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Updated: Sep 02, 2025

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AACN Progressive Care Certified Nursing Sample Questions:

1. In a patient who has suffered an acute stroke who would otherwise be eligible for acute reperfusion therapy except that blood pressure is > 185/110 mm Hg, the correct dose of labetalol would be:

A) Labetalol would not be given if considering a patient for reperfusion therapy
B) Labetalol 10-20 mg IV over 1-2 minutes, may repeat 1 time
C) Labetalol 50 mg IV followed by continuous IV infusion of 10-20 mg/min
D) Labetalol 0.1 mg IV over 1-2 minutes, may repeat 1 time


2. Contraindications to ACE inhibitor therapy in the treatment of heart failure include all of the following except:

A) Serum creatinine greater than 2.0 mg/dL
B) Hypotension with systolic blood pressure less than 90 mm Hg
C) Potassium level greater than 5.5 mEq/L
D) Prior history of intolerance


3. Which of the following statements is true regarding hypoglycemia?

A) The American Diabetes Association defines clinically significant hypoglycemia as less than 54 mg/dL
B) Only type 1 diabetics may experience deficiencies in counterregulation systems, leading to hypoglycemic unawareness
C) The American Diabetes Association defines clinically significant hypoglycemia as any low blood glucose value associated with cognitive impairment
D) The American Diabetes Association defines clinically significant hypoglycemia as less than 70 mg/dL


4. All of the following statements are true related to Wolff-Parkinson-White syndrome except:

A) It is the most common type of preexcitation syndrome
B) Preexcitation results in ventricular fusion beats as the ventricles are depolarized simultaneously by the impulse coming through the accessory pathway and through the normal atrioventricular node
C) It is recognized on the electrocardiogram by the presence of a short PR interval and delta waves in many leads
D) It is also known as Brugada syndrome


5. If a pacemaker is operating as an AOO pacemaker, all of the following are true except:

A) It does not sense
B) It is pacing the atria
C) It is pacing in demand mode
D) It does not respond to intrinsic atrial activity


Solutions:

Question # 1
Answer: B
Question # 2
Answer: A
Question # 3
Answer: A
Question # 4
Answer: D
Question # 5
Answer: C

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