AACN PCCN : Progressive Care Certified Nursing

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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

1. To confirm a diagnosis of myocardial infarction, the nurse would expect the physician to order which laboratory tests?

A) Myoglobin, creatine kinase, and sedimentation rate
B) Creatine kinase, tropin T, and sedimentation rate
C) Tropin I, aPTT, and myoglobin
D) Tropin T, tropin I, myoglobin, and creatine kinase

2. All of the following statements related to the compensatory stage of shock are true except:

A) During the compensatory stage of shock, hypovolemia and resultant hypotension lead to activation of the parasympathetic nervous system
B) During the compensatory stage of shock, renal blood flow is reduced which activates hormonal response
C) During the compensatory stage of shock, angiotensin I, present in the blood, is converted to angiotensin II in the lungs
D) During the compensatory stage of shock, patients become restless and agitated due to respiratory alkalosis

3. Acute respiratory failure (ARF) can occur as a result of many abnormalities but, regardless of the specific underlying condition, the etiology of ARF in adults can be categorized into four main components:
impaired ventilation, impaired gas exchange, airway obstruction, and ventilation-perfusion abnormalities. Which of the following conditions causes airway obstruction?

A) Pulmonary embolism
B) Asthma
C) Phrenic nerve damage
D) Spinal cord injury at C4 or higher

4. Which of the following cited the principle of double effect in a decision that distinguished palliative care from assisted suicide?

A) The United States Senate
B) The US Supreme Court
C) The American Nurses Association
D) The Code for Nurses

5. Which of the following is the most cost-effective approach for the management of hospitalized patients with acute peptic ulcer bleeding?

A) Vasopressin in conjunction with therapeutic endoscopy
B) High-dose IV proton pump inhibitor therapy in conjunction with therapeutic endoscopy
C) High-dose IV H2 antagonist therapy in conjunction with therapeutic endoscopy
D) An initial IV bolus dose of 100 mcg octreotide, followed by 50-mcg/h continuous infusion in conjunction with therapeutic endoscopy

Solutions: