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AACN Progressive Care Certified Nursing Sample Questions:

1. Evidence-based practice guidelines related to family interventions that should occur during the evaluation stage of the nursing process includes which of following?

A) Use multiple methods to evaluate achievement of meeting family needs
B) Establish optimum methods to contact the family
C) Make referrals as appropriate for support services
D) Provide information according to family needs

2. Acute ischemic heart disease is most often caused by:

A) Coronary artery spasm
B) Fixed obstructions
C) Spasm of the smooth wall of the coronary arteries
D) Thrombus formation at a site of atherosclerotic plaque rupture within a coronary artery

3. Of the following, which factor most influences aspiration and pneumonia risk in the enterally fed patient?

A) The delivery rate of the feeding formula
B) The size of the feeding tube
C) The site of the feeding tube (mouth, nose, or gastric)
D) The position of the patient

4. An ethical dilemma occurs when:

A) A person has identified what is the correct action that needs to be taken but is unable to take that action
B) More than one person has the right to make a decision and they do not agree on the correct course of action to take
C) Two opposing but equally justifiable courses of action are identified
D) A person is unable to identify the correct action to take

5. All of the following statements related to enoxaparin are true except:

A) Enoxaparin is primarily renally eliminated with the potential for drug accumulation in patients with renal impairment
B) The dosing adjustment for enoxaparin in patients with creatinine clearances less than 30 mL/min is to extend the dosing interval from 12 hours to 24 hours in both prevention and treatment of thrombosis
C) It is a factor Xa inhibitor, indicated for venous thromboembolism (VTE) prophylaxis post hip or knee replacement, or prophylaxis of embolism or cerebrovascular accident (CVA) in patients with nonvalvular atrial fibrillation. The agent is also indicated for pulmonary embolism and deep venous thrombosis (DVT) treatment.
D) It is possible to monitor enoxaparin anticoagulation by measuring antifactor Xa levels

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