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Updated: Sep 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 Format: | Computer-based, Multiple-choice questions, 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: | CMC ACCNS PCCN-K CCRN |
| 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 |
|---|---|---|
| Professional Caring & Ethical Practice | 20% | - Cultural competence & psychosocial support - Evidence-based practice & safety - Advocacy & ethical decision-making - Patient/family education & communication - Collaboration & systems thinking |
| Clinical Judgment | 80% | - Renal
|
AACN Progressive Care Certified Nursing Sample Questions:
Question 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
Question 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
Question 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
Question 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
Question 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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