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Updated: Aug 14, 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) |
| Available Languages: | English |
| Certificate Validity Period: | 3 years (requires renewal) |
| Real Exam Qty: | 125 |
| Exam Format: | Multiple-choice, Multiple-response, Hot spot, Ordered response |
| Related Certifications: | PCCN |
| Exam Price: | $290 USD (AACN Member) / $365 USD (Non-Member) |
| 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:
| Section | Weight | Objectives |
|---|---|---|
| Endocrine/Hematology/Neurology/Gastrointestinal/Renal | 24% | - Endocrine
|
| Multisystem | 22% | - Trauma
|
| Cardiovascular | 33% | - Acute Coronary Syndromes
|
| Pulmonary | 21% | - Chronic Respiratory Disorders
|
AACN Progressive Care Certified Nursing Sample Questions:
1. A 28-year-old female patient is in the progressive care unit following a motor vehicle accident. She wants her seven-year-old son to visit but is concerned he will be frightened by all the equipment. Which of the following actions could demonstrate caring practices by the nurse?
A) Offer to explain to the child what to expect when he sees his mother
B) Tell the patient to delay her son's visit until there is less equipment to worry about
C) Tell the patient not to worry; her son has probably viewed worse things on video games
D) Tell the patient it would be better for her child not to visit
2. All of the following statements are true regarding an oropharyngeal airway except:
A) It is used to maintain a patent airway in alert to semiconscious infants to adults
B) It must be removed at least every 24 hours to provide oral care and check for the presence of pressure injuries
C) It is inserted with the concave curve of the airway facing up into the roof of the mouth
D) It is situated so the tip rests near the posterior pharyngeal wall
3. All of the following statements are true regarding complications related to tracheostomies except:
A) Complications may include hemorrhage from erosion of the innominate artery
B) Complications may include tracheal malacia or tracheal stenosis
C) Despite proper management, complications related to tracheostomies are common in progressive care units
D) Complications may include laryngeal nerve injury
4. Metabolic Syndrome, as described by The American Heart Association (AHA), consists of the presence of five conditions, one of which is hypertension, defined as:
A) Systolic blood pressure > 140 mm Hg, or diastolic blood pressure > 90 mm Hg
B) Systolic blood pressure > 130 mm Hg, or diastolic blood pressure > 85 mm Hg
C) Systolic blood pressure > 140 mm Hg, or diastolic blood pressure > 85 mm Hg
D) Systolic blood pressure > 130 mm Hg, or diastolic blood pressure > 85 mm Hg
5. View the supporting details to answer the following question.
Based on the patient's blood gas results provided, the nurse suspects which of the following?
A patient's blood gas results are as follows:
pH 7.21
PaCO2 51
HCO3 25
Base Excess -1
PaO2 63
SaO2 89
A) Metabolic acidosis, no compensation, without hypoxemia
B) Respiratory acidosis, full compensation, with hypoxemia
C) Respiratory alkalosis, no compensation, with hypoxemia
D) Respiratory acidosis, no compensation, with hypoxemia
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: D |
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