PCCN® Exam (Progressive Care Certified Nurse)

Question 1

A patient is admitted with acute decompensated heart failure (ADHF) and presents with dyspnea, orthopnea, and 3+ pitting edema in the lower extremities. The patient's blood pressure is 98/60 mmHg. Which of the following interventions is the priority for this patient?

Administering a bolus of intravenous normal saline. Applying multi-layer compression wraps to the lower extremities. Administering intravenous furosemide. Initiating an intravenous dobutamine infusion.

Correct Answer:

Administering intravenous furosemide.

Question 2

A patient returns to the progressive care unit after a percutaneous coronary intervention (PCI) via the right radial artery. Which of the following assessment findings requires immediate nursing intervention?

The patient reports a pain level of 2/10 at the access site. Capillary refill in the right hand is less than 3 seconds. The patient complains of numbness and tingling in the right fingers. A small amount of bruising is noted around the insertion site.

Correct Answer:

The patient complains of numbness and tingling in the right fingers.

Question 3

Which of the following medication classes is considered first-line for rate control in a stable patient newly diagnosed with atrial fibrillation and a rapid ventricular response?

Amiodarone Beta-blockers Digoxin Sodium channel blockers

Correct Answer:

Beta-blockers

Question 4

A progressive care nurse is caring for a patient who is 48 hours post-coronary artery bypass graft (CABG) surgery. The patient is hemodynamically stable and has been extubated. Which nursing intervention is crucial to prevent postoperative pulmonary complications?

Maintaining strict bed rest for 72 hours. Administering cough suppressants to minimize incisional pain. Encouraging the use of an incentive spirometer and splinting the incision when coughing. Limiting oral fluid intake to prevent fluid overload.

Correct Answer:

Encouraging the use of an incentive spirometer and splinting the incision when coughing.

Question 5

A patient with a history of heart failure is being discharged from the progressive care unit. The nurse is providing education on lifestyle modifications. Which statement by the patient indicates a need for further teaching?

"I will weigh myself every morning and call my doctor if I gain more than 3 pounds in a day." "I should limit my sodium intake to no more than 2,000 milligrams per day." "I will try to drink at least 3 liters of water every day to stay hydrated." "I need to make sure I take my medications every day, even if I am feeling better."

Correct Answer:

"I will try to drink at least 3 liters of water every day to stay hydrated."

Exam overview

About this Exam

Prepare with the PCCN® Exam (Progressive Care Certified Nurse) practice quiz. This question bank includes 125 questions covering patient, nurse, action, acute, and priority. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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PCCN® Exam (Progressive Care Certified Nurse)

This practice set contains 125 questions from the matching question bank and focuses on patient, nurse, action, acute, and priority. 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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About this Exam

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PCCN® Exam (Progressive Care Certified Nurse)

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