ADULT CCRN/PCCN CERTIFICATION PRACTICE
TEST QUESTIONS WITH CORRECT ANSWERS
One day following posterior spinal fusion surgery a 35 year old female suddenly exhibits res
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
tlessness, labored breathing and acute chest pain. Her heart rate is 122/
xc xc xc xc xc xc xc xc xc xc xc
min., she is afebrile, and exhibits slightly diminished breath sounds on the right side.
xc xc xc xc xc xc xc xc xc xc xc xc xc
The findings described above should lead the nurse to suspect that the patient has develop
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ed:
A. A spontaneous pneumothorax
xc xc xc
B. A pulmonary embolus
xc xc xc
C. Aspiration pneumonia
xc xc
D. A pleural effusion - ans-B. A pulmonary embolus
xc xc xc xc xc xc xc xc
One day following posterior spinal fusion surgery a 35 year old female suddenly exhibits res
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
tlessness, labored breathing and acute chest pain. Her heart rate is 122/
xc xc xc xc xc xc xc xc xc xc xc
min., she is afebrile, and exhibits slightly diminished breath sounds on the right side.
xc xc xc xc xc xc xc xc xc xc xc xc xc
Which of the following will most likely confirm the patient's diagnosis?
xc xc xc xc xc xc xc xc xc xc
A. Pulmonary radioisotope scan
xc xc xc
B. Echocardiogram
xc
C. Cardiac enzyme studies
xc xc xc
D. Chest x-ray and arterial blood gases - ans-A. Pulmonary radioisotope scan
xc xc xc xc xc xc xc xc xc xc xc
The nursing staff does not wish to be assigned a difficult patient who continues to demonstr
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ate disorderly behavior. Which of the following is an acceptable solution?
xc xc xc xc xc xc xc xc xc xc
A. Request the family control the patient's behavior.
xc xc xc xc xc xc xc
B. Transfer the patient
xc xc xc
C. The patient assignment should be decided by the Charge Nurse.
xc xc xc xc xc xc xc xc xc xc
D. Alternate the patient assignment among the nursing staff. - ans-
xc xc xc xc xc xc xc xc xc xc
D. Alternate the patient assignment among the nursing staff.
xc xc xc xc xc xc xc xc
A patient who is 72 hours postoperative repair of a bowel obstruction suddenly demonstrat
xc xc xc xc xc xc xc xc xc xc xc xc xc
es shortness of breath and his respiratory rate increases from 22 to 45/
xc xc xc xc xc xc xc xc xc xc xc xc
min. His SpO2 went from 95% to 88% acutely. An arterial blood gas sample obtained while t
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
he patient is receiving oxygen via a nasal cannula at 6L/min reveals the following results:
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
pH 7.40 xc
pCO2 27 xc
, pO2 50 xc
A chest x-ray is obtained and a "ground-glass-
xc xc xc xc xc xc xc
like appearance" is reported. Auscultation of the lungs reveals diffuse crackles that were no
xc xc xc xc xc xc xc xc xc xc xc xc xc
t present previously.
xc xc
The findings described above should lead the nurse to believe that the patient has:
xc xc xc xc xc xc xc xc xc xc xc xc xc
A. Acute respiratory distress syndrome
xc xc xc xc
B. A pulmonary embolus
xc xc xc
C. A spontaneous pneumothorax
xc xc xc
D. Aspiration pneumonia - ans-A. Acute respiratory distress syndrome
xc xc xc xc xc xc xc xc
A patient who is 72 hours postoperative repair of a bowel obstruction suddenly demonstrat
xc xc xc xc xc xc xc xc xc xc xc xc xc
es shortness of breath and his respiratory rate increases from 22 to 45/
xc xc xc xc xc xc xc xc xc xc xc xc
min. His SpO2 went from 95% to 88% acutely. An arterial blood gas sample obtained while t
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
he patient is receiving oxygen via a nasal cannula at 6L/min reveals the following results:
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
pH 7.40 xc
pCO2 27 xc
pO2 50 xc
A chest x-ray is obtained and a "ground-glass-
xc xc xc xc xc xc xc
like appearance" is reported. Auscultation of the lungs reveals diffuse crackles that were no
xc xc xc xc xc xc xc xc xc xc xc xc xc
t present previously.
