AACN PCCN

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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

Question #1
Which of the following statements is true regarding communication with a ventilated patient?

A. The best way to communicate with the patient who is being mechanically ventilated is through mouthing words
B. The best way to communicate with the patient who has an artificial airway is through gestures
C. Before attempting to guess the needs of a nonvocal patient, provide them with an opportunity to use gestures to convey their needs
D. Each nurse should use his or her own individual communication style with a nonvocal patient as this will communicate competence and authority and put the patient at ease

Question #2
Of the following precipitating events of acute respiratory failure in patients with chronic obstructive pulmonary disease (COPD), which are related to decreased lung capacity for gas exchange?

A. Pleural effusions and pneumonia
B. Pulmonary embolism and airway edema
C. Atelectasis and bronchospasm
D. Pulmonary embolus and heart failure

Question #3
Absorption atelectasis results when high concentrations of oxygen are given over long periods of time and which of the following is washed out of the lungs?

A. Bicarbonate
B. Carbon dioxide
C. Nitrogen
D. Hydrogen

Question #4
The goals of treatment of pulmonary arterial hypertension are to minimize symptoms and slow the progression of the disease. Which of the following treatments is most likely appropriate in a patient with PAH who showed a positive response to a vasodilator during right-heart cardiac catheterization?

A. Calcium channel blockers
B. Anticoagulants
C. Diuretics
D. Beta-blockers

Question #5
The nurse is assessing a patient using the Full Outline of Unresponsive (FOUR) score tool. The patient she is assessing is not intubated, and his respirations are even and easy at rest. He opens his eyes on command, and his pupils are equal and reactive to light. He gives the nurse a "thumbs up" when asked.
What is this patient's FOUR score?

A. 12
B. 16
C. 0
D. 20

Solutions: