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AACN Progressive Care Certified Nursing Sample Questions:

1. Which of the following statements related to shock is true?

A) Cardiogenic shock activates the parasympathetic nervous system; hypovolemic and distributive shock activate the sympathetic nervous system
B) All three types of shock activate the parasympathetic nervous system
C) All three types of shock activate the sympathetic nervous system
D) Cardiogenic shock activates the sympathetic nervous system; hypovolemic and distributive shock activate the parasympathetic nervous system

2. The exclusion criteria for the use of a ventricular assist device include:

A) Left or right atrial pressure > 20 mm Hg, urine output > 30 mL/h, coagulopathy
B) Mean arterial pressure > 60 mm Hg, severe peripheral vascular disease, severe hepatic disease
C) Cancer with metastasis, severe pulmonary disease, urine output > 30 mL/h
D) Cancer with metastasis, coagulopathy, tobacco use

3. Which of the following statements is true related to the causes of hypoxemia?

A) A decrease in tidal volume reduces minute ventilation and results in overall hypoventilation which leads to hypoxemia
B) Atelectasis leads to hypoxemia due to diffusion defects
C) Tetrology of Fallot is a condition that leads to hypoxemia due to a diffusion defect
D) Chronic disease states such as sarcoidosis and pulmonary fibrosis lead to hypoxemia due to shunting

4. Which of the following statements is true related to electrocardiography (ECG)?

A) On the calibrated graph paper used for electrocardiogram tracing, each small box on the horizontal axis is equal to 0.5 mV
B) On the calibrated graph paper used for electrocardiogram tracing, the horizontal axis measures time and the vertical axis measures voltage
C) On the calibrated graph paper used for electrocardiogram tracing, each small box on the vertical axis measures 1 mm and is equal to 1 mV
D) On the calibrated graph paper used for electrocardiogram tracing, the horizontal axis measures voltage and also represents mm of ST segment deviation

5. Which of the following statements is true regarding positive end-expiratory pressure (PEEP)?

A) PEEP may decrease intracranial pressure and increase renal perfusion
B) Use of PEEP may decrease the risk of barotrauma due to lower mean and peak airway pressures during ventilation
C) PEEP may decrease hepatic congestion
D) The application of positive pressure to the airways during expiration may keep alveoli open and prevent early closure during exhalation in conjunction with any of the ventilator modes

Solutions: