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PCCN EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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PCCN EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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PCCN EXAM QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
TheRnurseRobservesRthatRtheRpatient'sRjugularRveinsRdistendRinRtheRsemi-
uprightRpositionRtoRmoreRthanR5RcmRaboveRtheRsternalRangle.RThisRisRanRindicationRof:R-
RANSWERRfluidRvolumeRoverload.
whatRisRnormalRPulmonaryRarteryRocclusionRpressureR(PAOP)?R-RANSWERR5-12RmmHg
TheRresistanceRagainstRwhichRtheRleftRventricleRmustRpumpRtoRejectRitsRvolumeRis:R-
RANSWERRsystemicRvascularRresistance.
WhenRtheRtricuspidRvalveRisRopen,RcentralRvenousRpressureRreflectsRtheRfillingRpressureRinRthe:R-
RANSWERRrightRventricle.
TachycardiaRisRdangerousRforRtheRpatientRwithRischemicRheartRdiseaseRbecauseRof:R-
RANSWERRcompromisedRcardiacRoutput.
DuringRinitialRexaminationRofRaRcriticalRcareRpatient,RtheRnurseRobservesRwideRandRconvexRnailsRandRbulbo
usRfingertips.RThisRisRevidenceRof:R-RANSWERRcentralRcyanosis.
PrioritiesRforRpalpationRofRtheRpatientRwithRcardiovascularRdiseaseRinclude:R-RANSWERRestimatingRedema.
checkingRcapillaryRrefill
checkingRforRDVT
arterialRpulses
ByRblockingRtheRconversionRofRangiotensinRIRtoRangiotensinRII,Rangiotensin-
convertingRenzymeRinhibitorsRproduce:R-RANSWERRb.Rvasodilation.
TheRnurseRhasRreadRthatRtheRcardiologistRrecommendsRtheRuseRofRclassRIVRdrugsRtoRdepressRsinusRandRatri
oventricularRnodeRconductionRandRterminateRsupraventricularRtachycardiasRinRtheRpatientRatRthisRtime.RTh
eRnurseRwillRanticipateRordersRforRwhichRmedications?R-RANSWERRa.RVerapamil,Rdiltiazem,RorRamlodipine
,TheRnurseRhasRadministeredRaRdrugRthatRstimulatesRβ1-
adrenergicRsites.RFollowingRadministrationRofRtheRdrug,RtheRnurseRwillRassessRfor:R-
RANSWERRa.RincreasedRheartRrate.
TheRnurseRisRobservingRtheRpatient'sRelectrocardiographicRmonitorRafterRinsertionRofRaRtemporaryRpacema
ker.RSeeingRaRP-waveRafterRtheRpacingRartifact,RtheRnurseRknowsRthatRthe:R-
RANSWERRc.RatriumRisRbeingRpaced.
TheRpossibilityRofRmicroshockRwhenRhandlingRaRtemporaryRpacemakerRcanRbeRminimizedRby:R-
RANSWERRb.RinsulatingRtheRendsRofRtheRwires.RandRwearingRglovesRwhenRhandlingRtheRpacingRwires
InRtheRpostoperativeRcardiovascularRpatient,RtheRmostRfrequentRcauseRofRaRdecreasedRcardiacRoutputRis:R-
RANSWERRa.RreducedRpreload.
ARpatientRisRbeingRmonitoredRbyRcontinuousRelectrocardiogramR(ECG)RafterRplacementRofRaRtransvenousRp
acemaker.R"LossRofRcapture"RisRseenRonRtheRECG.RWhichRnursingRinterventionRmayRcorrectRthisRsituation?R-
RANSWERRa.RPositionRtheRpatientRonRtheRleftRside.RorRrepositionRtheRleads
InRanalyzingRtheRECGRstrip,RtheRnurseRnoticesRaRspikeRbeforeReachRQRSRcomplex.RTheRpatient'sRheartRrateRis
R70Rbeats/min.RThisRphenomenonRisRreflectiveRofR-
RANSWERRb.RpacingRartifact;RtheRpacemakerRisRsensingRandRcapturing.
CalculateRtheRcerebralRperfusionRpressureR(CPP)RforRaRpatientRwithRaRmeanRarterialRpressureR(MAP)R=R95R
mmRHgRandRanRintracranialRpressureR(ICP)R=R15RmmRHg.R-RANSWERRb.R80RmmRHg
WhatRprocedureRsecuresRanRarteriovenousRmalformationRwhenRaRpt'sRconditionRisRtooRunstableRforRsurger
y?R-
RANSWERRembolizationRthatRcanRbeRdoneRtoRsecureRtheRlesionRwithoutRsurgery.RWhenRtheRconditionRisRmo
reRstable,RanRoperationRmightRbeRconsideredRifRneeded.
KnowingRthatRaRpatientRhasRhypoxemiaRandRischemiaRinRhisRbrain,RtheRnurseRanticipatesRwhichRofRtheRfollo
wing?R-RANSWERRa.RCerebrovascularRdilation
,TheRnurse'sRpriorityRinReyeRcareRforRtheRpatientRinRaRcomaRwillRbe:R-
RANSWERRc.RkeepingRtheReyesRmoistRtoRpreventRcornealRulceration.
TheRpatientRhasRmarkedlyRdeep,RrapidRrespirationsRwithRaRfruityRbreathRodor.RBasedRonRtheRpatient'sRhisto
ry,RtheRnurseRwill:R-RANSWERRperformRaRbloodRglucoseRmeasurement.
