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Updated: Aug 13, 2026

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AACN PCCN Exam Overview:

Certification Vendor:AACN (American Association of Critical-Care Nurses)
Exam Name:Progressive Care Certified Nurse (PCCN) Examination
Exam Number:PCCN
Passing Score:Approximately 68-70% (scaled score 350 out of 500)
Exam Format:Multiple-choice, Multiple-response, Hot spot, Ordered response
Related Certifications:PCCN
Exam Price:$290 USD (AACN Member) / $365 USD (Non-Member)
Available Languages:English
Certificate Validity Period:3 years (requires renewal)
Real Exam Qty:125
Exam Duration:150 minutes
Sample Questions:AACN PCCN Sample Questions
Exam Way:Computer-based testing at Pearson VUE testing centers
Pre Condition:Current unencumbered RN or APRN license AND minimum 1,750 hours of direct bedside care of acutely/critically ill adult patients in the previous 2 years (with 875 hours in the most recent year), OR minimum 2,000 hours in the previous 5 years, OR completed an NP/graduate nursing program focused on progressive care in the previous year.
Official Syllabus URL:https://www.aacn.org/certification/pccn-certification

AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

1. Which of the following is the most widely-used opioid and is the gold standard against which other opioids are compared?

A) Morphine sulfate
B) Dilaudid
C) Fentanyl
D) Hydromorphone


2. Risk factors for the development of pulmonary fat emboli include:

A) Pancreatitis, long bone fracture, cyclosporin administration
B) Cyclosporine administration, estrogen, central venous catheters
C) Positive pressure ventilation, cardiopulmonary bypass, burns
D) Blunt trauma to the liver, obesity, paralysis


3. If a pacemaker is operating as an AOO pacemaker, all of the following are true except:

A) It is pacing the atria
B) It does not sense
C) It does not respond to intrinsic atrial activity
D) It is pacing in demand mode


4. Which benzodiazepine, which may be administered orally and intravenously as an intermittent bolus or continuous infusion, when used as a continuous infusion, its effect is long-term and awakening may take hours to days to accomplish?

A) Diazepam
B) Lorazepam
C) Midazolam
D) Chlordiazepoxide


5. To prevent Wernicke encephalopathy, patients may require which of the following?

A) Vitamin K
B) Endotracheal intubation
C) Intravenous thiamine
D) Lactulose


Solutions:

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

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