone / iPad, Linux
Delivery Method	: Username/Password

Killexams.com provides an Online Test Engine designed to help candidates practice test questions in a structured and interactive environment. The Test Engine is compatible with iPhone, iPad, Android, Windows, and Mac, allowing you to study and practice on the device that best fits your schedule.

The PCCN Online Test Engine enables candidates to simulate real exam-style practice sessions, review answers, and track progress over time. This learning approach helps users practice test questions, question formats and Strengthen time management while preparing for the Progressive Critical Care Nursing exam.

The Test Engine includes features that support effective learning, such as customizable practice sessions, question review modes, and progress tracking. These tools are designed to assist candidates in identifying knowledge gaps and reinforcing key concepts through repeated practice rather than memorization alone.

Online Test Engine Practice History Graph

The Online Test Engine maintains practice history, performance summaries, and visual progress reports. Where available, questions may include explanations or reference information to support better understanding of test topics. Content is reviewed and updated periodically to reflect relevant syllabus changes and maintain consistency with test objectives.

Desktop Test Engine

Desktop Test Engine Questions	: 542
Software Version	: 3.0.9
Access	: Unlimited
Latest Update	: March 17, 2026
Access Activation	: Instant (5 to 10 min.)
Support OS	: Windows (All Versions)
Delivery Method	: Username/Password

The Killexams Desktop test Simulator (version 3.0.9) is a dedicated test preparation software designed to support candidates preparing for the PCCN exam. The simulator provides a structured desktop-based practice environment that allows users to work through exam-style questions and review their performance in detail.

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Desktop test Simulator Fullscreen Interface

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The Desktop test Simulator records practice history, performance summaries, and graphical progress reports. Where available, questions may include explanations or reference information to support understanding of correct and incorrect answers. The simulator content is reviewed and updated periodically to remain aligned with current test objectives and syllabus requirements.

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