xc xc
On admission, your patient's arterial blood gas on room air is: pH 7.23, PaCO2 55, PaO2 90
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
, HCO3 30. The correct arterial blood gas interpretation is:
xc xc xc xc xc xc xc xc xc
A. Uncompensated metabolic acidosis
xc xc xc
B. Uncompensated respiratory alkalosis
xc xc xc
C. Uncompensated respiratory acidosis
xc xc xc
D. Uncompensated metabolic alkalosis - ans-C. Uncompensated respiratory acidosis
xc xc xc xc xc xc xc xc
A patient who is 72 hours postoperative repair of a bowel obstruction suddenly demonstrat
xc xc xc xc xc xc xc xc xc xc xc xc xc
es shortness of breath and his respiratory rate increases from 22 to 45/
xc xc xc xc xc xc xc xc xc xc xc xc
min. His SpO2 went from 95% to 88% acutely. An arterial blood gas sample obtained while t
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
he patient is receiving oxygen via a nasal cannula at 6L/min reveals the following results:
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
pH 7.40 xc
pCO2 27 xc
pO2 50 xc
A chest x-ray is obtained and a "ground-glass-
xc xc xc xc xc xc xc
like appearance" is reported. Auscultation of the lungs reveals diffuse crackles that were no
xc xc xc xc xc xc xc xc xc xc xc xc xc
t present previously.
xc xc
Your patient just received 10 units of banked blood for a GI bleed. You know this will affect t
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
he oxyhemoglobin dissociation curve by:
xc xc xc xc
A. Shifting it to the right
xc xc xc xc xc
TEST QUESTIONS WITH CORRECT ANSWERS
One day following posterior spinal fusion surgery a 35 year old female suddenly exhibits res
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
tlessness, labored breathing and acute chest pain. Her heart rate is 122/
xc xc xc xc xc xc xc xc xc xc xc
min., she is afebrile, and exhibits slightly diminished breath sounds on the right side.
xc xc xc xc xc xc xc xc xc xc xc xc xc
The findings described above should lead the nurse to suspect that the patient has develop
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ed:
A. A spontaneous pneumothorax
xc xc xc
B. A pulmonary embolus
xc xc xc
C. Aspiration pneumonia
xc xc
D. A pleural effusion - ans-B. A pulmonary embolus
xc xc xc xc xc xc xc xc
One day following posterior spinal fusion surgery a 35 year old female suddenly exhibits res
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
tlessness, labored breathing and acute chest pain. Her heart rate is 122/
xc xc xc xc xc xc xc xc xc xc xc
min., she is afebrile, and exhibits slightly diminished breath sounds on the right side.
xc xc xc xc xc xc xc xc xc xc xc xc xc
Which of the following will most likely confirm the patient's diagnosis?
xc xc xc xc xc xc xc xc xc xc
A. Pulmonary radioisotope scan
xc xc xc
B. Echocardiogram
xc
C. Cardiac enzyme studies
xc xc xc
D. Chest x-ray and arterial blood gases - ans-A. Pulmonary radioisotope scan
xc xc xc xc xc xc xc xc xc xc xc
The nursing staff does not wish to be assigned a difficult patient who continues to demonstr
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ate disorderly behavior. Which of the following is an acceptable solution?
