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AACN Progressive Care Certified Nursing Sample Questions:

1. In a patient with diabetic acidosis, the nurse expects laboratory levels to reveal:

A) Low serum glucose, decreased acidity, low carbon dioxide
B) Elevated serum glucose, increased acidity, low carbon dioxide
C) Low serum glucose, increased acidity, high carbon dioxide
D) Elevated serum glucose, normal acidity, high carbon dioxide

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

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

3. A physician has ordered cardiac catheterization for a patient in the progressive care unit. After explaining the procedure, the patient, who is alert, oriented, and competent to make decisions is refusing to give informed consent.
The nurse's role is to:

A) Try to get the patient to change his mind by providing more information
B) Threaten to call the physician
C) Respect and support the patient's decision
D) Have the consent signed by the patient's spouse, since she has power of attorney

4. Signs and symptoms of acute heart failure related to pericardial effusion include:

A) Hypertension, tachycardia, increased respiratory rate
B) Decreased respiratory rate, decreased oxygen saturation, decreased peripheral pulses
C) Decreased peripheral pulses, decreased urinary output, decreased oxygen saturation
D) Hypotension, tachycardia, increased urinary output

5. If which of the following does not close properly, blood flows backward from the aorta into the left ventricle during diastole?

A) Pulmonary valve
B) Mitral valve
C) Tricuspid valve
D) Aortic valve

Solutions: