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AACN Progressive Care Certified Nursing Sample Questions:

1. Oversensing of a pacemaker can be caused by:

A) The sensitivity control being set too high
B) Intrinsic ventricular activity falling in the pacemaker's refractory period
C) Intrinsic QRS voltage too low to be sensed by the pacemaker
D) Asynchronous mode

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

3. When faced with decisions which involve disagreements over care between care providers, which of the following is the best potential referral for the nurse to consider making?

A) Social work
B) Pastoral care
C) Ethics committee
D) Care coordinator

4. All of the following are signs and symptoms of cardiac tamponade except:

A) Muffled heart sounds
B) Sinus tachycardia
C) Pulsus paradoxus
D) Hypertension

5. Treatment of torsades de pointes may include all of the following except:

A) Defibrillation with an unsynchronized shock to terminate the episode if torsades de pointes degenerates into ventricular fibrillation
B) Teaching the patient lifestyle modifications such as avoidance of swimming and startling loud noises like alarm clocks
C) Overdrive atrial or ventricular pacing at a rate of 80 beats per minute or faster to prevent the pauses that may precipitate episodes of torsades de pointes
D) Managing the patient with pacing and magnesium as temporary strategies until the underlying cause of the disorder can be eliminated

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