AACN PCCN real exam prep : Progressive Care Certified Nursing

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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

1. Which of the following diagnostic test results would you most likely expect in a patient with an early acute upper gastrointestinal bleed?

A) Arterial blood gases: respiratory alkalosis; white blood cell count: elevated; serum sodium: decreased
B) Arterial blood gases: metabolic acidosis; white blood cell count: elevated; serum sodium: elevated
C) Arterial blood gases: respiratory alkalosis; white blood cell count: elevated; serum sodium: elevated
D) Arterial blood gases: respiratory acidosis; white blood cell count: elevated; serum sodium: elevated

2. Which of the following statements is true regarding the QT interval and long-QT syndromes?

A) The QT interval on an electrocardiogram is heart rate dependent
B) The QT interval lengthens at more rapid heart rates and shortens at slower heart rates
C) Acquired-type long-QT syndrome may be caused by electrolyte abnormalities, especially hyperkalemia
D) To determine the QT interval corrected for heart rate (QTc), the measured QT interval is multiplied by the square root of the preceding R-R interval (all measurements are in seconds)

3. All of the following statements related to ketorolac tromethamine (Toradol) are true except:

A) Gastrointestinal irritation and bleeding may result from the use of this drug
B) It has a ceiling effect
C) It is a nonsteroidal anti-inflammatory drug
D) It can be safely administered intravenously or by intramuscular injection

4. Metabolic Syndrome, as described by The American Heart Association (AHA), consists of the presence of five conditions, one of which is hypertension, defined as:

A) Systolic blood pressure > 130 mm Hg, or diastolic blood pressure > 85 mm Hg
B) Systolic blood pressure > 140 mm Hg, or diastolic blood pressure > 85 mm Hg
C) Systolic blood pressure > 130 mm Hg, or diastolic blood pressure > 85 mm Hg
D) Systolic blood pressure > 140 mm Hg, or diastolic blood pressure > 90 mm Hg

5. The Affordable Care Act (ACA) requires hospitals to report quality indicators, for example, the rate of hospital-acquired infections and ties these indicators to financial reimbursement. In this way, the ACA offers a legal manifestation of the ethical principle of:

A) Justice
B) Nonmaleficence
C) Beneficence
D) Paternalism

Solutions: