AACN PCCN : Progressive Care Certified Nursing

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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

1. All of the following statements are true regarding the current guideline recommendations on red blood cell transfusion except:

A) Transfusions decisions should be made according to patient symptoms as well as hemoglobin levels
B) In hospitalized patients with preexisting cardiovascular disease, transfusions should be limited to patients with symptoms or hemoglobin levels of 10 g/dL or less
C) For hospitalized patients who are stable, transfusions should be restricted to patients with a hemoglobin below 7 g/dL
D) In hospitalized patients, a hemoglobin threshold of 8 g/dL is recommended for those undergoing orthopedic surgery

2. The FOUR score is a validated tool used in the assessment of neurological patients. The categories scored in this tool are:

A) Eye response, verbal, motor, respiration
B) Eyes, motor, brain stem reflexes, respirations
C) Eyes, pain response, brain stem reflexes, respirations
D) Eye response, pain response, verbal response, respirations

3. Regarding pneumonia and cross-contamination, which of the following statements is true?

A) The appropriate use of gloves is the most effective strategy for decreasing the risk of cross- contamination via the hands of hospital personnel
B) Hand washing is not necessary after contact with a respiratory device that is used by a patient when gloves are worn
C) The use of large-volume room-air humidifiers that create aerosols (nebulizers) is acceptable if they can be sterilized at least daily and filled only with sterile water
D) It is not necessary to wear gloves when handling the respiratory secretions of a patient who has been afebrile for the past 48 hours

4. In electrocardiogram, the wave that represents ventricular muscle repolarization is the:

A) T wave
B) U wave
C) P wave
D) ST segment

5. Clinical signs and symptoms specific to left-sided heart failure include which of the following?

A) Dyspnea, jugular vein distension, nausea and vomiting
B) Hepatic congestion, pulsus alternans, pansystolic murmur at the lower left sternal border
C) Poor appetite, pulmonary edema, pansystolic murmur at the lower left sternal border
D) Atrial fibrillation, pulmonary edema, pulsus alternans

Solutions: