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

2. Acute respiratory failure (ARF) can occur as a result of many abnormalities but, regardless of the specific underlying condition, the etiology of ARF in adults can be categorized into four main components:
impaired ventilation, impaired gas exchange, airway obstruction, and ventilation-perfusion abnormalities. Which of the following conditions causes airway obstruction?

A) Pulmonary embolism
B) Spinal cord injury at C4 or higher
C) Asthma
D) Phrenic nerve damage

3. Of the following medications, which is a recombinant human b-type natriuretic peptide which is effective in decreasing pulmonary wedge pressure and improving dyspnea symptoms in acutely decompensated heart failure patients who have dyspnea at rest or with minimal activity?

A) Dofetilide
B) Clevidipine
C) Ibutilide
D) Nesiritide

4. Risk factors for the development of an acute severe asthma episode include all of the following except:

A) Frequent need for the use of "rescue" inhalers
B) Prior intubation
C) Regular use of "controller" medications
D) Frequent past emergency room visits

5. Signs and symptoms of oxygen toxicity mainly target which systems?

A) Pulmonary and endocrine systems
B) Central nervous system and musculoskeletal system
C) Pulmonary and musculoskeletal systems
D) Pulmonary and central nervous systems

Solutions: