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AACN Progressive Care Certified Nursing Sample Questions:

1. All of the following statements related to hypertension are true except:

A) Hypertension in stage I is characterized by an elevated systolic blood pressure 130-139 mm Hg systolic or 80-89 mm Hg diastolic in adults
B) Current guidelines define a normal blood pressure as a systolic BP < 120 mm Hg and diastolic BP < 80 mm Hg in adults
C) Stage 2 hypertension is defined as a systolic BP > 140 mm Hg or a diastolic BP > 90 mm Hg in an adult
D) Consistent therapy in stage 1 hypertension is rarely necessary

2. Which of the following statements is true related to mechanical ventilators?

A) Negative-pressure ventilators decrease intrathoracic pressure causing atmospheric gas to be drawn into the lungs
B) Positive-pressure ventilators are rarely used to manage acute respiratory problems in progressive care
C) Positive-pressure ventilators can dramatically decrease intrathoracic pressure during inspiration
D) Positive-pressure ventilatory support can only be accomplished invasively

3. Violent behavior, hallucinations, rhabdomyolysis, and hypertensive crisis are signs and symptoms of an overdose of:

A) Phencyclidine
B) Barbiturates
C) LSD
D) Cocaine

4. The nurse suspects an acute gastrointestinal bleed in which of the following patients:

A) A 30-year-old female smoker with a pulse rate of 58 and abdominal distension
B) A 90-year-old confused male with a blood pressure of 160/90 and a pulse rate of 90
C) An elderly, arthritic woman with a pulse rate of 132 and hematemesis
D) A 20-year-old female with nausea, epigastric pain, and bradycardia

5. To prevent Wernicke encephalopathy, patients may require which of the following?

A) Intravenous thiamine
B) Lactulose
C) Endotracheal intubation
D) Vitamin K

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