PCCN - Progressive Care Certified Nurse (Adult) Practice Questions

276 questions available

Build your confidence for PCCN - Progressive Care Certified Nurse (Adult) Practice Questions. Practice the concepts, understand the answers, and strengthen your knowledge one question at a time.

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Certification exam
125 Exam questions
2 hours 30 minutes Time Limit
Your practice
276 Practice questions
4 hours 36 minutes Practice Time
Try 5 free questions
No account needed. A free account includes 20 questions for this exam.
The bar to clear 70 Published passing score for this certification.
Official objectives from AACN
AACN276 practice questions
Blueprint verifiedChecked against AACN official objectivesMetadata verified 2026-06-09How we verify

Exam overview and details

The PCCN - Progressive Care Certified Nurse Adult Practice Questions exam is a rigorous assessment designed for registered nurses who care for acutely ill adult patients in progressive care settings, such as step-down units, intermediate care units, and telemetry units. This exam specifically tests two core domains: Clinical Judgment and Professional Caring and Ethical Practice. Clinical Judgment evaluates a nurse's ability to assess, prioritize, and intervene in complex, rapidly changing patient conditions, including hemodynamic monitoring, dysrhythmia interpretation, and management of multi-system organ dysfunction. Professional Caring and Ethical Practice assesses the nurse's capacity to advocate for patients, navigate ethical dilemmas, collaborate within interdisciplinary teams, and maintain professional accountability. This exam is intended for experienced RNs seeking to validate their specialized knowledge and earn the PCCN credential from the American Association of Critical-Care Nurses (AACN). Candidates gain a nationally recognized certification that demonstrates advanced competency, enhances career mobility, and often leads to increased professional credibility and potential salary advancement. The 276 practice questions are structured to mirror the actual exam format, providing a comprehensive review that builds both knowledge and test-taking confidence.

Sample Questions

Choose an answer and explore the explanation to see how practice works.

Clinical Judgment

In case of hypovolemia, what is NOT a guideline for fluid replacement?

Clinical Judgment

How is tension pneumothorax treated right away?

Clinical Judgment

A 49-year-old man suffers from a myocardial infarction, which causes about 55% damage to his ventricle. In order to prevent the development of cardiogenic shock, what should NOT be done?

Clinical Judgment

A young man who had been in a fight arrived at the trauma center with a lacerated wound in the right chest. The patient was experiencing serious respiratory distress. Tachycardia and tachypnea were identified upon examination. Moreover, there were no breath sounds coming from the right chest. Chest x-ray showed mediastinal shift to left. What is the diagnosis for this patient?

Clinical Judgment

A heavy smoker is 58 years old and has a history of alcoholism. When he is sitting and watching TV in the afternoons, he complains of chest pain. ECG shows elevation of ST segments. What is the most likely diagnosis?

Career Opportunities & Salary

Median salary: $97,550– Registered Nurses

Source: BLS Occupational Employment and Wage Statistics, May 2025 -- Registered Nurses (SOC 29-1141), US national. Occupation median, not a certification salary. (2025)

Registered Nurses

Exam insights and study advice

This exam matters because progressive care nursing sits at the intersection of acute and critical care, where patient conditions can deteriorate rapidly. Mastery of Clinical Judgment and Professional Caring and Ethical Practice directly translates to safer patient outcomes, fewer adverse events, and more effective communication during handoffs and emergencies. Nurses who pass this exam prove they can recognize subtle changes in a patient's status, make sound decisions under pressure, and uphold the highest ethical standards when faced with end-of-life decisions, informed consent issues, or resource allocation challenges. The practical value extends beyond the test: certified nurses are better equipped to lead code teams, mentor newer staff, and influence unit protocols. For employers, PCCN certification is a marker of quality care and reduced liability. For the nurse, it is a tangible demonstration of commitment to excellence that opens doors to leadership roles, specialty units, and advanced practice pathways.

These are the backgrounds the certifying body suggests. Check the vendor's own page for anything it formally requires.

Your Path Forward

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Critical Care Nursing

What this exam covers

Use the published domain weights to plan your study. Practice results do not predict your certification exam score.

01Clinical Judgment

80%

02Professional Caring and Ethical Practice

20%

Exam Details PCCN | $230 USD | 2 hours 30 minutes

Exam Code PCCN
Vendor AACN
Exam Cost $230 USD
Passing Score 70
Time Limit 2 hours 30 minutes
Exam questions 125
Question TypesMultiple Choice
Retake Policy 30-day waiting period between attempts. Full exam fee required for each retake attempt.
Exam Format Linear (computer-based)
Available In
English

Frequently Asked Questions

How many questions are on the actual PCCN exam, and how does this 276-question set compare?

What is the passing score for the PCCN exam?

Can I take this exam if I work in an ICU or a general medical-surgical unit?

How should I study for the Professional Caring and Ethical Practice section?

What is the best way to use these 276 practice questions?