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AACN Progressive Care Certified Nursing Sample Questions:

1. Which of the following is the most frequent trigger of COPD exacerbation?

A) Heart disease
B) Pulmonary embolus
C) Respiratory infection
D) Pulmonary hypertension

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

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

3. Treatment of torsades de pointes may include all of the following except:

A) Managing the patient with pacing and magnesium as temporary strategies until the underlying cause of the disorder can be eliminated
B) Teaching the patient lifestyle modifications such as avoidance of swimming and startling loud noises like alarm clocks
C) Defibrillation with an unsynchronized shock to terminate the episode if torsades de pointes degenerates into ventricular fibrillation
D) Overdrive atrial or ventricular pacing at a rate of 80 beats per minute or faster to prevent the pauses that may precipitate episodes of torsades de pointes

4. In the assessment of learning readiness, all of the following questions are helpful except:

A) What do the patient and family already know about the issues that will be taught?
B) What is the nurse's preferred method of instruction?
C) What do the patient and family desire to learn about?
D) Do the patient or family have any questions about the diagnosis, prognosis, treatments, or procedures?

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

A) 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
B) Family members need to have constant access to their loved one
C) Family members need reassurance that the best possible care is being provided to the patient
D) Developing a trusting relationship with the family is in everyone's best interest to facilitate optimal functioning

Solutions: