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AACN Progressive Care Certified Nursing Sample Questions:

1. Angiotensin-converting enzyme (ACE) inhibitors are indicated in the management of heart failure and hypertension. Which of the following statements is true about these agents?

A) These agents selectively block the binding of angiotensin II to the receptors in various tissues (i.e., the adrenal gland and vascular smooth muscle)
B) These agents decrease the availability of bradykinin and increase plasma aldosterone concentrations
C) Hypokalemia is a possible complication of ACE inhibitor therapy
D) Drug-induced angioedema associated with these agents most often affects the tongue, lips, face, and upper airway

2. All of the following statements made by a patient reflect caring practice by the nurse on the unit except:

A) "The nurse brought me an extra blanket."
B) "The nurse took over an hour to bring me a pain pill."
C) "The nurse took time to answer my questions."
D) "The nurse is always cheerful."

3. Septic shock occurs when a patient with sepsis who has undergone fluid resuscitation remains hypotensive, requires vasopressors, and has a serum lactate level greater than which of the following?

A) 0.5 mmol/L
B) 1 mmol/L
C) 2 mmol/L
D) 4 mmol/L

4. The Medicare and Medicaid Electronic Health Record (EHR) Incentive Program, established by the Centers for Medicare and Medicaid Services, began offering incentives for hospitals and providers who demonstrated meaningful use of EHRs in:

A) 2007
B) 2006
C) 2014
D) 2011

5. Which of the following statements is true concerning opioids?

A) They can induce constipation which is best treated by bulk-forming laxatives
B) They have no effect on urine production
C) They can worsen oliguria
D) They can induce constipation and, in palliative care patients, methylnaltrexone (Relistor) may be given per intramuscular injection

Solutions: