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PCCN Exam Questions And 100% Correct Answers
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PCCN Exam 2024-2025 Questions And 100%Correct Answers
Causes of prerenal AKI - Answer altered blood flow > hypovolemia, hTN and renal
vasoconstriction
Causes of intrarenal AKI - Answer Tubular necrosis secondary to surgery, shock,
sepsis, rhabdo, and blood transfusion reaction
Causes of postrenal AKI - Answer Mechanical obstruction, BPH, prostate cancer, and
renal calculi
If a patient's hyperkalemia is not improving after the administration of calcium
gluconate, regular IV insulin and glucose, what would be the next step? - Answer
Dialysis
Common complications of an AKI - Answer electrolyte abnormalities, metabolic
acidosis, pulmonary and peripheral edema, HF and nervous system changes (lethargy,
AMS) due to uremia
EKG signs of an AKI - Answer Peaked T waves and widening QRS complex
The National Kidney Foundation recommends that patients on dialysis drink less than
___ oz per day - Answer 32
Foods rich in potassium include - Answer Broccoli, leafy vegetables, peas, potatoes,
spinach, milk, yoghurt, tuna, beans
A client with hypokalemia is not responding to the supplementation of potassium. what
, other lab should be checked? - Answer Magnesium. Hypomagnesemia can be
exacerbated by hypokalemia or supplementation ineffective.
A reduction in urine output by ____ mL/kg over 6 hours is also a criteria for possible AKI -
Answer 0.5
S/S of small bowel obstruction-Answer decreased appetite, bilious vomiting, distended
abdomen, bloating
S/S of large bowel obstruction-Answer diffuse abdominal tenderness, constipation,
intermittent feculent vomiting
S/S of upper GI bleed-Answer epigastric pain, bright red or coffee ground emesis,
hematemesis, htn, syncope
S/S of lower GI bleed-Answer hematochezia, bright or dark red clots in stool
What is the gold standard test for diagnosis of ischemic bowel? -Answer CT
angiography
What type of food should be avoided by a patient with IBS to lessen discomfort? -Answer
dairy products, fruits, fermentable carbohydrates, wheat, and some vegetables
Most liver transplant programs will not list a patient that has a history of alcohol abuse
unless he/she has at least ___ months of sobriety -Answer six
S/S of a postsurgical GI bleed/infection - Answer abdominal and back pain, firm
abdomen, htn, Tachycardia, increased oxygen demand
Complications of ARDS include: - Answer ventilator-associated pneumonia, barotrauma,
atelectasis, pulmonary HTN, lung scarring, and multi-organ failure
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