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AACN Progressive Care Certified Nursing Sample Questions:

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

A) Oblique views allow for better visualization of structures behind the heart
B) 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
C) 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
D) 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

2. Clinical signs and symptoms specific to right-sided heart failure include which of the following?

A) Dependent edema, nausea and vomiting, pansystolic murmur at the lower left sternal border
B) Dependent edema, rales, pansystolic murmur at the apex
C) Rales, pulsus alternans, dizziness and syncope
D) Dependent edema, nausea and vomiting, pansystolic murmur at the apex

3. Conditions that may impair ventilation and lead to acute respiratory failure in an adult include:

A) Spinal cord injury (C4 or higher), Guillain-Barre syndrome, respiratory muscle fatigue
B) Asthma, pneumonia, phrenic nerve damage
C) Phrenic nerve damage, Guillain-Barre syndrome, aspiration pneumonia
D) Aspiration pneumonia, pulmonary edema, spinal cord injury (C4 or higher)

4. Which of the following is a balanced vasodilator which affects the arterial and venous systems and, if used for longer than 48 hours, carries the risk of thiocyanate toxicity, especially in patients with renal dysfunction?

A) Hydralazine
B) Nitroprusside
C) Diazoxide
D) Nitroglycerin

5. The most potent means to reduce the likelihood of aspiration in a patient who is receiving enteral feeding is:

A) Verify appropriate placement of the feeding tube every four hours
B) Remove the feeding tube as soon as possible
C) Strict use of the semirecumbent position
D) Maintain meticulous oral hygiene

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