AACN Progressive Care Certified Nursing - PCCN Exam Practice Test

In the levels of advocacy, the level 3 nurses advocates for the?
Correct Answer: C
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A nurse is assigned to administer digoxin (Lanoxin) for a client with congestive heart failure. Which of the following parameters would the nurse assess before administering the drug?
Correct Answer: C
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A patient is diagnosed with hypoglycemia due to injudicious insulin use and is out of hospital setting.
What will you do to alleviate the symptoms of patient right there?
Correct Answer: A
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A 60 years old known diabetic for last 15 years presented in medical OPD with weight loss, muscle cramping, headaches and general malaise. He also had anemia which was not responding to typical anti anemic. His BUN and creatinine was also raised when investigated. What is he suffering from most likely?
Correct Answer: B
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Indicators of quality outcome according to ACCN synergy include:
Correct Answer: C
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In a diagnosed case of Irritable Bowel Syndrome, which of the following management options could work?
Correct Answer: B
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A man presented in surgical OPD with steady pain in left lower quadrant, change in bowel habits, Tenesmus and Dysuria. He also complains of recurrent urinary infections from fistulae. What necessary investigations would you like to do?
Correct Answer: C
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What is the immediate management of Tension Pneumothorax?
Correct Answer: A
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An old lady presented to emergency department with dyspnea, tachypnea, hemoptysis, rales and chest pain. On examination, her pulse was irregularly irregular and rate was 350 bpm. What is the most likely diagnosis?
Correct Answer: D
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A 50-year-old man presents with frequent pain during rest periods. The pain lasts for a long time and may radiate to his left upper limb and jaw. He also complains of sweating and shortness of breath with this episode of pain. The pain increases with the passage of time and does not settle with the usual dose of nitroglycerine. Which of the following conditions is responsible for it?
Correct Answer: C
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Wife of 50 years old male patient told the doctor that her husband has large number of mood swings almost daily. It swings between hyperactive state and depression, accompanied by impaired judgement due to distorted thoughts. What is he facing?
Correct Answer: D
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A patient presented with hypertensive urgency. What is the best method of decreasing the blood pressure of the patient in this condition?
Correct Answer: C
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If you want to explain the tripod position, what is the best explanation of this?
Correct Answer: D
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A young man with a known case of valvular heart disease presents in the Accident and Emergency department with complaints of palpitations and fatigue. On examination, his pulse was 300 bpm and was irregularly irregular. ECG revealed the rate of 360 bpm and the rhythm was irregularly irregular.
What is the most likely diagnosis of the patient?
Correct Answer: B
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A patient was put on ventilator after doing a tracheostomy. What points are considered during the care of a tracheostomy patient?
Correct Answer: C
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What is the definitive treatment of Cholecystitis due to Cholelithiasis?
Correct Answer: C
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A patient has developed Acute Respiratory Acidosis, with a pH of 7.25 and a PaCO2 of 55. What is the underlying cause of Respiratory Acidosis?
Correct Answer: A
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Jehovah's Witnesses can receive all of the following transfusions as part of their religious belief except:
Correct Answer: D
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The anticoagulant, Heparin, is appropriate to use in all of the following diagnosis except:
Correct Answer: B
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