PCCN (Adult) Practice Questions - AACN Adult PCCN Progressive Care Certification Exam - PCCN (Adult) Practice Questions - AACN Adult PCCN Progressive Care Certification Exam

Question 1

A 62-year-old patient in the PCU reports new substernal chest pressure radiating to the left arm. The cardiac monitor shows sinus tachycardia. Which initial nursing action is MOST appropriate?

Obtain a 12-lead ECG, administer aspirin 162 mg chewed, and measure cardiac biomarkers Administer sublingual nitroglycerin immediately before any assessment Apply oxygen at 4 L/min by nasal cannula to all patients regardless of SpO2 Wait for the provider's order before obtaining the 12-lead ECG

Correct Answer:

Obtain a 12-lead ECG, administer aspirin 162 mg chewed, and measure cardiac biomarkers

Question 2

A patient with an ST-elevation myocardial infarction (STEMI) is awaiting transfer for PCI. The cardiac monitor suddenly shows coarse ventricular fibrillation and the patient is unresponsive. What is the FIRST action?

Call for help and defibrillate immediately with 200 J (biphasic) Administer amiodarone 300 mg IV push before any shock Begin carotid pulse assessment for a full 60 seconds Insert an advanced airway before delivering any shock

Correct Answer:

Call for help and defibrillate immediately with 200 J (biphasic)

Question 3

A patient on a nitroglycerin drip for unstable angina develops a systolic BP of 84 mmHg. Which nursing action is MOST appropriate?

Decrease or stop the nitroglycerin infusion and notify the provider Increase the drip rate to improve coronary perfusion Administer a 500 mL normal saline fluid bolus without adjusting the drip Document the finding and recheck BP in 30 minutes

Correct Answer:

Decrease or stop the nitroglycerin infusion and notify the provider

Question 4

A patient has a chest pain score of 8/10 with suspected acute coronary syndrome. Sublingual nitroglycerin 0.4 mg has been given once with no relief. Vital signs: BP 148/92, HR 102, SpO2 96%. What is the next appropriate step?

Repeat sublingual nitroglycerin 0.4 mg every 5 minutes up to a total of 3 doses, monitoring BP Administer 40 mg intravenous furosemide to reduce preload Give intravenous labetalol 20 mg to lower both pain and blood pressure Apply a non-rebreather mask at 15 L/min even though SpO2 is 96%

Correct Answer:

Repeat sublingual nitroglycerin 0.4 mg every 5 minutes up to a total of 3 doses, monitoring BP

Question 5

A patient with acute decompensated heart failure has the following arterial line waveform. MAP = 58 mmHg, HR 118, SpO2 90% on 4 L O2. Bilateral crackles to mid-lung. Which intervention should the nurse anticipate FIRST?

Administer IV furosemide 40 mg and initiate noninvasive positive pressure ventilation (BiPAP) Give a 500 mL crystalloid bolus to improve MAP Start a dobutamine drip at 5 mcg/kg/min to support cardiac output Administer IV metoprolol 5 mg to control heart rate

Correct Answer:

Administer IV furosemide 40 mg and initiate noninvasive positive pressure ventilation (BiPAP)

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About this Exam

Prepare with the PCCN (Adult) Practice Questions - AACN Adult PCCN Progressive Care Certification Exam practice quiz. This question bank includes 100 questions covering patient, action, pressure, develops, and intervention. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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PCCN (Adult) Practice Questions - AACN Adult PCCN Progressive Care Certification Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, action, pressure, develops, and intervention. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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PCCN (Adult) Practice Questions - AACN Adult PCCN Progressive Care Certification Exam

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