AACN Progressive Care Certified Nursing : PCCN

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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

Question 1

An 89-year-old male Asian patient in the terminal stages of lung cancer has many family members visiting at all hours of the day and night. His family brings various ethnic foods and performs ritualistic activities. Which of the following activities should be taken by the nurse?

A. Restrict visiting hours so other patients are not disturbed
B. Post large signs above the head of the bed and on the door clearly stating that the patient is allowed to have no solid food
C. Provide comfort and privacy for the patient and family by keeping the other bed in the room unassigned
D. Notify the patient's physician of the unusual activities

Question 2

Which of the following statements is true regarding artificial airways?

A. More communication options are available to patients with endotracheal tubes than with tracheostomy tubes
B. More nutrition options are available to patients with endotracheal tubes than with tracheostomy tubes
C. A fenestration is necessary to be able to talk with a tracheostomy tube
D. Following the insertion of a tracheostomy or endotracheal tube, the cuff of the tube is inflated so that the pressure is maintained at less than 25 mm Hg

Question 3

All of the following statements related to the practice of checking gastric residual volume are true except:

A. Unless other signs of intolerance are identified, automatic cessation of enteral feeding should not be considered unless GVRs of greater than 500 mL are obtained
B. One to two liters per day of saliva and gastric secretions are produced above the pylorus
C. The type of feeding tube in place, as well as the method of aspiration, are factors which affect the assessment of gastric residual volume
D. The routine practice of checking gastric residual volume has not been validated

Question 4

Ketorolac should not be used for more than:

A. 72 hours
B. 48 hours
C. 2 weeks
D. 5 days

Question 5

In issues regarding informed consent and medical decision-making, all of the following are appropriate actions for a surrogate decision-maker except:

A. Provide informed consent
B. Analyze the burdens and benefits of patient treatment options
C. Make decisions based on his or her own values, using his or her best judgment
D. Apply the best interests standard to the decision-making process

Solutions: