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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

1. Signs and symptoms specific to acute methanol intoxication include which of the following?

A) Metabolic acidosis, visual disturbances
B) Areflexia, gastrointestinal distress
C) Pulmonary edema, cardiopulmonary complications
D) Hypothermia, hypotension, respiratory distress

2. Evidence-based practice guidelines for the prevention of ventilator-associated pneumonia include which of the following?

A) Do not routinely change the patient's ventilator circuit
B) Unless contraindicated by the patient's condition, perform nasotracheal rather than orotracheal intubation
C) In patients at increased risk for aspiration (e.g., enteral tube in place) the head of the bed should remain elevated at 30 to 45 degrees at all times. For other mechanically ventilated patients, supine positioning is preferred.
D) Large-volume room-air humidifiers which create aerosols (nebulizers) must be sanitized at least daily and filled only with distilled water

3. All of the following statements made by a patient reflect caring practice by the nurse on the unit except:

A) "The nurse is always cheerful."
B) "The nurse took time to answer my questions."
C) "The nurse brought me an extra blanket."
D) "The nurse took over an hour to bring me a pain pill."

4. Cox-Maze procedures are nonpharmacological methods of treating which of the following conditions:

A) Atrial fibrillation
B) Atrial flutter
C) Wenckebach block
D) Supraventricular tachycardia

5. All of the following statements related to the clinical presentation of a patient with a thoracic aortic aneurysm are true except:

A) It is not unusual for the patient's blood pressure to be different when comparing readings taken from the right and left arms
B) The size of the aneurysm, involvement of additional branches, lumen diameter, and the extent of the dissection can be determined by chest x-ray
C) Signs and symptoms may include hoarseness and a cough
D) It is not unusual for the patient's pulses to be different when comparing the right and left peripheral pulses

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