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AACN Progressive Care Certified Nursing Sample Questions:

1. In the acute post-injury period, assessment of motor function in a patient with a spinal cord injury is performed:

A) Every hour
B) At least every 2 hours
C) At least every 8 hours
D) At least every 4 hours

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

A) 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.
B) Large-volume room-air humidifiers which create aerosols (nebulizers) must be sanitized at least daily and filled only with distilled water
C) Do not routinely change the patient's ventilator circuit
D) Unless contraindicated by the patient's condition, perform nasotracheal rather than orotracheal intubation

3. A patient's level of consciousness is being assessed by a physician who applies a left trapezius squeeze in order to elicit a response. The patient responds by lifting his right arm to his left shoulder. This action would be recognized by the nurse as a response to pain known as:

A) Withdrawal
B) Localization
C) Decorticate posturing
D) Decerebrate posturing

4. All of the following statements are true related to gastrointestinal bleeding except:

A) In all patients with hemorrhage due to esophageal varices, treatment includes antibiotic prophylaxis for spontaneous bacterial peritonitis prior to endoscopy
B) Systemic complications of endoscopic and/or sclerosing agents predominantly affect the respiratory and cardiovascular systems
C) Treatment of a Mallory-Weiss tear is supportive therapy
D) Significant bleeding from stress gastritis is rarely encountered

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

Solutions: