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AACN Progressive Care Certified Nursing Sample Questions:

1. A 28-year-old female patient is in the progressive care unit following a motor vehicle accident. She wants her seven-year-old son to visit but is concerned he will be frightened by all the equipment. Which of the following actions could demonstrate caring practices by the nurse?

A) Tell the patient to delay her son's visit until there is less equipment to worry about
B) Offer to explain to the child what to expect when he sees his mother
C) Tell the patient it would be better for her child not to visit
D) Tell the patient not to worry; her son has probably viewed worse things on video games

2. Which of the following statements is true regarding positive end-expiratory pressure (PEEP)?

A) PEEP may decrease hepatic congestion
B) The application of positive pressure to the airways during expiration may keep alveoli open and prevent early closure during exhalation in conjunction with any of the ventilator modes
C) PEEP may decrease intracranial pressure and increase renal perfusion
D) Use of PEEP may decrease the risk of barotrauma due to lower mean and peak airway pressures during ventilation

3. Evidence-based practice guidelines for the prevention of ventilator-associated pneumonia include which of the following?

A) Large-volume room-air humidifiers which create aerosols (nebulizers) must be sanitized at least daily and filled only with distilled water
B) Do not routinely change the patient's ventilator circuit
C) Unless contraindicated by the patient's condition, perform nasotracheal rather than orotracheal intubation
D) In patients at increased risk for aspiration (e.g., enteral tube in place) the head of the bed should remain elevated at 30 to 45 degrees at all times. For other mechanically ventilated patients, supine positioning is preferred.

4. Normal blood carbon dioxide tension (PaCO2 ) ranges from:

A) 7.35 - 7.45 mm Hg
B) 22 - 26 mm Hg
C) 40 - 45 mm Hg
D) 35 - 45 mm Hg

5. All of the following statements related to haloperidol are true except:

A) QTc interval monitoring is required when using haloperidol
B) It sedates without significant respiratory depression
C) Extrapyramidal reactions to haloperidol are possible
D) It is associated with the development of tolerance

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