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Progressive Care Certified Nurse (PCCN) Exam Practice Test
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The PCCN certification confirms your knowledge of care for acutely ill adult patients. The credential, which is valid for three years, is granted by the American Association of Critical-Care Nurses (AACN) Certification Corporation. To sit for the PCCN exam, you must meet these criteria:  - Do you have an RN or APRN license in good standing?  - Have you practiced as an RN or APRN for at least 1,750 hours in direct care of acutely ill adult patients in the previous two years, with 875 of those hours accrued in the year leading up to the exam application? OR - Have you practiced as an RN or... Show more
Progressive Care Certified Nurse (PCCN) Exam Practice Test
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25 Questions

1. A 37-year-old female patient has a GCS score of 6. The GCS assesses
2. The nurse managing a patient with ischemic cardiomyopathy is titrating an IV dose of norepinephrine bitartrate. The order is written to start at 8 mcg/min and titrate to systolic blood pressure greater than 90 mmHg. Which of the following should the nurse do?
3. Following the onset of acute myocardial infarction, a 70-year-old male patient has a blood pressure of 75/48 mmHg and oliguria. The most appropriate pharmacologic intervention to manage cardiogenic shock in this case would be
4. A 62-year-old woman has been diagnosed with new-onset atrial fibrillation and is scheduled for transthoracic cardioversion. Which of the following is a complication arising from transthoracic cardioversion?
5. A 69-year-old woman with angina complains of chest discomfort and shortness of breath. The nurse places the patient in a semi-Fowler position. This involves
6. A 37-year-old obese woman with a history of obstructive sleep apnea is being discharged. Which of the following best describes the MAIN priority for her home care?
7. A 68-year-old male patient with supraventricular tachycardia of recent onset is scheduled for pharmacologic cardioversion. Which of the following is NOT a contraindication for pharmacologic cardioversion?
8. The father of a 7-year-old girl who is being treated for acute lymphoblastic leukemia wishes to spend the night with his daughter. Although this is contrary to visiting policy, the child pleads with the nurse to allow her father to stay. Which of the following actions by the nurse is the BEST approach to this dilemma?
9. A 58-year-old male patient with diabetes is admitted with a history of weakness in his legs during activity. On examination, his blood pressure is 158/98 mmHg; his dorsalis pedalis is weak; and the skin on his feet is reddened. The most likely treatment for this patient is
10. The nurse is performing tracheotomy stoma care for a patient on mechanical ventilation who is being weaned from the tracheostomy tube. The patient’s family asks what will happen when the patient’s tube is removed. What should the nurse tell the family?
11. An 86-year-old man is admitted with pneumonia. He requires 100% O2 via a non-breather mask to maintain SpO2 >90%. Which of the following collaborating professionals should the nurse involve in this patient’s care?
12. Following a chest infection, a patient with type 1 diabetes reports fatigue and nausea. Assessment reveals a blood glucose level of 450 mg/dL. Which of the following pharmacologic interventions are priorities for patient care?
13. During a shift change, the nurse monitoring a 67-year-old female patient who is being treated for pericarditis notes that the patient’s urine output for the previous 4 hours decreased to <30 mL/hr. Nursing intervention should include
14. What life-threatening reaction is associated with sickle cell anemia treatment agents?
15. A 61-year-old woman with multiple sclerosis and a sacral pressure ulcer is being treated for pneumonia. During a dressing change, she becomes short of breath. On assessment, her blood pressure is low, pulse is rapid, and her skin is pale and moist. If these symptoms indicate acute respiratory failure, which of the following should the nurse do FIRST?
16. Which of the following patient statements LEAST reflects caring practice in progressive care nursing? The nurse
17. Which of the following is an abnormal finding on inspection of an adult patient’s chest?
18. The nurse is catheterizing a 47-year-old female patient prior to surgery and at the end of the procedure lifts the drainage bag above the patient’s body, putting the patient at risk for which of the following events?
19. The main function of parasympathetic stimulation is to
20. The nurse is monitoring a 69-year-old male patient who is being treated for Cushing syndrome. He complains of headache and nausea. On assessment, his blood pressure is 210/126 mmHg. Which of the following interventions should the nurse anticipate?
21. The products of excretion measured for interpretation of renal function are
22. Minute ventilation (VE) is composed of
23. Coronary blood flow rate is approximately
24. Following 5 days in the ICU, a 24-year-old female patient is transferred to progressive care. After the first night, she reports not sleeping and becomes increasingly anxious. Which of the following approaches is acceptable for care of this patient?
25. A patient with a history of psychosis is 48 hours postoperative following an appendectomy. He becomes agitated, delusional, verbally abusive, and he hits a nurse who approaches him. Which of the following is the FIRST responsive action the nurse’s colleague should take?

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