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Last Updated: Aug 02, 2026

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AACN PCCN Practice Q&A's

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AACN PCCN Exam Syllabus Topics:

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

AACN Progressive Care Certified Nursing Sample Questions:

1. Of the following, which is the gold standard for detecting pulmonary embolism?

A) Ventilation-perfusion (V/Q) scanning
B) Pulmonary angiography
C) Computed tomography of the pulmonary arteries (CTPAs)
D) MRI


2. This physiologic adaptive mechanism is a response to a decrease in alveolar oxygen and moves capillary blood flow from a closed or atelectatic alveolus to an open alveolus:

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


3. Which of the following statements is true related to high-flow nasal cannula (HFNC) oxygen devices?

A) HFNC is the most common method for delivering oxygen invasively
B) HFNC is an invasive method of administering continuous oxygen to patients with chronic hypoxemia
C) Caution must be exercised when using HFNC as it may result in intrinsic (auto) PEEP
D) HFNC can provide oxygen at high-flow rates between 30 and 60 L/minute


4. Which of the following statements is true related to pressure injuries?

A) Dry eschar on the heel must always be debrided to expose the base of the wound before healing can occur
B) To correctly stage pressure injuries, accurate measurements of the wound's depth must be taken
C) Stage 3 pressure injuries are defined as partial-thickness tissue loss
D) Unstageable pressure injuries are defined as full-thickness tissue loss


5. The laparoscopic bariatric surgical procedure that results in restriction and malabsorption and also has a hormonal effect is:

A) Biliopancreatic diversion with duodenal switch surgery
B) Laparoscopic sleeve gastrectomy surgery
C) Roux-en-Y surgery
D) Laparoscopic adjustable gastric band surgery


Solutions:

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

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