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AACN Progressive Care Certified Nursing Sample Questions:

1. Current recommendations related to the nutritional needs of acutely ill patients suggest feeding about
25 total calories per kg per day based on the patient's ideal body weight and, in the presence of conditions that increase catabolism, increasing the total calories to 27.5 per kg per day. One serious potential complication of the overfeeding of carbohydrates in an attempt to improve nutrition status is:

A) Impaired immune response
B) Thrombocyte adhesiveness
C) Hepatic steatosis
D) Fat overload syndrome

2. Regarding hospital-acquired infections, the nurse realizes that:

A) Urinary tract infections are the most common hospital-acquired infections in the progressive care setting
B) Pneumonias are the most common hospital-acquired infections in the progressive care setting
C) If a urinary catheter was placed in an emergency situation, it should be left in place and antibiotics initiated rather than increasing the risk of infection caused by replacing the catheter.
D) It is estimated that at least 65% of progressive care patients acquire some type of infection

3. Which of the following statements is true related to the working environment of a nurse?

A) The attributes of a nurse's work environment are most often static
B) No link exists between nurses' reported moral distress and their perceptions of the work environment
C) The nurse has an obligation to contribute to an ethical working environment
D) The nursing work environment is an entity unto itself

4. To ensure consistency in QT-interval monitoring, a single method should be used by all practitioners who are responsible for cardiac monitoring. Each facility should have a protocol in place that defines this specific method of QT-interval monitoring and includes all of the following except:

A) The method for determining the end of the Q wave
B) The formula for heart rate correction
C) Criteria for lead selection
D) Defines the equipment to be used (manual or electronic)

5. Congenital Long-QT syndrome type 3 (LQT3) dysrhythmia events:

A) Often occur during physical activity
B) Are typically triggered by emotional upset
C) Are typically triggered by loud noises
D) Commonly occur during rest or sleep

Solutions: