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AACN Progressive Care Certified Nursing Sample Questions:

1. Interventions to help prevent disagreement between staff and family perspectives about the type or priorities of family needs include all of the following except:

A) Providing information according to family needs
B) Establishing methods to contact and communicate with the patient's family
C) Identification of a family spokesman or contact person
D) Relying on nurses to fulfill all family needs

2. Which of the following are considered cornerstone therapy for heart failure in an effort to reverse the remodeling of the left ventricle?

A) ACE inhibitors and aldosterone antagonists
B) ACE inhibitors and beta-blockers
C) ACE inhibitors and digoxin
D) ACE inhibitors and angiotensin receptor blockers

3. Current recommendations related to the nutritional needs of acutely ill patients suggest feeding about
25 total calories per kg per day based on the patient's ideal body weight and, in the presence of conditions that increase catabolism, increasing the total calories to 27.5 per kg per day. One serious potential complication of the overfeeding of carbohydrates in an attempt to improve nutrition status is:

A) Hepatic steatosis
B) Thrombocyte adhesiveness
C) Impaired immune response
D) Fat overload syndrome

4. Which of the following statements is true regarding arterial catheters?

A) The most common insertion site is the femoral artery
B) Following the removal of an arterial catheter, firm, direct pressure is maintained over the site for a minimum of 90 seconds, followed by the application of a pressure dressing
C) Following the removal of an arterial catheter, firm, direct pressure is applied at the site for a minimum of 2 minutes, followed by the application of a pressure dressing
D) The Allen test is performed prior to insertion in the radial artery

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

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

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