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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

1. The most common cause of respiratory failure in acutely ill patients is:

A) Pneumonia
B) Chronic obstructive pulmonary disease
C) Asthma
D) Pulmonary hypertension

2. 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) Paternalism
D) Beneficence

3. The following statements regarding the use of nitroglycerin to manage acute hypertensive episodes are true except:

A) Nitroglycerin dilates veins more than arterioles
B) For IV administration, 100 mg nitroglycerin is mixed in 100 mL NS or D5
C) Nitroglycerin dilates arterioles more than veins
D) Rate of IV administration of nitroglycerin for acute hypertensive episode is 5 to 100 mcg/min.

4. All of the following statements related to enoxaparin are true except:

A) The dosing adjustment for enoxaparin in patients with creatinine clearances less than 30 mL/min is to extend the dosing interval from 12 hours to 24 hours in both prevention and treatment of thrombosis
B) It is a factor Xa inhibitor, indicated for venous thromboembolism (VTE) prophylaxis post hip or knee replacement, or prophylaxis of embolism or cerebrovascular accident (CVA) in patients with nonvalvular atrial fibrillation. The agent is also indicated for pulmonary embolism and deep venous thrombosis (DVT) treatment.
C) It is possible to monitor enoxaparin anticoagulation by measuring antifactor Xa levels
D) Enoxaparin is primarily renally eliminated with the potential for drug accumulation in patients with renal impairment

5. 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 > 130 mm Hg, or diastolic blood pressure > 85 mm Hg
C) Systolic blood pressure > 140 mm Hg, or diastolic blood pressure > 85 mm Hg
D) Systolic blood pressure > 140 mm Hg, or diastolic blood pressure > 90 mm Hg

Solutions: