AACN Progressive Care Certified Nursing : PCCN Exam Questions

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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

1. Symptoms of mild hypoglycemia include:

A) Diaphoresis, tremors, irritability
B) Diaphoresis, tremors, headache
C) Diaphoresis, shakiness, paresthesias
D) Shakiness, headache, excessive hunger

2. All of the following are expected clinical manifestations in a patient who has a serum magnesium level of less than 1.1 mEq/L except:

A) T wave inversion and ST-segment sagging and prolongation
B) Positive Chvostek sign
C) Positive Trousseau sign
D) Prolonged PR and QT intervals

3. All of the following statements related to arterial blood gases are true except:

A) When drawing an arterial blood gas sample from an indwelling arterial catheter, the stopcock closest to the catheter insertion site should be used to obtain the sample
B) An Allen test is performed prior to obtaining arterial blood gases by puncture and prior to the insertion of an arterial line into the radial artery
C) The brachial site is the least preferred site for arterial blood gas sampling and should only be used when other sites are not accessible
D) Complications associated with arterial puncture include arterial vessel tears, air embolism, and loss of extremity

4. Signs and symptoms of cardiac tamponade related to pericardial effusion include:

A) Narrowed pulse pressure, hypertension, pulsus paradoxus
B) Hypotension, narrowed pulse pressure, bradycardia
C) Hypotension, tachycardia, dyspnea
D) Pulsus paradoxus, widened pulse pressure, hypotension

5. Which of the following is the best method of evaluating aspiration risk for patients who are receiving enteral feedings?

A) Evaluating the patient's cough reflex
B) Testing tracheal secretions for the presence of glucose
C) Routine monitoring of gastric residual volume
D) Evaluating the patient's gag reflex

Solutions: