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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

1. Of the distributive shock syndromes, the one most commonly seen in the acute care setting is:

A) Septic shock
B) Neurogenic shock
C) Cardiogenic shock
D) Anaphylaxis

2. This medication is commonly given to manage an acute hypertensive episode. It is a beta-receptor agonist (beta-blocker) particularly indicated in patients with suspected myocardial infarction or angin a. To administer, a 5 mg bolus is given over 5 minutes and repeated three times. IV drip may then be started. What is the medication?

A) Nitroprusside
B) Nicardipine
C) Labetalol
D) Enalapril

3. All of the following statements related to stimulation threshold testing are true except:

A) After the stimulus threshold is determined, the output should be set 2 to 3 times higher than the threshold
B) The pacing rate may need to be temporarily decreased to override an intrinsic rhythm
C) The monitor much continuously be monitored during stimulation threshold testing
D) The stimulus threshold is determined by first decreasing the output until the pacing stimulus no longer captures the heart, and then slowly increasing the output until 1:1 capture resumes

4. Of the following, which is the gold standard for detecting pulmonary embolism?

A) Computed tomography of the pulmonary arteries (CTPAs)
B) Pulmonary angiography
C) MRI
D) Ventilation-perfusion (V/Q) scanning

5. A patient who is scheduled for coronary angiography states, "I want to be asleep during my procedure. I can't stand any kind of pain." Of the following, the best response for the nurse to make to this patient is:

A) "You will have to be awake during the procedure so you can control your breathing."
B) "It sounds like you're feeling anxious. What has your doctor told you about your procedure?"
C) "You have to stay awake, but the procedure is painless."
D) "Don't worry. You will be given medicine to make you very sleepy and you won't remember anything."

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