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Updated: Jul 16, 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 Format: | Multiple-choice questions, Computer-based, Live online proctored |
| Real Exam Qty: | 125 (100 scored, 25 unscored pretest) |
| Passing Score: | 68 out of 100 scaled score (~70%) |
| Exam Duration: | 150 minutes |
| Exam Price: | $255 (AACN Members), $370 (Non-Members) USD |
| Certificate Validity Period: | 3 years |
| Available Languages: | English |
| Related Certifications: | CCRN PCCN-K CMC ACCNS |
| Recommended Training: | AACN PCCN Exam Handbook & Resources AACN Official Review Courses |
| Exam Registration: | Pearson VUE Scheduling AACN Official Application Portal |
| 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:
| Section | Weight | Objectives |
|---|---|---|
| Clinical Judgment | 80% | - Renal
|
| Professional Caring & Ethical Practice | 20% | - Cultural competence & psychosocial support - Evidence-based practice & safety - Advocacy & ethical decision-making - Patient/family education & communication - Collaboration & systems thinking |
AACN Progressive Care Certified Nursing Sample Questions:
1. Hyperkalemia is suspected in a patient with which of the following clinical presentations?
A) Muscle weakness, serum K+ < 3.5 mEq/L, nystagmus
B) Tall, tented T waves, nausea, decreased deep tendon reflexes
C) Confusion, irritability, inverted T waves
D) Polyuria, constipation, renal calculi
2. 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
3. Which of the following is the preferred route of medication administration in the acutely ill patient?
A) Intravenous
B) Subcutaneous
C) Intramuscular
D) Oral
4. Skull fractures that resemble a line or a single crack, are not displaced and generally require no treatment are:
A) Linear skull fractures
B) Epidural skull fractures
C) Basilar skull fractures
D) Depressed skull fractures
5. All of the following statements regarding chest x-rays are true except:
A) All caregivers assisting with chest x-rays need to protect themselves from radiation exposure by positioning themselves behind the x-ray machine or by using lead aprons covering the neck, chest, and abdomen
B) Oblique views allow for better visualization of structures behind the heart
C) With portable anterior-posterior chest films, the film cassette is placed behind the patient and the x- ray beam is delivered through the anterior chest to the x-ray film
D) Distortions resulting from an anterior-posterior chest x-ray can be minimized by placing the patient in a high Fowler position or as erect as possible, with the thorax symmetrically placed on the x-ray film
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: B |
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