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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

1. To help prevent hospital-acquired pneumonia in a ventilated patient, which of the following is recommended?

A) Perform tracheostomy care and suctioning under clean conditions
B) Implement a comprehensive oral hygiene program that includes teeth brushing and the use of oral
0.12% chlorhexidine gluconate for ventilator patients
C) Avoid supine positioning and, unless medically contraindicated, keep the head of the bed elevated at
45 to 60 degrees at all times
D) If a suction catheter is to be used for reentry into the patient's lower respiratory tract, use clean fluid to remove secretions from the catheter

2. Of the following medications, which is a recombinant human b-type natriuretic peptide which is effective in decreasing pulmonary wedge pressure and improving dyspnea symptoms in acutely decompensated heart failure patients who have dyspnea at rest or with minimal activity?

A) Dofetilide
B) Ibutilide
C) Clevidipine
D) Nesiritide

3. All of the following related to arginine vasopressin are true except:

A) Increases in arginine vasopressin activity result in hyperosmolarity
B) Arginine vasopressin is normally inhibited by stretch receptors in the atria during atrial distension
C) Arginine vasopressin is a potent vasoconstrictor
D) Activation of arginine vasopressin leads to systemic vasoconstriction

4. The nurse is assessing a patient using the Full Outline of Unresponsive (FOUR) score tool. The patient she is assessing is not intubated, and his respirations are even and easy at rest. He opens his eyes on command, and his pupils are equal and reactive to light. He gives the nurse a "thumbs up" when asked.
What is this patient's FOUR score?

A) 0
B) 16
C) 12
D) 20

5. Altered respiratory function is a major problem for patients with:

A) High thoracic spinal cord injuries only
B) Cervical spinal cord injuries only
C) Low thoracic or lumbar spinal cord injuries
D) High thoracic or cervical spinal cord injuries

Solutions: