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PCCN Exam 2026 – AACN Progressive Care Certified Nurse Full Study Guide | 100% Verified Q&A – Guaranteed Pass!!

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PASS YOUR PCCN CERTIFICATION IN 2026 – GUARANTEED! *100% VERIFIED ANSWERS – GRADED A+* ALL TOPICS COVERED – NO SURPRISES ON EXAM DAY This is the complete PCCN Exam Bundle 2026 – not just a few flashcards, but hundreds of real-style questions and answers used by progressive care nurses to pass the AACN exam on the first try. What you get inside: Hemodynamics – Preload, afterload, SVR, PVR, CI, CO, MAP, PAOP, SVO2 Arrhythmias & 12-Lead ECG – MI locations (anterior, inferior, lateral), BBB, QT prolongation, paced rhythms, Wellen’s, Prinzmetal Cardiac disorders – Cardiomyopathies (dilated, hypertrophic, restrictive, arrhythmogenic), pericarditis, tamponade, endocarditis, myocarditis Valvular disease – Murmurs (systolic, diastolic, pansystolic), stenosis vs insufficiency, mitral, aortic, tricuspid, pulmonic Shock & failure – Cardiogenic, hypovolemic, anaphylactic, neurogenic, MODS, LVF, RVF, pulmonary edema Drugs & antidotes – Amiodarone, digoxin (antidote: Fab), warfarin (Vitamin K), heparin, Lasix (4 mg/min max), adenosine, dobutamine, nitroglycerin (RVI contraindication) Renal & electrolytes – AKI (prerenal, intrarenal), anion gap, BUN/Cr, hyperkalemia (peaked T, wide QRS), hyponatremia (SIADH), hypercalcemia GI & hepatic – Pancreatitis, cirrhosis, esophageal varices (vasopressin contraindication), hepatic encephalopathy, ischemic hepatitis Pulmonary – HAP vs VAP (Pseudomonas), tension pneumothorax, hemothorax, surfactant deficiency Pacemakers & ICDs – DDD, VVI, loss of capture, magnet function (inhibits shocking only), biphasic defibrillation (200J), AICD Special populations – Post-CABG (insulin drip for infection risk), post-transplant (isoproterenol for bradycardia), Jehovah’s Witness (auto-transfusion) Updated for 2026 AACN exam blueprint – including new evidence-based interventions, pharmacology updates, and professional caring/ethics. Over 200+ Q&A pairs – exactly what you need to crush the PCCN. Used by progressive care, step-down, and telemetry nurses nationwide.

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PCCN CERTIFICATION GUIDE 2026 QUESTIONS AND
100% VERIFIED ANSWERS | GRADED A+ |
GUARANTEED PASS!!

A 14-year-old with diabetes is admitted for hypoglycemia. The patient admits to
the nurse that he does not take insulin or check is blood sugar at school. Which of
the following should the nurse do?

A. Arrange for the patient to attend a diabetes support group for teenagers
B. Encourage the parents to take disciplinary action
C. Counsel the patient on the long term consequences of not taking insulin
D. Hold a conference with the school nurse regarding the need for monitoring
students with diabetes
- answer-A. Arrange for the patient to attend a diabetes support group for teenagers

A 30-year-old man is admitted to the critical care unit after a motor vehicle
collision. The emergency department nurse reports that he was unconscious at the
scene of the accident but is now alert and oriented. Skull films show a linear
fracture of the right temporal bone. He is a significant risk for _______.

A. Subdural hematoma
B. Intracerebral hematoma
C. Epidural hematoma
D. Scalp hematoma
- answer-C. Epidural hematoma

A 42 y/o woman with a 6 month history of worsening anxiety, heat intolerance,
and weight loss presents to the emergency department. Which of the following are
indicators of hyperthyroidism?

A. Constipation, lower body temperature, and edema
B. High T3 and T4 and low TSH.
C. Depression, dementia, and reflex changes
D. Low T3 and T4 and high TSH
- answer-B. High T3 and T4 and low TSH.

, Rationale: Constipation, lower body temperature, edema, depression, dementia,
reflex changes, low T3, low T4, high TSH are all indicators of hypothyroidism.

A 44-year-old female patient is being suctioned through her endotracheal tube, and
her heart rate drops dramatically. What should you do?

A. Continue suctioning and then administer 100% oxygen
B. Turn the head to the left side
C. Instill saline down the endotracheal tube to loosen up the mucus plus
D. Stop suctioning and administer 100% oxygen
- answer-D. Stop suctioning and administer 100% oxygen

A 46-year-old male developed an epidural hematoma after being in a motor vehicle
collison. He has had a craniotomy to evacuate the clot, and an intraventricular
catheter was placed during surgery. Which of the following is important in caring
for the patient with intracranial pressure (ICP) monitoring?

A. Use a flush system
B. Use a preservative-free isotonic saline
C. Use a pressure bag
D. Use heparin to maintain integrity of the line
- answer-B. Use a preservative-free isotonic saline

A 47-year-old male patient is scheduled for a radical laryngectomy. You are about
to witness your patient signing a surgical consent when he tells you that he does
not really understand what is going to be done. What should you do?

A. Notify the physician that the patient needs additional explanation
B. Make drawings explaining the procedure and then witness the consent
C. Explain the procedure and then witness the consent
D. Tell the patient that he will receive additional information later but that he must
sign the consent form now.
- answer-A. Notify the physician that the patient needs additional explanation

A 55 y/o steroid dependent woman with rheumatoid arthritis undergoes a CABG x
4. She was doing well in the ICU 1 day post op, but then has a run of V-Tach and
V-Fibrillation. The nurse recognizes this may be due to the following:

A. Reperfusion after CABG
B. Reocclusion after CABG

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