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AACN PCCN Exam Syllabus Topics:

AACN Progressive Care Certified Nursing Sample Questions:

1. Current recommendations related to the nutritional needs of acutely ill patients suggest feeding about
25 total calories per kg per day based on the patient's ideal body weight and, in the presence of conditions that increase catabolism, increasing the total calories to 27.5 per kg per day. One serious potential complication of the overfeeding of carbohydrates in an attempt to improve nutrition status is:

A) Fat overload syndrome
B) Hepatic steatosis
C) Impaired immune response
D) Thrombocyte adhesiveness

2. Which of the following statements is true related to cerebral blood flow?

A) Vasodilation of cerebral vessels occurs in response to decreased blood pressure
B) An increase in the pressure of arterial carbon dioxide results in constriction of the cerebral vessels
C) A buildup of lactic acid in the bloodstream causes constriction of cerebral vessels
D) Increased blood pressure results in vasodilation of cerebral vessels

3. Which of the following statements is true related to pressure injuries?

A) Dry eschar on the heel must always be debrided to expose the base of the wound before healing can occur
B) To correctly stage pressure injuries, accurate measurements of the wound's depth must be taken
C) Stage 3 pressure injuries are defined as partial-thickness tissue loss
D) Unstageable pressure injuries are defined as full-thickness tissue loss

4. Venturi masks are often useful in patients with chronic obstructive pulmonary disease and hypercapnia because the clinician can titrate the Pao2 to minimize which of the following?

A) Carbon dioxide retention
B) Humidification loss
C) The risk of bleeding
D) Tidal volume

5. All of the following statements regarding chest x-rays are true except:

A) With portable anterior-posterior chest films, the film cassette is placed behind the patient and the x- ray beam is delivered through the anterior chest to the x-ray film
B) All caregivers assisting with chest x-rays need to protect themselves from radiation exposure by positioning themselves behind the x-ray machine or by using lead aprons covering the neck, chest, and abdomen
C) Distortions resulting from an anterior-posterior chest x-ray can be minimized by placing the patient in a high Fowler position or as erect as possible, with the thorax symmetrically placed on the x-ray film
D) Oblique views allow for better visualization of structures behind the heart

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