PCCN progressive care certification EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

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PCCN 2026 A+ GRADE ASSURED COMPLETE SOLUTION
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S AND VERIFIED ANSWERS (1535E)
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QUESTION 1 zm




1. A 49-year-
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old male was recently admitted with an inferior wall MI resulting from 100% occlusio
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n of the right coronary artery (RCA). The 12-
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lead ECG reveals ST elevation in leads II, III, and a VF. You would expect to see recipr
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ocal changes in which leads?
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A. I, a VR
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B. V1, V2
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C. V3, V4
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D. I, a VL
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ANSWER

D. I, aVL. The RCA perfuses the inferior wall and the mirror image or reciprocal change will be seen
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in the high lateral wall, which is reflected in leads I, and aVL on the 12-
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Lead ECG. Leads V1 and V2 correlate with the septal area, leads V3 and V4 correlate with the anteri
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or area of the heart. The aVR lead does not provide much diagnostic value as all energy is depolariz
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ing away from this lead.
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QUESTION 2 zm




5. Which of the following labs must be closely monitored when administering Lisinopr
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il to a patient with systolic heart failure?
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A. Sodium
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B. Phosphate
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C. Magnesium
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D. Potassium
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ANSWER

D. Potassium. Patients taking angiotensin converting enzyme inhibitors may experience hyperkalemia
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. ACE inhibitors block angiotensin II, which may lead to decreased aldosterone. Aldosterone is respo
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nsible for excreting potassium from the kidneys. Therefore, ACE inhibitors can cause potassium rete
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ntion and potassium levels should be monitored closely. In addition, renal labs such as BUN and cre
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, atinine should be monitored. If the patient develops more than a 20% increase in the creatinine, the
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medication should be discontinued.
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QUESTION 3 zm




7. You are caring for a patient post gastric bypass. Which of the following parameters
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should you closely monitor after surgery?
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A. HR, RR, temperature, WBC & MAP
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B. Protein levels and vitamin B12
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C. Albumin and pre-albumin levels
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D. Signs of dumping syndrome
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ANSWER

A. HR, RR, temperature, WBC & MAP. Gastric bypass carries similar risks to any intestinal surgery, i
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ncluding the risk of an anastomotic leak. Often the first and only signs of the leak will be subtle cha
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nges in vitals or an increase in WBC. Other potential complications include bleeding, although it is r
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QUESTION 4 zm




9. Which is the best intervention to promote safety of the patient receiving hemodialy
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sis?
A. Direct visualization of the connection between the machine and the access device
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B. Strict intake and output monitoring
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C. Strict bedrest
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D. Electrolyte assessment q 4 hours
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ANSWER

A. Direct visualization of the connection between the machine and the access device. The nurse must
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be able to visualize the junction of the central venous access and the dialysis unit at all times. Disc
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onnection can result in exsanguination within minutes.
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QUESTION 5 zm




11. A 45 year old male is admitted to the PCU with severe sepsis. You are administeri
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ng lactated ringers 500 ml IV boluses. A central line has been placed. Which of the fin
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dings below indicate the fluid boluses are having its intended effect?
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A. MAP of 55 mm Hg
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B. ScuO2 of 52%
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C. Initial lactate level 4.2 mmol/L now 1.8 mmol/L
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D. Urine output of 15 ml/hour.
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ANSWER

C. Initial lactate level 4.2 mmol/L, now 1.8 mmol/L. Early goal directed therapy for sepsis includes e
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arly fluid resuscitation at 30 mL/kg to maintain the MAP greater than 65 mm Hg, ScvO2 greater tha
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