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AACN Progressive Care Certified Nursing Sample Questions:
1. An 85-year-old female patient, Ann, was admitted to the progressive care unit from a nursing home three days ago. She has a severely painful stage IV pressure ulcer and has been diagnosed with sepsis.
Ann is confused and frequently cries for "Fred." No family has been to visit. She has no advance directives. At 2 am, while the nurse is changing Ann's gown, she becomes unresponsive and stops breathing.
The correct action for the nurse to take is to:
A) Initiate CPR
B) Make Ann comfortable and do nothing, as she had no advance directive
C) Call Ann's physician to obtain a Do Not Resuscitate order
D) Run a "slow" code
2. Which of the following most accurately defines sepsis?
A) The presence of severe hypotension combined with a serum lactate level of greater than 2 mmol/L in a patient who has undergone fluid resuscitation
B) The systemic inflammatory response syndrome that occurs in response to a clinical insult
C) A dysregulated host response to an infection leading to life-threatening organ dysfunction
D) The dysregulated systemic response to infection
3. The overall goals for oxygen therapy include all of the following except:
A) To decrease the work of breathing
B) To treat hypoxemia
C) Maximize myocardial and tissue oxygen supply
D) Decrease alveolar oxygen tension
4. The dosing regimen of this recombinant plasminogen activator requires double bolus doses. What is the drug?
A) Argatroban
B) Bivalirudin
C) Reteplase
D) Alteplase
5. A patient with a tracheostomy spontaneously opens his eyes to verbal stimuli and obeys verbal commands. His Glasgow Coma Scale score is:
A) 10
B) 10T
C) 0 or NA
D) 11
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: B |




