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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

1. All of the following are examples of proton pump inhibitors except:

A) Protonix (pantoprazole)
B) Prilosec (omeprazole)
C) Aciphex (rabeprazole)
D) Pepcid (Famotidine)

2. Which of the following statements is true related to hospital-acquired pneumonia?

A) Most cases are due to aspiration of bacteria colonizing the upper gastrointestinal tract or oropharynx
B) Most cases are caused by inhalation of particles or aerosols containing organisms
C) Most cases are caused by hematogenous spread of the organism to the lung from another site in the body
D) Most cases are caused by decreased level of consciousness and mechanical ventilation

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

4. The nurse would expect to find the following test results in a patient just admitted with a diagnosis of heart failure:

A) Brain natriuretic peptide: Decreased, Serum sodium: Decreased, Serum potassium: Decreased
B) Brain natriuretic peptide: Decreased, Serum potassium: Elevated, Complete Blood Count: Low RBC count
C) Brain natriuretic peptide: Elevated, Serum sodium: Elevated, Albumin: Decreased
D) Brain natriuretic peptide: Elevated, Creatinine: Elevated, Serum sodium: Decreased

5. Weaning or "liberation" from a mechanical ventilator is considered to be successful, or complete, when the patient has been extubated successfully without the need for reintubation within:

A) 72 hours
B) 12 hours
C) 24 hours
D) 48 hours

Solutions: