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PCCN Certification Exam Review: Cardiology, Hemodynamics, and Acute Care Nursing

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Description: An intensive review guide for the Progressive Care Certified Nurse (PCCN) exam, focusing on advanced cardiovascular and critical care concepts. The guide begins with a deep dive into cardiovascular physiology (preload, afterload, contractility, cardiac output) and the assessment and management of heart failure. It then moves into cardiac anatomy and physiology, diagnostics, and treatments for valvular disorders. A key feature is the in-depth coverage of cardiac arrhythmias, pacemakers, and pharmacology, as well as endocrine emergencies like DKA and SIADH.

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PCCN 2026 Exam Review Questions and
Correct Answers 2026 (A+ Graded) With Rationale
D Answer




What is the function of the cardiovascular system -
O

✔✔ANSWER ✔✔-to drive O2 to the cell so that the cell can
make ATP for energy production
N
O

What is the formula for CARDIAC OUTPUT - ✔✔ANSWER
T

✔✔Stroke volume x Heart Rate
C
O

CO = HR X SV ( Preload + Afterload + Contractility)
PY


What is the term for the amount of blood that is pumped out of
the ventricle each MINUTE? - ✔✔ANSWER ✔✔-Cardiac Output
( approximately 4 - 8 LPM )


What is the term for the amount of blood that is pumped out of
the ventricle each BEAT? - ✔✔ANSWER ✔✔-Stroke Volume

,What is the term for the number of contractions / minute? -
✔✔ANSWER ✔✔-Heart Rate


IMPORTANT RELATIONSHIPS TO KNOW - ✔✔ANSWER ✔✔-1.
CO DECREASED -> HR INCREASES ( to maintain adequate stroke
volume )
D

2. CO INCREASED -> HR DECREASES ( as stroke volume
O

decreases )
N

3. HR DECREASED -> SV DECREASES and CO DECREASES
O
T

4. HR INCREASES ( > 150 ) -> SV DECREASES and CO DECREASES
C
O

5. SV DECREASES -> CO DECREASES and HR INCREASES
PY


6. SV INCREASES -> CO INCREASES and HR DECREASES


What is the term for the volume of blood ejected from the
ventricle per minute adjusted for body size - ✔✔ANSWER
✔✔Cardiac Index

,What is a normal cardiac index? - ✔✔ANSWER ✔✔-Normal =
2.5 to 4.4 L/min/m2
**Always utilize CI values on exam (especially for bigger
patients)


What is a normal amount (mL/beat) for stroke volume? -
✔✔ANSWER ✔✔-60 to 100 mL
D
O

What is the term for the end-diastolic volume stretching the
ventricle? - ✔✔ANSWER ✔✔-Preload
N
O

( increased fluid = increased stroke volume )
T
C

What is the term for the pressure that the ventricle must
O

OVERCOME in order to eject blood into the circulatory system?
PY

- ✔✔ANSWER ✔✔-Afterload


What is the term for the inotropic state the cardiac muscle -
✔✔ANSWER ✔✔-Contractility


(how well the heart is contracted)
Preload is the function of which part of the circulatory system?

, - ✔✔ANSWER ✔✔-VEINS


FUNCTION OF VEINS = PRELOAD


What is the RIGHT VENTRICLE PRELOAD assessed by? -
✔✔ANSWER ✔✔-CVP (Central venous pressure)
D
O

(Normal is approx. 2 - 8 mmhg)
N

What is a normal central venous pressure ? - ✔✔ANSWER
O

✔✔Approximately 2 - 8 mmhg
T
C

What is the LEFT VENTRICLE PRELOAD assessed by? -
O

✔✔ANSWER ✔✔-PAOP (Pulmonary artery occlusion pressure) /
PY

PAW pulmonary artery wedge pressure


-Swans ganns in placed wedge pressure (PA)


What are the signs and symptoms of an altered preload? -
✔✔ANSWER ✔✔-1. Dehydration (decreased preload)
2. Fluid overload (increased preload)

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