xc xc xc xc xc xc xc xc xc xc
A. Request the family control the patient's behavior.
xc xc xc xc xc xc xc
B. Transfer the patient
xc xc xc
C. The patient assignment should be decided by the Charge Nurse.
xc xc xc xc xc xc xc xc xc xc
D. Alternate the patient assignment among the nursing staff. - ans-
xc xc xc xc xc xc xc xc xc xc
D. Alternate the patient assignment among the nursing staff.
xc xc xc xc xc xc xc xc
A patient who is 72 hours postoperative repair of a bowel obstruction suddenly demonstrat
xc xc xc xc xc xc xc xc xc xc xc xc xc
es shortness of breath and his respiratory rate increases from 22 to 45/
xc xc xc xc xc xc xc xc xc xc xc xc
min. His SpO2 went from 95% to 88% acutely. An arterial blood gas sample obtained while t
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
he patient is receiving oxygen via a nasal cannula at 6L/min reveals the following results:
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
pH 7.40 xc
pCO2 27 xc
, pO2 50 xc
A chest x-ray is obtained and a "ground-glass-
xc xc xc xc xc xc xc
like appearance" is reported. Auscultation of the lungs reveals diffuse crackles that were no
xc xc xc xc xc xc xc xc xc xc xc xc xc
t present previously.
xc xc
The findings described above should lead the nurse to believe that the patient has:
xc xc xc xc xc xc xc xc xc xc xc xc xc
A. Acute respiratory distress syndrome
xc xc xc xc
B. A pulmonary embolus
xc xc xc
C. A spontaneous pneumothorax
xc xc xc
D. Aspiration pneumonia - ans-A. Acute respiratory distress syndrome
xc xc xc xc xc xc xc xc
A patient who is 72 hours postoperative repair of a bowel obstruction suddenly demonstrat
xc xc xc xc xc xc xc xc xc xc xc xc xc
es shortness of breath and his respiratory rate increases from 22 to 45/
xc xc xc xc xc xc xc xc xc xc xc xc
min. His SpO2 went from 95% to 88% acutely. An arterial blood gas sample obtained while t
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
he patient is receiving oxygen via a nasal cannula at 6L/min reveals the following results:
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
pH 7.40 xc
pCO2 27 xc
pO2 50 xc
A chest x-ray is obtained and a "ground-glass-
xc xc xc xc xc xc xc
like appearance" is reported. Auscultation of the lungs reveals diffuse crackles that were no
xc xc xc xc xc xc xc xc xc xc xc xc xc
t present previously.
xc xc
On admission, your patient's arterial blood gas on room air is: pH 7.23, PaCO2 55, PaO2 90
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
, HCO3 30. The correct arterial blood gas interpretation is:
xc xc xc xc xc xc xc xc xc
A. Uncompensated metabolic acidosis
xc xc xc
B. Uncompensated respiratory alkalosis
xc xc xc
C. Uncompensated respiratory acidosis
xc xc xc
D. Uncompensated metabolic alkalosis - ans-C. Uncompensated respiratory acidosis
xc xc xc xc xc xc xc xc
A patient who is 72 hours postoperative repair of a bowel obstruction suddenly demonstrat
xc xc xc xc xc xc xc xc xc xc xc xc xc
es shortness of breath and his respiratory rate increases from 22 to 45/
xc xc xc xc xc xc xc xc xc xc xc xc
min. His SpO2 went from 95% to 88% acutely. An arterial blood gas sample obtained while t
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
he patient is receiving oxygen via a nasal cannula at 6L/min reveals the following results:
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
pH 7.40 xc
pCO2 27 xc
pO2 50 xc
A chest x-ray is obtained and a "ground-glass-
xc xc xc xc xc xc xc
like appearance" is reported. Auscultation of the lungs reveals diffuse crackles that were no
xc xc xc xc xc xc xc xc xc xc xc xc xc
t present previously.
xc xc
Your patient just received 10 units of banked blood for a GI bleed. You know this will affect t
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
he oxyhemoglobin dissociation curve by:
xc xc xc xc
A. Shifting it to the right
xc xc xc xc xc
