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AACN Progressive Care Certified Nursing Sample Questions:

1. Of the following, which is an absolute contraindication for chest tube insertion?

A) Extensive pulmonary blebs
B) Coagulopathy
C) A lung that is adherent to the chest wall through the hemithorax
D) Multiple adhesions

2. A 55-year-old type 2 diabetic with severe dementia was started on insulin during her stay in the progressive care unit. She will be discharged with orders for blood glucose monitoring and sliding scale insulin. The patient has a 24-hour a day live-in caregiver who has assisted with her oral medications in the past and who has visited the patient daily in the hospital. One daughter, who is the patient's power of attorney, lives out-of-state and has visited only one time during the patient's five-day stay in the hospital. She is leaving today. Home care nursing has been arranged to provide care for the patient at home following discharge.
Who is it essential for the nurse to include in instructions related to glucose testing and insulin administration?

A) No instructions need to be given since the patient will be receiving home care nursing services
B) The patient
C) The power of attorney
D) The in-home care giver

3. 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) Perform daily assessments for readiness to wean; pair spontaneous breathing trials with sedation
C) Periodically drain or discard any condensate that collects in the ventilator tubing
D) Do not allow condensate in the ventilator tubing to drain toward the patient

4. Metabolic Syndrome as described by The American Heart Association (AHA), consists of the presence of five conditions, one of which is low levels of high-density lipoprotein (HDL) cholesterol, defined as:

A) A blood level < 50 mg/dL in men, and < 40 mg/dL in women
B) A blood level < 50 mg/dL in women, and < 40 mg/dL in men
C) A blood level < 50 mg/dL in men, and < 60 mg/dL in women
D) A blood level < 50 mg/dL in women, and < 40 mg/dL in men

5. The goals of treatment of pulmonary arterial hypertension are to minimize symptoms and slow the progression of the disease. Which of the following treatments is most likely appropriate in a patient with PAH who showed a positive response to a vasodilator during right-heart cardiac catheterization?

A) Anticoagulants
B) Beta-blockers
C) Diuretics
D) Calcium channel blockers

Solutions: