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

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PASS YOUR PCCN CERTIFICATION IN 2026 – GUARANTEED! *100% VERIFIED ANSWERS – GRADED A+* CONCISE, HIGH-YIELD – NO FLUFF This is the PCCN Exam Guide 2026 – a straight-to-the-point Q&A study guide covering exactly what you need for the AACN Progressive Care Certified Nurse exam. Perfect for busy nurses who need quick recall and clinical application. Here's what you'll master: ACS Classification – NSTEMI (ST depression/T-wave inversion) vs STEMI (ST elevation) – when to cath, when to give fibrinolytics, CABG criteria (left main vessel or 3 vessels) Valvular Heart Disease – Mitral stenosis (rumbling diastolic murmur, LA enlargement → A-fib) vs Mitral regurgitation (systolic murmur, radiates to left arm) – Aortic stenosis (systole, LV hypertrophy) vs Aortic regurgitation (diastolic murmur, wide pulse pressure, DeMusset sign) Heart Sounds – S1 (AV valves close), S2 (semilunar valves close), S3 (fluid overload), S4 (atrial gallop – non-compliant ventricle), split S1 (RBBB/pacer), split S2 (aortic before pulmonic) Hemodynamics – Preload (myocardial stretch – high in fluid overload, low in deficit) – Afterload (resistance – high in vasoconstriction/pulm HTN, low in sepsis) Diabetes & Endocrine Emergencies – DKA (high glucose, ketones, acidosis, Kussmaul breathing, 3Ps) – HHS (glucose 600, no ketones, severe dehydration, neuro changes) – SIADH (concentrated urine, dilute blood, hyponatremia) – Diabetes Insipidus (dilute urine, hypernatremia, desmopressin treatment) Cardiac Diagnostics – Echocardiogram (chamber enlargement), TEE (better aortic/mitral view), Cardiac cath (LVEDP, EF), 12-lead EKG (A-fib, STEMI, hypertrophy), CXR (enlargement, congestion) Mitral Clip Post-Op Care – Monitor access site, stroke/clots, cardiac tamponade, frequent neurovascular assessment Aortic Stenosis Treatment – TAVR (transcatheter valve replacement) – monitor for bradycardia, heart block (may need permanent pacer), stroke (left side of heart) Updated for 2026 AACN blueprint – perfect for progressive care, step-down, and telemetry nurses. No lengthy textbook. Just Q&A that sticks. Buy once, pass once.

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PCCN EXAM GUIDE 2026 QUESTIONS AND 100%
VERIFIED ANSWERS | GRADED A+ |
GUARANTEED PASS!!
2 Classification of NSTEMI
- answer-2 Classifications: ST depression/ T-wave inversion.
NSTE - Negative Troponin -> Unstable Angina (precursor to MI, blood flow
restored) - Outpt stress testing.

NSTEMI - Positive Troponin - > AC use, Heart Cath within 48 hrs, CABG ( IF L.
MAIN VESSEL OR > 3 VESSEL)

Afterload
- answer-The resistance (pressure) the ventricles need to overcome.
High - Vasoconstriction (pul htn)
Low - Vasodilation ( sepsis)

Cardiac Blood Flow
- answer-1. Superior/Inferior Vena Cava
2. Right Atrium
3. Tricuspid Valve
4. RIght Ventricle
5. Pulmonic Valve
6. Pulmonic Artery - > Lungs
7. Pulmonic Veins
8. Left Atrium
9. Mitral Valve
10. Left Ventricle
11. Aortic Valve
12. Aorta

Causes of Mitral Valve Regurgitation
- answer-infective endocarditis, Cardiomyopathy, ruptured chordae tendineae from
an MI, mitral valve prolapse

Chest Pain / Symptom Assessment - PQRST
- answer-Provocation

, Quality
Region/radiation
Severity
Timing

Classification of Acute Coronary Syndrome
- answer-1. NSTEMI
2. STEMI

Diabetes Insipidus (Sip)
- answer-antidiuretic hormone is not secreted adequately, or the kidney is resistant
to its effect

Diabetes insipidus labs
- answer-1. hypernatremia
2. elevated BUN/Cr
3. increased serum osmo >295
4. decreased urine osmo < 200
5. decreased urine specific gravity < 1.005
6. Decreased ADH
7. Polydipsia

diabetes insipidus treatment
- answer-Desmopressin (vasopressin);
hydrochlorothiazide, hypotonic sol.

diabetes ketoacidosis labs
- answer-PH (acidotic - Increased ketones)
Urine Glucose
Blood Glucose 300 - 800
Decrease HCO3
Decrease Na
Elevated K
Increased Anion Gap

Diabetes Ketoacidosis Pathophysiology
- answer-- Too much glucose & too little insulin.
- Body compensates w/ osmotic diuresis
- Leads the the 3Ps (Polyuria, polydipsia, polyphagia) & glycourisa, dehydration &
electrolyte imbalance.

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