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Updated: Aug 02, 2026

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AACN PCCN Exam Overview:

Certification Vendor:AACN Certification Corporation
Exam Name:Progressive Care Certified Nursing Exam
Exam Number:PCCN
Exam Price:$255 (AACN Members), $370 (Non-Members) USD
Exam Format:Multiple-choice questions, Computer-based, Live online proctored
Exam Duration:150 minutes
Real Exam Qty:125 (100 scored, 25 unscored pretest)
Certificate Validity Period:3 years
Available Languages:English
Related Certifications:CCRN
PCCN-K
CMC
ACCNS
Passing Score:68 out of 100 scaled score (~70%)
Recommended Training:AACN PCCN Exam Handbook & Resources
AACN Official Review Courses
Exam Registration:AACN Official Application Portal
Pearson VUE Scheduling
Sample Questions:AACN PCCN Sample Questions
Exam Way:Computer-based testing at Pearson VUE/PSI centers; live online proctored; limited paper-based options
Pre Condition:Current unrestricted RN license; 1,750 hours progressive care experience in past 2 years (875 in last year) OR 5 years experience + 2,000 hours total (144 in last year)
Official Syllabus URL:https://www.aacn.org/certification/get-certified/pccn

AACN PCCN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Clinical Judgment80%- Endocrine
  • 1. Adrenal & thyroid disorders
    • 2. Diabetes & DKA management
      - Multisystem & Integumentary
      • 1. Shock & trauma management
        • 2. Wound care & infection control
          - Pulmonary
          • 1. Oxygen therapy & ventilation support
            • 2. Post-extubation care
              • 3. Pulmonary embolism & pneumonia
                • 4. Respiratory failure & COPD exacerbation
                  - Cardiovascular
                  • 1. Hemodynamic monitoring & management
                    • 2. Post-cardiac procedure care
                      • 3. Arrhythmias & 12-lead ECG interpretation
                        • 4. Valvular & structural heart disease
                          • 5. Acute coronary syndromes & heart failure
                            - Hematology & Immunology
                            • 1. Sepsis & immune response
                              • 2. Anticoagulation & blood product therapy
                                - Renal
                                • 1. Fluid/electrolyte & acid-base regulation
                                  • 2. Acute kidney injury & chronic kidney disease
                                    - Gastrointestinal
                                    • 1. Nutrition & fluid/electrolyte balance
                                      • 2. GI bleeding & liver dysfunction
                                        - Neurology
                                        • 1. Post-neurosurgical care
                                          • 2. Seizure management
                                            • 3. Stroke & neurological monitoring
                                              Topic 2: Professional Caring & Ethical Practice20%- Patient/family education & communication
                                              - Cultural competence & psychosocial support
                                              - Collaboration & systems thinking
                                              - Evidence-based practice & safety
                                              - Advocacy & ethical decision-making

                                              AACN Progressive Care Certified Nursing Sample Questions:

                                              1. Which of the following statements is false regarding the safe and effective use of intermittent pneumatic compression devices (IPCs)?

                                              A) The use of these devices is contraindicated in ambulatory patients
                                              B) Assessment for correct fit needs to be on-going as changes in weight and fluid shifts occur
                                              C) Ensure the devices do not impede the patient's ambulation
                                              D) The devices need to closely monitored to make sure they are being worn and are correctly placed


                                              2. Which of the following is an antiarrhythmic medication with a class IIa recommendation for pharmacological cardioversion of atrial fibrillation?

                                              A) Ibutilide
                                              B) Amiodarone
                                              C) Propafenone
                                              D) Flecainide


                                              3. Extrinsic causes of hemolysis include all of the following except:

                                              A) A transfusion reaction
                                              B) Splenic disorders
                                              C) Damage from cardiopulmonary bypass
                                              D) Sickle cell anemia


                                              4. Which of the following studies evaluates the electrical activity of skeletal muscles during rest and movement?

                                              A) Electromyography
                                              B) Electroencephalography
                                              C) Transcranial Doppler
                                              D) Nerve conduction study


                                              5. As a result of which of the following, when hemoglobin becomes desaturated with oxygen, the affinity for carbon dioxide increases. The administration of oxygen then displaces carbon dioxide on hemoglobin and increases carbon dioxide levels in the plasma:

                                              A) Hypoxic vasoconstriction
                                              B) The Haldane effect
                                              C) The Bohr effect
                                              D) Decreased minute ventilation


                                              Solutions:

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

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