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AACN Progressive Care Certified Nursing - PCCN Exam Practice Test

Page: 1 / 36
Total 502 questions

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Question 1

Individuals who develop rheumatic fever often experience which of the following later in life?

A. Endocarditis B. Valvular heart disease C. Cardiac myopathy D. Brugada syndrome

Discussion 0

Correct Answer: B Vote an answer

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Question 2

In assessing the motor portion of the Glasgow Coma Scale, response in each extremity is tested. Which of the following is used in calculating a total score for this category?

A. Best motor response B. Total of all tested extremities C. Worst motor response D. An average of all tested extremities

Discussion 0

Correct Answer: A Vote an answer

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Question 3

A patient with a tracheostomy spontaneously opens his eyes to verbal stimuli and obeys verbal commands. His Glasgow Coma Scale score is:

A. 0 or NA B. 11 C. 10T D. 10

Discussion 0

Correct Answer: C Vote an answer

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Question 4

Treatment of torsades de pointes may include all of the following except:

A. Overdrive atrial or ventricular pacing at a rate of 80 beats per minute or faster to prevent the pauses that may precipitate episodes of torsades de pointes B. Managing the patient with pacing and magnesium as temporary strategies until the underlying cause of the disorder can be eliminated C. Defibrillation with an unsynchronized shock to terminate the episode if torsades de pointes degenerates into ventricular fibrillation D. Teaching the patient lifestyle modifications such as avoidance of swimming and startling loud noises like alarm clocks

Discussion 0

Correct Answer: D Vote an answer

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Question 5

Absorption atelectasis results when high concentrations of oxygen are given over long periods of time and which of the following is washed out of the lungs?

A. Nitrogen B. Carbon dioxide C. Bicarbonate D. Hydrogen

Discussion 0

Correct Answer: A Vote an answer

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Question 6

It is generally not acceptable to override an autonomous patient's decisions without their consent. In instances of paternalism, what principle overrides autonomy?

A. Beneficence B. Justice C. Fidelity D. Veracity

Discussion 0

Correct Answer: A Vote an answer

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Question 7

Which of the following statements is true regarding arterial catheters?

A. Following the removal of an arterial catheter, firm, direct pressure is maintained over the site for a minimum of 90 seconds, followed by the application of a pressure dressing B. The most common insertion site is the femoral artery C. Following the removal of an arterial catheter, firm, direct pressure is applied at the site for a minimum of 2 minutes, followed by the application of a pressure dressing D. The Allen test is performed prior to insertion in the radial artery

Discussion 0

Correct Answer: D Vote an answer

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Question 8

Optimal cellular functioning occurs when the pH of the blood is:

A. Between 7.45 and 7.55 B. Between 7.25 and 7.35 C. Between 7.35 and 7.45 D. Between 7.55 and 7.60

Discussion 0

Correct Answer: C Vote an answer

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Question 9

The following statements regarding pericardiocentesis are true except:

A. This procedure is performed to remove the excess fluid in the pericardium to improve myocardial function B. A needle or small catheter is introduced into the pericardial sac and fluid is withdrawn via the needle C. This is a surgical procedure in which a section of the pericardium is removed in an effort to decrease pericardial pressure on the heart and to allow pericardial fluid to drain more readily D. The drain may be left in for several days until the volume of drainage is minimal

Discussion 0

Correct Answer: C Vote an answer

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Question 10

Hydroxyurea is a medication sometimes prescribed to help prevent complications due to:

A. Myasthenia gravis B. Chronic renal failure C. Acute renal failure D. Sickle cell disease

Discussion 0

Correct Answer: D Vote an answer

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Question 11

Which of the following represents normal left ventricular end-diastolic pressure?

A. 55% to 70% B. 6 to 12 mm Hg C. 60% to 75% D. 10 to 20 mm Hg

Discussion 0

Correct Answer: B Vote an answer

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Question 12

The nurse would expect to find the following test results in a patient just admitted with a diagnosis of heart failure:

A. Brain natriuretic peptide: Decreased, Serum potassium: Elevated, Complete Blood Count: Low RBC count B. Brain natriuretic peptide: Elevated, Creatinine: Elevated, Serum sodium: Decreased C. Brain natriuretic peptide: Elevated, Serum sodium: Elevated, Albumin: Decreased D. Brain natriuretic peptide: Decreased, Serum sodium: Decreased, Serum potassium: Decreased

Discussion 0

Correct Answer: B Vote an answer

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Question 13

All of the following statements related to an endotracheal tube are true except:

A. It is inserted with the use of a laryngoscope through the vocal cords into the trachea, 5-7 cm above the carina B. The centimeter marking of the tube at the lip is documented and checked during each shift to monitor proper tube placement C. Nasal intubation is associated with sinus infections D. Tubes may be cuffed or uncuffed

Discussion 0

Correct Answer: A Vote an answer

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Question 14

A patient who just suffered a myocardial infarction would probably benefit the most if the nurse provided for:

A. A detailed explanation of the area of the patient's heart affected by the infarction B. The opportunity to watch television uninterrupted C. Visits from the patient's supportive daughter D. Telephone communication from the family

Discussion 0

Correct Answer: C Vote an answer

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Total 502 questions

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