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AACN Progressive Care Certified Nursing Sample Questions:

1. Of the following precipitating events of acute respiratory failure in patients with chronic obstructive pulmonary disease (COPD), which are related to decreased lung capacity for gas exchange?

A) Pulmonary embolus and heart failure
B) Atelectasis and bronchospasm
C) Pleural effusions and pneumonia
D) Pulmonary embolism and airway edema

2. In an adult, which of the following generally indicates severe bronchoconstriction?

A) An absolute peak flow measurement of less than 200 L/minute
B) An absolute peak flow measurement of less than 100 L/minute
C) An absolute peak flow measurement of less than 500 L/minute
D) An absolute peak flow measurement of less than 275 L/minute

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

A) It cannot be administered per IV bolus
B) It is used commonly in combination with loop diuretics to maintain urine output for patients with diuretic resistance
C) Maximum oral daily dose is 30 mg
D) It is a loop diuretic

4. Bruising of the spinal cord that includes bleeding into the spinal cord is known as:

A) Laceration
B) Hemorrhage
C) Contusion
D) Concussion

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

A) It is sometimes required on a routine schedule
B) One indication of the need for suctioning is increased inspiratory pressure on the ventilator
C) Inserting the suction catheter into the trachea can stimulate the vagus nerve leading to bradycardia or asystole
D) Hyperoxygenation with 100% oxygen for a minimum of 30 seconds is provided prior to each suctioning episode

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