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Exam (elaborations)

PCCN Exam Questions & Answers 2026 – Complete Progressive Care Nursing Practice, Verified Solutions & Study Guide

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Prepare thoroughly for the PCCN Exam 2026 with this comprehensive resource featuring verified questions with solution. Covering critical progressive care nursing topics including cardiac monitoring, respiratory care, hemodynamic management, patient assessment, and critical interventions, this study guide is perfect for nursing students and professionals preparing for certification, exams, or practical assessments. Ensures fast revision, mastery of key concepts, and top performance.

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Uploaded on
December 4, 2025
Number of pages
88
Written in
2025/2026
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PCCN Exam questions & Answers


The nurse observes that the patient's fluid volume overload.
jugular veins distend in the semi-upright
position to more than 5 cm above the
sternal angle. This is an indication of:

what is normal Pulmonary artery 5-12 mmHg
occlusion pressure (PAOP)?

The resistance against which the left systemic vascular resistance.
ventricle must pump to eject its volume
is:

When the tricuspid valve is open, central right ventricle.
venous pressure reflects the filling
pressure in the:

Tachycardia is dangerous for the patient compromised cardiac output.
with ischemic heart disease because of:

During initial examination of a critical central cyanosis.
care patient, the nurse observes wide
and convex nails and bulbous fingertips.
This is evidence of:

, PCCN Exam questions & Answers
estimating edema.
Priorities for palpation of the patient with checking capillary refill
cardiovascular disease include: checking for DVT
arterial pulses

By blocking the conversion of b. vasodilation.
angiotensin I to angiotensin II,
angiotensin-converting enzyme
inhibitors produce:

The nurse has read that the cardiologist a. Verapamil, diltiazem, or amlodipine
recommends the use of class IV drugs to
depress sinus and atrioventricular node
conduction and terminate
supraventricular tachycardias in the
patient at this time. The nurse will
anticipate orders for which medications?

The nurse has administered a drug that a. increased heart rate.
stimulates β1-adrenergic sites. Following
administration of the drug, the nurse will
assess for:

, PCCN Exam questions & Answers
The nurse is observing the patient's c. atrium is being paced.
electrocardiographic monitor after
insertion of a temporary pacemaker.
Seeing a P-wave after the pacing artifact,
the nurse knows that the:

The possibility of microshock when b. insulating the ends of the wires. and wearing gloves when handling the p
handling a temporary pacemaker can be wires
minimized by:

In the postoperative cardiovascular a. reduced preload.
patient, the most frequent cause of a
decreased cardiac output is:

A patient is being monitored by a. Position the patient on the left side. or reposition the leads
continuous electrocardiogram (ECG)
after placement of a transvenous
pacemaker. "Loss of capture" is seen on
the ECG. Which nursing intervention may
correct this situation?

, PCCN Exam questions & Answers
In analyzing the ECG strip, the nurse b. pacing artifact; the pacemaker is sensing and capturing.
notices a spike before each QRS
complex. The patient's heart rate is 70
beats/min. This phenomenon is reflective
of

Calculate the cerebral perfusion b. 80 mm Hg
pressure (CPP) for a patient with a mean
arterial pressure (MAP) = 95 mm Hg and
an intracranial pressure (ICP) = 15 mm Hg.

What procedure secures an embolization that can be done to secure the lesion without surgery. When
arteriovenous malformation when a pt's condition is more stable, an operation might be considered if needed.
condition is too unstable for surgery?

Knowing that a patient has hypoxemia a. Cerebrovascular dilation
and ischemia in his brain, the nurse
anticipates which of the following?

The nurse's priority in eye care for the c. keeping the eyes moist to prevent corneal ulceration.
patient in a coma will be:

The patient has markedly deep, rapid perform a blood glucose measurement.
respirations with a fruity breath odor.
Based on the patient's history, the nurse
will:

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