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AACN Progressive Care Certified Nursing Sample Questions:

1. The release of which of the following is suppressed in the hormonal response to sepsis?

A) Catecholamines
B) Thyroid hormone
C) Cortisol
D) Growth hormone

2. The American Association of Critical-Care Nurses (AACN) Standards for Establishing and Sustaining Healthy Work Environments identifies six standards which are needed in the workplace to promote the effective resolution of ethical dilemmas. Which of the following is one of these standards?

A) Autocratic leadership
B) Open-ended communication
C) Authentic leadership
D) Adequate staffing

3. Assessment of the ability of the bone marrow to produce red blood cells is obtained by:

A) A platelet count
B) An erythrocyte count
C) A reticulocyte count
D) An absolute neutrophil count

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 in-home care giver
B) No instructions need to be given since the patient will be receiving home care nursing services
C) The patient
D) The power of attorney

5. Treatment of torsades de pointes may include all of the following except:

A) Managing the patient with pacing and magnesium as temporary strategies until the underlying cause of the disorder can be eliminated
B) Overdrive atrial or ventricular pacing at a rate of 80 beats per minute or faster to prevent the pauses that may precipitate episodes of torsades de pointes
C) Defibrillation with an unsynchronized shock to terminate the episode if torsades de pointes degenerates into ventricular fibrillation
D) Teaching the patient lifestyle modifications such as avoidance of swimming and startling loud noises like alarm clocks

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