TheRpatientRwithRtheRsyndromeRofRinappropriateRantidiureticRhormoneR(SIADH)RsecretionRwillRneedRtoRhav
eRtheRimbalanceRofRwhichRelectrolyteRcorrectedRasRsoonRasRpossible?R-RANSWERRSodium
WhichRofRtheRfollowingRconditionsRoccursRwhenRtheRrenalRtubulesRareRunableRtoRreabsorbRexcessRglucose?
R-RANSWERRGlycosuria
TheRpatientRhasRaRwaistRmeasurementRofR52Rinches.RHisRtriglycerideRlevelRisR175Rmg/dL,RhisRhigh-
densityRlipoproteinR(HDL)RcholesterolRlevelRisR32Rmg/dL,RandRhisRfastingRplasmaRglucoseRlevelRisR224Rmg/d
L.RHisRbloodRpressureRreadingsRareRusuallyRapproximatelyR140/90RmmRHg.RTheRnurseRrecognizesRtheRchara
cteristicsRof:R-RANSWERRmetabolicRsyndrome.
ToRreverseRtheRhyperglycemicRhyperosmolarRstate,RtheRnurseRwillRfirstRprepareRtoRadminister:R-
RANSWERRfluids
TheRnurseRisRcaringRforRaRpatientRwithRcentralRdiabetesRinsipidusR(DI).RTheRnurseRshouldRanticipateRordersRf
orRtheRadministrationRof:R-RANSWERRvasopressin
InRtheRsyndromeRofRinappropriateRantidiureticRhormoneR(SIADH),RtheRphysiologicalReffectRis:R-
RANSWERRdilutionalRhyponatremia,RreducingRsodiumRconcentrationRtoRcriticallyRlowRlevels.
WhichRassessmentRfindingsRwouldRindicateRfluidRvolumeRexcess?R-
RANSWERRedema,RauscultationRofRaRthirdRheartRsound,RcracklesRinRlungs,RboundingRpulses,RAMS,Rolguria,R
HTN
TheRreportRofRaRrenalRpatient'sRlaboratoryRresultsRshowsRthatRtheRbloodRureaRnitrogenR(BUN)RlevelRisRlessRt
hanR25Rmg/dL.RToRfullyRunderstandRtheRpatient'sRrenalRstatus,RtheRnurseRmustRconsiderRthisRvalueRalongRwi
th:R-RANSWERRc.RcreatinineRlevel.
, ToRdetermineRwhetherRedemaRinRaRpatient'sRhandsRisRdueRtoRcirculatoryRcompromiseRorRanotherRcause,Rth
eRnurseRmight:R-
RANSWERRelevateRtheRpatient'sRextremitiesRforR1RhourRandRobserveRtheRdegreeRofRedemaRstillRpresent.
HypovolemiaRcausesRtachycardiaRandR:R-RANSWERRhypotension.
ToRavoidRtheRcomplicationsRthatRcanRresultRfromRadministeringRfurosemideR(Lasix)RtoRstimulateRurinaryRou
tput,RtheRnurseRwillRcarefullyRmonitor:R-RANSWERRlevelsRofRelectrolytes,RespeciallyRpotassium.
WhichRdialysisRmethodRwouldRbeRmostRappropriateRforRtheRhemodynamicallyRstableRpatientRinRtheRanuricR
phaseRofRacuteRkidneyRinjuryR(AKI)?R-RANSWERRIntermittentRhemodialysis
WhatRareRcomplicationsRofRcontinuousRrenalRreplacementRtherapyR(CRRT)?R-
RANSWERRAirRembolism,RdecreasedRinflowRpressure,RelectrolyteRimbalance
WhichRelectrolytesRposeRtheRmostRpotentialRhazardRifRnotRwithinRnormalRlimitsRforRtheRpersonRwithRacuteR
kidneyRfailure?R-RANSWERRPotassiumRandRcalcium
peakedRT-wavesRandRaRwideningRofRtheRQRSRintervalRinRaRptRwithRAKIRareRindicativeRof:R-
RANSWERRd.Rhyperkalemia.
ARpatientRpresentsRwithRtheRfollowing:RHR,R120Rbeats/min;RBP,R80/44RmmRHg;RurineRoutputRaveragingR20R
mL/hrRoverRtheRlastR4Rhours;Rafebrile;RmoistRralesRinRtheRlungsRbilaterally;RBUN,R84Rmg/dL;Rcreatinine,R3.4R
mg/dL.RWhatRisRtheRprobableRcauseRofRthisRpatient'sRacuteRkidneyRinjuryR(AKI)?R-
RANSWERRLeftRventricularRfailureRcausingRprerenalRAKI
AnRelderlyRpatientRisRinRaRmotorRvehicleRaccidentRandRincursRaRsignificantRinternalRhemorrhage.RHeRisRatRgr
eatestRriskRforRwhichRcategoryRofRacuteRkidneyRinjuryR(AKI)?R-RANSWERRPrerenal
ARpatientRisRadmittedRtoRtheRunitRwithRtheRfollowingRlaboratoryRvalues:RurineRspecificRgravity,R1.010;RurineR
osmolality,R210RmOsm/kg;RBUN/CrRratioR10:1;RurineRsodium,R96RmEq/L.RTheRurineRoutputRhasRbeenR60RmL
RsinceRadmissionR2RhoursRago.RTheseRvaluesRareRmostRconsistentRwithRwhichRofRtheRfollowingRtypesRofRacut
eRkidneyRinjuryR(AKI)?R-RANSWERRIntrarenal
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