Pressure test just pumps up the Cooling system to 16 psi or so ,so we can find the leaks easier ,it wont hurt anything.
The way it works is your car has a 13-16 psi cap ,so theoretically at 3lbs a psi you can go 260 degrees before boil over with a 50/50 mix of coolant/water. 212 boil plus 3lbsx 16psi =260 .
The only reason for is pressure test is so we dont have to heat your car way up ,and possibly cause damage in doing so.
Pump up to 16 psi and look for leaks ,almost imposible for anything bad to happen .
With out a cap you will boil over ,this is a sealed system any leaks you will boil over ect ...... most of the time.
Continued driving of an overheating engine blows head gasket ,also an old engine and you over heat may blow too.
Typically the alluminum head engines blow more when overheated ,due to the dis-similars metals ie alluminum/cast iron.
Some cars are more prone to this aswell due to poor design.