AACN PCCN : Progressive Care Certified Nursing

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AACN Progressive Care Certified Nursing Sample Questions:

1. According to the National Pressure Ulcer Advisory Panel, a wound in which exposed tendon is directly palpable in part of the wound, but slough obscures visualization in other parts of the wound is:

A) A Category/Stage 3 pressure injury
B) A deep tissue injury
C) An Unstageable-Unknown depth pressure injury
D) A Category/Stage 4 pressure injury

2. Supplementation of which of the following is most frequently necessary in patients with renal failure?

A) Folic acid, ascorbic acid, and fat-soluble vitamins
B) Folic acid, pyridoxine, and water-soluble vitamins
C) Pyridoxine, phosphorus, and water-soluble vitamins
D) Folic acid, niacin, and water-soluble vitamins

3. All of the following statements are true concerning the QRS complex on electrocardiogram except:

A) A Q wave is an initial positive deflection from baseline
B) The width of the QRS complex represents intraventricular conduction time and is measured from the point at which it first leaves the baseline to the point at which the last wave ends
C) An R wave is the first positive deflection from baseline
D) An S wave is a negative deflection that follows an R wave

4. A 55-year-old type 2 diabetic with severe dementia was started on insulin during her stay in the progressive care unit. She will be discharged with orders for blood glucose monitoring and sliding scale insulin. The patient has a 24-hour a day live-in caregiver who has assisted with her oral medications in the past and who has visited the patient daily in the hospital. One daughter, who is the patient's power of attorney, lives out-of-state and has visited only one time during the patient's five-day stay in the hospital. She is leaving today. Home care nursing has been arranged to provide care for the patient at home following discharge.
Who is it essential for the nurse to include in instructions related to glucose testing and insulin administration?

A) The power of attorney
B) No instructions need to be given since the patient will be receiving home care nursing services
C) The patient
D) The in-home care giver

5. Capnography measures which of the following?

A) Exhaled nitrogen
B) Exhaled carbon monoxide
C) Exhaled bicarbonate
D) Exhaled carbon dioxide

Solutions: