AACN PCCN : Progressive Care Certified Nursing

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AACN Progressive Care Certified Nursing Sample Questions:

1. All of the following statements related to the compensatory stage of shock are true except:

A) During the compensatory stage of shock, renal blood flow is reduced which activates hormonal response
B) During the compensatory stage of shock, angiotensin I, present in the blood, is converted to angiotensin II in the lungs
C) During the compensatory stage of shock, patients become restless and agitated due to respiratory alkalosis
D) During the compensatory stage of shock, hypovolemia and resultant hypotension lead to activation of the parasympathetic nervous system

2. In communicating with families and patients, the least therapeutic interaction by the nurse is to:

A) Apologize for inconveniences
B) Provide concise explanations without using medical shorthand
C) Maintain confidentiality
D) Elicit care provider preferences

3. Brudzinski sign is:

A) The presence of severe pain in the hamstring with knee flexion when the hip is flexed to 90 degrees
B) Positive in acute appendicitis
C) Also referred to as Homan's sign
D) The involuntary flexion of the knees and hips when the neck is flexed

4. The most common cause of small bowel obstruction is:

A) Inflammatory bowel disease
B) Adhesions due to previous surgery
C) Hernias
D) Malignant tumors

5. 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) Ascites, rales, S3
D) Pulmonary edema, fatigue, pansystolic murmur at lower left sternal border

Solutions: