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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

1. Regarding hospital-acquired infections, the nurse realizes that:

A) Pneumonias are the most common hospital-acquired infections in the progressive care setting
B) If a urinary catheter was placed in an emergency situation, it should be left in place and antibiotics initiated rather than increasing the risk of infection caused by replacing the catheter.
C) It is estimated that at least 65% of progressive care patients acquire some type of infection
D) Urinary tract infections are the most common hospital-acquired infections in the progressive care setting

2. All of the following statements related to cyclosporine are true except:

A) It creates a "selective immunosuppression" by selectively inhibiting T cells
B) A daily trough level is measured to assess therapeutic dosage and avoid toxicity
C) When the first oral dose is administered, it is critical to closely assess the patient for histamine-type reactions with cardiovascular collapse
D) Adverse effects include hypertension, hepatotoxicity, nephrotoxicity, tremors, hirsutism, and gum hyperplasia

3. Conditions that may cause airway obstruction leading to acute respiratory failure in the adult include:

A) Pneumonia, aspiration of a foreign body, pulmonary embolism
B) Pulmonary edema, aspiration pneumonia, aspiration of a foreign body
C) Aspiration of a foreign body, asthma, thoracic tumors
D) Asthma, emphysema, aspiration of a foreign body

4. All of the following statements are true regarding patients and their families except:

A) Family members need to have constant access to their loved one
B) Family members need reassurance that the best possible care is being provided to the patient
C) Patients and families experience a great deal of stress while in the acute care environment; reinforcement of information is unnecessary and only increases their stress
D) Developing a trusting relationship with the family is in everyone's best interest to facilitate optimal functioning

5. Of all the electrolyte disorders, the one which can be fatal due to the alterations it causes in the conduction of electrical impulses, particularly in muscle and cardiac tissue is:

A) Hypo-osmolar disorders
B) Hypocalcemia
C) Hyperkalemia
D) Hyperosmolar disorders

Solutions: