PCCN Exam Prep : Actual Questions & Verified Answers

THE PCCN EXAM (ACTUAL 2024- A A A A



2025) QUESTIONS WITH ANSWERS A A A



Which electrolytes pose the most potential hazard if not within
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Anormal limits for the person with acute kidney failure?
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- <<<Answers>>>Potassium and calcium
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peaked T- A



waves and a widening of the QRS interval in a pt with AKI are
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indicative of: - <<<Answers>>>d. hyperkalemia.
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A patient presents with the following: HR, 120 beats/min; BP,
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80/44 mm Hg; urine output averaging 20 mL/hr over the last 4 h
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ours; afebrile; moist rales in the lungs bilaterally; BUN, 84 mg/
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dL; creatinine, 3.4 mg/dL. What is the probable cause of this pa
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tient's acute kidney injury (AKI)? -
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<<<Answers>>>Left ventricular failure causing prerenal AKI A A A A A




To determine whether edema in a patient's hands is due to circu
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latory compromise or another cause, the nurse might: -
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<<<Answers>>>elevate the patient's extremities for 1 hour an A A A A A A A



d observe the degree of edema still present.
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Hypovolemia causes tachycardia and : - A A A A A



<<<Answers>>>hypotension.


To avoid the complications that can result from administering f
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urosemide (Lasix) to stimulate urinary output, the nurse will ca
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refully monitor: - A A



A<<<Answers>>>levels of electrolytes, especially potassium. A A A A

, THE PCCN EXAM (ACTUAL 2024- A A A A



2025) QUESTIONS WITH ANSWERS A A A



Which dialysis method would be most appropriate for the hemo
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dynamically stable patient in the anuric phase of acute kidney in
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jury (AKI)? - <<<Answers>>>Intermittent hemodialysis
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What are complications of continuous renal replacement therap
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y (CRRT)? -
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<<<Answers>>>Air embolism, decreased inflow pressure, ele
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ctrolyte imbalance A




What type of formula would be most appropriate for a patient w
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ith acute pancreatitis? - <<<Answers>>>Low fat
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A person with a body mass index (BMI) of 32 would be conside
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red: - <<<Answers>>>obese
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Diet therapy for a hypertensive person 1 day after a myocardia
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l infarction would include all the following except:
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- <<<Answers>>>a fluid-restricted diet.
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Kwashiorkor malnutrition results in: - A A A A



<<<Answers>>>low levels of serum proteins, low lymphocyte
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count, and hair loss.
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Significant laboratory and clinical findings in the nutritional ass
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essment of patient with cardiovascular disease include: -
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<<<Answers>>>b. elevated low- A A



density lipoprotein (LDL) cholesterol and decreased subcutane
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ous fat. A

, THE PCCN EXAM (ACTUAL 2024-
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2025) QUESTIONS WITH ANSWERS A A A




Serum proteins serve the function of: -
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<<<Answers>>>maintaining osmotic pressure. A A




A patient on mechanical ventilation is receiving total parenter
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al nutrition (TPN). Why is appropriate caloric intake important
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?- A



A<<<Answers>>>Excessive calorie intake can cause an increa A A A A A A



se in PaCO2.
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How does AKI cause acidosis? -
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<<<Answers>>>Decreased urine output impairs potassium ex
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cretion. The resulting hyperkalemia causes a shift in H+, the acc
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umulation results in acidosis A A A




A patient with severe abdominal pain for the last week present
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s with elevated amylase, lipase, and a rigid abdomen. What do
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you suspect? - <<<Answers>>>pancreatitis
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How is acute pancreatitis treated? -
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<<<Answers>>>hydration, electrolyte balance, nutrition and p A A A A A



ain control A




What procedure measures heart pressure and diagnoses pulmon
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ary hypertension? - <<<Answers>>>right-
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sided heart catheterization; provides measurements of right atri
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um, right ventricle, pulmonary artery, and pulmonary artery oc
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clusive pressure A

, THE PCCN EXAM (ACTUAL 2024-
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2025) QUESTIONS WITH ANSWERS A A A



Why does lowering fever improve prognosis in stroke pts? -
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<<<Answers>>>Increased metabolic demands, enhanced A A A A



neurotransmitter release, and increased free radicals may i A A A A A A A



ncrease stroke mortality. A A




What is a contraindication to administer nitroglycerin to a pt wit
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h a right ventricular infarction? -
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<<<Answers>>>nitroglycerin reduces preload, and pts with a A A A A A A A



RVI are preload dependent
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What are six risk factors for delirium? -
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<<<Answers>>>cognitive impairment, sleep deprivation, dehy A A A A



dration, immobility, hearing impairment, vision impairment
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What does a pericardial friction rub sound like? -
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<<<Answers>>>grating sound with s1 and s2 Nor A A A A A A




mal PR interval - <<<Answers>>>0.12-
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0.20 normal QRS - <<<Answers>>>0.04-0.10
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complications of an intra-aortic balloon pump (IAPB). -
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<<<Answers>>>Thrombocytopenia, aortic dissection and septi A A A A



cemia