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AACN Progressive Care Certified Nursing Sample Questions:

1. Clinical situations that decrease the accuracy of pulse oximetry for assessing oxygen status include:

A) Hypotension, vasoconstriction, hypothermia
B) Nail polish applications, movement of the sensor, hyperthermia
C) Vasoactive drugs, hypertension, low cardiac output
D) Vasoconstriction, hypertension, nail polish application


2. Which ethical principle is defined as fairness?

A) Beneficence
B) Justice
C) Fidelity
D) Privacy and confidentiality


3. The clinical syndrome that results from ineffective pumping of the heart is known as:

A) Cardiogenic shock
B) Hypovolemic shock
C) Anaerobic shock
D) Distributive shock


4. View the supporting details to answer the following question.
Based on the patient's blood gas results provided, the nurse suspects which of the following?
A patient's blood gas results are as follows:
pH 7.21
PaCO2 51
HCO3 25
Base Excess -1
PaO2 63
SaO2 89

A) Metabolic acidosis, no compensation, without hypoxemia
B) Respiratory alkalosis, no compensation, with hypoxemia
C) Respiratory acidosis, full compensation, with hypoxemia
D) Respiratory acidosis, no compensation, with hypoxemia


5. Risk factors for the development of an acute severe asthma episode include all of the following except:

A) Prior intubation
B) Regular use of "controller" medications
C) Frequent past emergency room visits
D) Frequent need for the use of "rescue" inhalers


Solutions:

Question # 1
Answer: A
Question # 2
Answer: B
Question # 3
Answer: A
Question # 4
Answer: D
Question # 5
Answer: B

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