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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

Question 1

Clinical signs and symptoms specific to right-sided heart failure include which of the following?

A. Rales, pulsus alternans, dizziness and syncope
B. Dependent edema, nausea and vomiting, pansystolic murmur at the apex
C. Dependent edema, rales, pansystolic murmur at the apex
D. Dependent edema, nausea and vomiting, pansystolic murmur at the lower left sternal border

Question 2

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

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

Question 3

Anemia is defined as:

A. A hemoglobin count less than 10 g/dL with at least one of the following symptoms: Shortness of breath on exertion, hematocrit less than 33%, and/or pallor of the skin and mucous membranes
B. A hemoglobin count less than 8 g/dL with hematocrit less than 33%
C. A hemoglobin count less than 12 g/dL
D. A hemoglobin count less than 10 g/dL

Question 4

conditions related to aortic aneurysm except:

A. Acute aneurysm rupture
B. Aortic dissection refractory to medical therapy
C. Aortic dissection in the ascending aorta
D. Asymptomatic patients with a fusiform aneurysm 4 cm or more in diameter

Question 5

All of the following statements are true regarding chest tubes except:

A. A Heimlich flutter valve consists of a one-way valve that allows air or drainage to collect in a vented drain bag
B. The PleurX catheter has a one-way valve and connects as needed to a drainage system
C. Following insertion, chest tubes are connected to a closed drainage collection system which uses gravity or suction to restore positive pressure in the pleural space and facilitate drainage of fluids or air
D. Connections to the drainage system must be airtight and secure for proper functioning and to prevent inadvertent entry of air into the pleural space

Solutions: