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AACN Progressive Care Certified Nursing Sample Questions:

1. All of the following statements related to sinus tachycardia are true except:

A) It is a physiologic response to an increase in cardiac output
B) Persistent tachycardia can cause decreased stroke volume, decreased cardiac output and decreased coronary perfusion
C) It is a normal response to exercise
D) It can be caused by the medications isoproterenol and dopamine

2. Which of the following is a criterion for Metabolic Syndrome, as defined by The American Heart Association?

A) Random blood glucose levels > 150 mg/dL
B) Fasting blood glucose above 100 mg/dL
C) Hypertension, defined as systolic blood pressure above 130 mm Hg and diastolic blood pressure above 85 mm Hg
D) High levels of total cholesterol, defined as > 239 in men and women

3. A Type II second-degree atrioventricular block:

A) Is more common than a type I second-degree atrioventricular block and rarely requires treatment
B) Occurs below the atrioventricular node in the bundle of His or bundle-branch system
C) Is often referred to as a Wenckebach block
D) Is also known as a complete block

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

Solutions: