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Progressive Care Certified Nurse (PCCN) Exam Practice Test
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The PCCN certification confirms your knowledge of care for acutely ill adult patients. The credential, which is valid for three years, is granted by the American Association of Critical-Care Nurses (AACN) Certification Corporation. To sit for the PCCN exam, you must meet these criteria:  - Do you have an RN or APRN license in good standing?  - Have you practiced as an RN or APRN for at least 1,750 hours in direct care of acutely ill adult patients in the previous two years, with 875 of those hours accrued in the year leading up to the exam application? OR - Have you practiced as an RN or... Show more
Progressive Care Certified Nurse (PCCN) Exam Practice Test
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25 Questions

1. A 37-year-old obese woman with a history of obstructive sleep apnea is being discharged. Which of the following best describes the MAIN priority for her home care?
2. A 47-year-old male patient is admitted for investigation of abdominal pain. Twenty-four hours after admission, he becomes restless and disoriented. His pulse is 110/bpm; he is sweating and develops tremors. Review of his chart reveals an elevated blood alcohol level on admission. Which of the following conditions is caused by withdrawal of alcohol?
3. The nurse monitoring a patient with acute pancreatitis being managed by total parenteral nutrition (TPN) observes that he has an irregular pulse. The patient’s laboratory results show serum potassium of 2.5 mEq/L and markedly high blood glucose levels. Which of the following actions should the nurse take?
4. A 10-year-old girl is receiving treatment for her second bee sting of the summer. She has facial edema, tachycardia, and is wheezing when suddenly she stops breathing and loses consciousness. Which of the following drugs should the nurse prepare to treat the patient’s hypersensitivity?
5. In mitral regurgitation, blood is partially regurgitated into the
6. Coronary blood flow rate is approximately
7. A 69-year-old woman with angina complains of chest discomfort and shortness of breath. The nurse places the patient in a semi-Fowler position. This involves
8. Survival for patients diagnosed with septic shock is improved by using early goal-directed therapy. Which of the following therapies are NOT likely in treating septic shock?
9. A 27-year-old patient with rheumatoid arthritis is admitted with anemia. During administration of 200 mL packed red blood cells (PRBCs) over 1 hour, the patient becomes restless. Her pulse is bounding, and her blood pressure is elevated. The most likely explanation is
10. A 68-year-old male patient with supraventricular tachycardia of recent onset is scheduled for pharmacologic cardioversion. Which of the following is NOT a contraindication for pharmacologic cardioversion?
11. A nurse is monitoring a patient just before shift change and notices that the patient’s peripheral IV has stopped. On inspection, there is swelling and tenderness at the venipuncture site, and it appears as though the IV has infiltrated. The patient’s notes reveal this is the third infiltration in 24 hours. Which of the following actions by the nurse is an example of an inquiry-based approach?
12. A 72-year-old woman is admitted following a fall at home. Her pulse is 52 bpm, and laboratory results show a serum potassium level of 5.8 mEq/L. The physician diagnoses sick sinus syndrome. Which of the following is the most likely management?
13. A 48-year-old female patient has been admitted for investigation of impaired vision, fatigue, muscle weakness, and poor coordination. A lumbar puncture is scheduled, prior to which the patient becomes upset and reports abdominal pain. The physician insists on continuing with the lumbar puncture. In the best interests of the patient, the nurse should
14. Following treatment for a chest infection, the nurse is arranging discharge for a patient with newly diagnosed type 1 diabetes who mentions that he struggles to understand how a low-fat diet helps his diabetes. Which of the following collaborating professionals should the nurse involve in this patient’s care?
15. Nursing assessment of a 45-year-old woman reporting epigastric pain reveals that she has abdominal tenderness, hyperactive bowel sounds, nausea and vomiting, and weight loss. The physician orders an upper GI series to rule out which of the following?
16. A 52-year-old woman is admitted with severe headache, nausea, and dizziness. She cannot flex her neck, and a CT scan reveals an intracranial aneurysm. The patient’s family asks the nurse what will happen next. Which of the following is most likely?
17. Following a chest infection, a patient with type 1 diabetes reports fatigue and nausea. Assessment reveals a blood glucose level of 450 mg/dL. Which of the following pharmacologic interventions are priorities for patient care?
18. What life-threatening reaction is associated with sickle cell anemia treatment agents?
19. An 86-year-old man is admitted with pneumonia. He requires 100% O2 via a non-breather mask to maintain SpO2 >90%. Which of the following collaborating professionals should the nurse involve in this patient’s care?
20. A 48-year-old man with cirrhosis is hospitalized for treatment of spontaneous bacterial peritonitis. During the morning shift, he suddenly vomits projectile coffee ground–like material; on examination, his blood pressure is low and he has a tachycardia. Which of the following is the most likely explanation for these signs and symptoms?
21. A 42-year-old primigravida patient with diabetes is being treated for placental abruption. On assessment, the nurse notes petechiae and blood oozing from the patient’s IV line. The patient’s blood pressure is 90/55 mmHg, and her temperature is 102°F. Following measures to treat the underlying causes of disseminated intravascular coagulation (DIC), which of the following laboratory results provides evidence of patient improvement?
22. Symptoms of airflow obstruction and poor ventilation include
23. A 58-year-old male patient with diabetes is admitted with a history of weakness in his legs during activity. On examination, his blood pressure is 158/98 mmHg; his dorsalis pedalis is weak; and the skin on his feet is reddened. The most likely treatment for this patient is
24. Following a diagnosis of myocarditis, a 58-year-old male patient has a permanent pacemaker inserted. The nurse should ensure the patient understands about the need to
25. Which of the following are possible complications from diabetic ketoacidosis?

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