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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

1. Which of the following statements is true concerning opioids?

A) They can worsen oliguria
B) They can induce constipation and, in palliative care patients, methylnaltrexone (Relistor) may be given per intramuscular injection
C) They have no effect on urine production
D) They can induce constipation which is best treated by bulk-forming laxatives

2. A 55-year-old type 2 diabetic with severe dementia was started on insulin during her stay in the progressive care unit. She will be discharged with orders for blood glucose monitoring and sliding scale insulin. The patient has a 24-hour a day live-in caregiver who has assisted with her oral medications in the past and who has visited the patient daily in the hospital. One daughter, who is the patient's power of attorney, lives out-of-state and has visited only one time during the patient's five-day stay in the hospital. She is leaving today. Home care nursing has been arranged to provide care for the patient at home following discharge.
Who is it essential for the nurse to include in instructions related to glucose testing and insulin administration?

A) The patient
B) No instructions need to be given since the patient will be receiving home care nursing services
C) The in-home care giver
D) The power of attorney

3. Antidiuretic hormone is:

A) Stored in the anterior pituitary gland
B) Produced by the hypothalamus
C) Produced by the posterior pituitary gland
D) Stored in the hypothalamus

4. Which of the following risk factors for the development of acute respiratory distress syndrome is considered to be a secondary rather than a primary cause?

A) Sepsis
B) Pulmonary contusion
C) Smoke inhalation
D) Aspiration

5. Which of the following diagnostic test results would you most likely expect in a patient with an early acute upper gastrointestinal bleed?

A) Arterial blood gases: respiratory alkalosis; white blood cell count: elevated; serum sodium: decreased
B) Arterial blood gases: metabolic acidosis; white blood cell count: elevated; serum sodium: elevated
C) Arterial blood gases: respiratory acidosis; white blood cell count: elevated; serum sodium: elevated
D) Arterial blood gases: respiratory alkalosis; white blood cell count: elevated; serum sodium: elevated

Solutions: