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adult CCRN/PCCN certification practice test Questions and Answers One day following posterior spinal fusion surgery a 35 year old female suddenly exhibits restlessness, labored breathing and acute chest pain. Her heart rate is 122/min., she is afebrile, and exhibits slightly diminished breath s...

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  • November 3, 2024
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  • 2024/2025
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  • adult ccrnpccn certification practice test questi

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Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024




adult CCRN/PCCN certification practice

test Questions and Answers


One day following posterior spinal fusion surgery a 35 year old female suddenly exhibits restlessness,

labored breathing and acute chest pain. Her heart rate is 122/min., she is afebrile, and exhibits slightly

diminished breath sounds on the right side.




The findings described above should lead the nurse to suspect that the patient has developed:




A. A spontaneous pneumothorax


B. A pulmonary embolus


C. Aspiration pneumonia


D. A pleural effusion - ANSWER✔✔-B. A pulmonary embolus


One day following posterior spinal fusion surgery a 35 year old female suddenly exhibits restlessness,

labored breathing and acute chest pain. Her heart rate is 122/min., she is afebrile, and exhibits slightly

diminished breath sounds on the right side.




Which of the following will most likely confirm the patient's diagnosis?




Copyright ©Stuvia International BV 2010-2024 Page 1/23

,Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


A. Pulmonary radioisotope scan


B. Echocardiogram


C. Cardiac enzyme studies


D. Chest x-ray and arterial blood gases - ANSWER✔✔-A. Pulmonary radioisotope scan


The nursing staff does not wish to be assigned a difficult patient who continues to demonstrate

disorderly behavior. Which of the following is an acceptable solution?




A. Request the family control the patient's behavior.


B. Transfer the patient


C. The patient assignment should be decided by the Charge Nurse.


D. Alternate the patient assignment among the nursing staff. - ANSWER✔✔-D. Alternate the patient

assignment among the nursing staff.


A patient who is 72 hours postoperative repair of a bowel obstruction suddenly demonstrates shortness

of breath and his respiratory rate increases from 22 to 45/min. His SpO2 went from 95% to 88% acutely.

An arterial blood gas sample obtained while the patient is receiving oxygen via a nasal cannula at 6L/min

reveals the following results:


pH 7.40


pCO2 27


pO2 50




Copyright ©Stuvia International BV 2010-2024 Page 2/23

, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


A chest x-ray is obtained and a "ground-glass-like appearance" is reported. Auscultation of the lungs

reveals diffuse crackles that were not present previously.




The findings described above should lead the nurse to believe that the patient has:




A. Acute respiratory distress syndrome


B. A pulmonary embolus


C. A spontaneous pneumothorax


D. Aspiration pneumonia - ANSWER✔✔-A. Acute respiratory distress syndrome


A patient who is 72 hours postoperative repair of a bowel obstruction suddenly demonstrates shortness

of breath and his respiratory rate increases from 22 to 45/min. His SpO2 went from 95% to 88% acutely.

An arterial blood gas sample obtained while the patient is receiving oxygen via a nasal cannula at 6L/min

reveals the following results:


pH 7.40


pCO2 27


pO2 50


A chest x-ray is obtained and a "ground-glass-like appearance" is reported. Auscultation of the lungs

reveals diffuse crackles that were not present previously.




Copyright ©Stuvia International BV 2010-2024 Page 3/23

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