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AACN Progressive Care Certified Nursing - PCCN Exam Practice Test

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Total 502 questions

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Question 1

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

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

Correct Answer: A

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Question 2

The use of a ventilator with a heated moisture exchanger (HME) is contraindicated in all of the following except:

A. Patients who have frank bloody secretions B. Patients who have uncuffed endotracheal tubes C. Patients with body temperatures less than 32 degree Celsius D. Patients with a body temperature greater than 37 degrees Celsius

Correct Answer: D

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Question 3

The Child-Pugh classification bases assessment of hepatic function on two clinical variables and three biochemical tests. Which of the following criteria are included in the Child-Pugh assessment?

A. Total bilirubin, prothrombin time, ascites B. Serum albumin, total bilirubin, age C. Total bilirubin, hepatic encephalopathy, age D. Serum sodium, total bilirubin, ascites

Correct Answer: A

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Question 4

The Health Information Portability and Accountability Act Privacy Rules create a legal mandate to honor the ethical obligation of which of the following?

A. Privacy B. Autonomy C. Privacy and confidentiality D. Confidentiality

Correct Answer: D

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Question 5

Which of the following statements is true regarding artificial airways?

A. Following the insertion of a tracheostomy or endotracheal tube, the cuff of the tube is inflated so that the pressure is maintained at less than 25 mm Hg B. More communication options are available to patients with endotracheal tubes than with tracheostomy tubes C. A fenestration is necessary to be able to talk with a tracheostomy tube D. More nutrition options are available to patients with endotracheal tubes than with tracheostomy tubes

Correct Answer: A

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Question 6

Patients with dysfunction of which cranial nerve are unable to close the eyelid on the affected side?

A. V B. VIII C. VII D. VI

Correct Answer: C

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Question 7

All of the following statements related to ventricular assist devices are true except:

A. An appropriate diagnosis for placement of a ventricular assist device is acute myocardial infarction with cardiogenic shock B. Once a ventricular assist device is inserted, a patient may be removed from the transplant list C. Once inserted, a ventricular assist device is never removed D. Ventricular assist device support is predominately utilized for the left ventricle

Correct Answer: C

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Question 8

An effective bowel program in a patient with spinal cord injury:

A. Is maintained until the patient is hemodynamically stable B. Leads to urinary retention C. Increases the patient's sense of control D. Limits continence

Correct Answer: C

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Question 9

On the electrocardiogram, atrial muscle depolarization is represented by which of the following?

A. T wave B. P wave C. U wave D. PR interval

Correct Answer: B

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Question 10

Following the administration of a warfarin dose, the peak depression of coagulation occurs in approximately how long?

A. 12 hours B. 36 hours C. 24 hours D. 8 hours

Correct Answer: B

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Question 11

The most potent means to reduce the likelihood of aspiration in a patient who is receiving enteral feeding is:

A. Strict use of the semirecumbent position B. Maintain meticulous oral hygiene C. Remove the feeding tube as soon as possible D. Verify appropriate placement of the feeding tube every four hours

Correct Answer: A

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Question 12

Which of the following is an agent used to control nausea and vomiting often related to the use of opioids, but which carries the risk of seizures and tardive dyskinesia?

A. Scopolamine B. Ondansetron (Zofran) C. Metoclopramide (Reglan) D. Prochlorperazine (Compazine)

Correct Answer: C

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Total 502 questions

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