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AACN Progressive Care Certified Nursing Sample Questions:

1. Clinical signs and symptoms specific to left heart failure include:

A) Pulmonary edema, atrial fibrillation, pansystolic murmur at apex
B) Liver enlargement and tenderness, decreased appetite, wide split S2
C) Pulmonary edema, fatigue, pansystolic murmur at lower left sternal border
D) Ascites, rales, S3

2. The nurse suspects aortic insufficiency in the presence of the following signs and symptoms:

A) Hepatomegaly, angina, peripheral edema
B) Peripheral edema, angina, supraventricular tachycardia
C) Hepatomegaly, paroxysmal nocturnal dyspnea, de Musset sign
D) Angina, widened pulse pressure, increased pulmonary artery pressures

3. The progressive care environment can be anxiety-provoking for patients. Which of the following statements is most correct related to sedation and delirium in the progressive care unit?

A) The use of sedatives decreases the risk of delirium in acutely ill patients as sedatives induce the stages of sleep that provide a restorative state
B) In clinical trials, oral quetiapine has been shown to reduce the duration of delirium
C) Sedative-induced amnesia protects patients from the psychological stress associated with the progressive care environment and sedation infusions must not be interrupted
D) Lorazepam, a benzodiazepine, has a rapid onset of action and a short duration of effect

4. Evidence-based practice guidelines for the prevention of ventilator-associated pneumonia include all of the following except:

A) The patient's ventilator circuit should not be routinely changed; change only when visibly soiled or mechanically malfunctioning
B) Periodically drain or discard any condensate that collects in the ventilator tubing
C) Perform daily assessments for readiness to wean; pair spontaneous breathing trials with sedation
D) Do not allow condensate in the ventilator tubing to drain toward the patient

5. All of the following are true concerning the administration of recombinant human erythropoietin except:

A) This treatment is appropriate when acute correction of anemia is needed
B) This treatment may help restore bone marrow production of red blood cells
C) This treatment may benefit patients with chronic renal failure
D) This treatment may benefit chemotherapy patients

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