PCCN REVIEW ACTUAL EXAM ALL QUESTIONS AND WELL ELABORATED ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED HIGHLY RECOMMENDED |NEW AND REVISED

PCCN REVIEW ACTUAL EXAM ALL
QUESTIONS AND WELL ELABORATED
ANSWERS TOP RATED VERSION FOR
ALREADY A+ GRADED HIGHLY
RECOMMENDED |NEW AND REVISED
AEnurseEisEcaringEforEaE71-year-oldEfemaleEpatientEwithEend-
stageEchronicEobstructiveEpulmonaryEdiseaseE(COPD)EwhoEisEexperiencingEcardiacEischemiaEwithEi
ncreasedEshortnessEofEbreath.ETheEMOSTEappropriateEgoalEofEoxygenEtherapyEforEthisEpatientEwou
ldEbeEto:

A.ELimitEsupplementalEoxygenEtoElowerEtheEriskEofEreducingErespiratoryEdrive

B.EMaintainEoxygenEsaturationsEbetweenE86%EandE89%

C.EAdministerEoxygenEuntilEoxygenEsaturationsEareEgreaterEthanE95%EinEorderEtoErelieveEischemiaE

D.EMaintainEoxygenEsaturationsEbetweenE90%EandE92%E-
ECORRECTEANSWERD.EMaintainEoxygenEsaturationsEbetweenE90%EandE92%




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MaintainingEoxygenEsaturationsEbetweenE90%EandE92%EwillEserveEtheEpurposeEofEprovidingEenoug
hEoxygenEtoErelieveEcardiacEischemiaEwhileEreducingEtheEriskEofErespiratoryEdepressionEinEaEpatient
EwithECOPD.




LaboratoryEstudiesEfromEaE22-year-
oldEmaleEclientEwithETypeEIEdiabetesEmellitusEareEevaluatedEduringEanEadmissionEforEsevereEpneum
onia.EWhichEofEtheEfollowingElaboratoryEresultsEshouldEtheEnurseEreportEtoEtheEphysician?E

A.EGlycosylatedEhemoglobinE(HbA1c),E9.8%E

B.ELow-densityElipoproteinE(LDL),E

C.E94Emg/dLHematocritE(Hct),E53%E

D.EUrineEspecificEgravity,E1.250E-ECORRECTEANSWERA.EGlycosylatedEhemoglobinE(HbA1c),E9.8%

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,GlycosylatedEhemoglobinEmeasuresEtheEaverageEbloodEsugarElevelsEoverEaE2EtoE3EmonthEtimeEperi
od.EClientsEwithEpreviouslyEdiagnosedEdiabetesEmellitusEshouldEaimEtoEkeepEtheirEHbA1cElevelsEbel
owE7%.CONTENTEAREA:EClinicalEJudgement:EEndocrine/Hematology/Neurology/GI/Renal



TheEnurseEisEassessingEaE68EyearEoldEfemaleEpatientEwithEaEhistoryEofEchronicEobstructiveEpulmona
ryEdiseaseE(COPD).ETheEpatientEpresentsEwithEcomplaintsEofErecentEconfusion,EincreasedEfatigue,Ea
ndEsyncopalEepisodesEwhenEwalking.ETheEnurseEassessesES3EandES4EsoundsEonEauscultation,Ejugula
rEveinEdistention,EandE+3EpittingEedemaEofEtheEanklesEandEfeet.EWhichEofEtheEfollowingEcomplicatio
nsEofECOPDEdoesEtheEnurseEsuspectEtheEpatientEisEmostElikelyEexperiencing?E

A.EAcuteErespiratoryEdistressEsyndromeE(ARDS)E

B.EBronchiectasisE

C.EHeartEfailureE

D.ECorEpulmonaleE-ECORRECTEANSWERD.ECorEpulmonale

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TheEnurseEshouldErecognizeEthatEaEhistoryEofECOPDEtogetherEwithEtheEsignsEandEsymptomsElistedEh
ereEareEsuggestiveEofEcorEpulmonale.ETheEpatientErequiresEfurtherEworkupEtoEconfirmEthisEdiagnosi
s.



AE42-year-
oldEmaleEwithEMarfanEsyndromeEandEcomplaintEofEdizzinessEisEadmittedEtoEtheEtelemetryEunitEforE
monitoring.EWhichEofEtheEfollowingEaccompanyingEsymptomsEmayEindicateEtheEneedEforEimmedia
teEsurgicalEattention?

A.ECoughEwithEvocalEhoarseness

B.ELimitedErotationEofEtheEleftEshoulder

C.HeadacheEthatEresolvedEafterEbreakfast,EbutEhasEreturned

D.ESuddenEstabbingEpainEinEtheErightEelbowE-ECORRECTEANSWERA.ECoughEwithEvocalEhoarseness

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PatientsEdiagnosedEwithEMarfanEsyndromeEareEatEhigherEriskEforEaorticEaneurysms.EChangesEinEvoc
alEqualityEaccompaniedEbyEaEcoughEorEdysphagiaE(difficultyEswallowing)EmayEindicateEthatEaEthorac
icEaorticEaneurysmEisEbecomingEmoreEenlarged.

,TheEnurseEisEassessingEaE74EyearEoldEfemaleEpatientEwhoEhasEpresentedEwithEtheEfollowingEsympto
ms:Ecool,EclammyEskin;Efaint,EirregularEperipheralEpulses,EandE+3EpittingEedemaEinEherEbilateralElow
erEextremities.EHerEpartnerEtellsEtheEnurseEtheEpatientEhasEaEhistoryEofEheartEfailureEwithEaErecentEL
VEFEofE20%,EasEwellEasEtypeE2Ediabetes.ETheEpatient'sEHREisE132,EBPEisE79/48,EandEbloodEglucoseEisE
349.EWhichEofEtheEfollowingEconditionsEdoesEtheEnurseEsuspect?

A.ECardiogenicEshock

B.EDiabeticEketoacidosis

C.EFluidEoverload

D.EObstructiveEshockE-ECORRECTEANSWERA.ECardiogenicEshock

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TheEnurseEshouldEidentifyEthatEcardiogenicEshockEisEanEemergencyEthatEhasEextremelyEhighEmortal
ityEratesEwithoutEtimelyEintervention.ETheEpatient'sEhistoryEofEheartEfailureEtogetherEwithEherEacut
eEsymptomsEofEweakEpulses,Eedema,EandEhypotensionEallEpointEtoEcardiogenicEshock.



TheEnurseEisEcaringEforEaEpatientEwithEstageE5EchronicEkidneyEdiseaseEwhoEnormallyEreceivesEhemo
dialysisEthreeEtimesEaEweekEonEMonday,EWednesday,EandEFriday.EItEisEnowESundayEandEtheEpatientE
statesEtheyEhaveEmissedEtheirElastEtwoEdialysisEsessions.ETheEpatientEisEcomplainingEofEshortnessEo
fEbreathEandEfatigue,EandEtheirElabsEshowEaEcreatinineEofE3.9EandEpotassiumEofE6.8.EWhatEisEtheEBE
STEtreatmentEforEthisEpatientE?

A.E80EmgEIVEpushEfurosemideEfollowedEbyErecheckingEtheEpotassiumElevel,EwithEmoreEIVEfurosemi
deEasEneeded

B.E15EgEkayexalateEPOEtwiceEdaily

C.EIntravenousEcalciumEinfusion

D.EUrgentEhemodialysisE-ECORRECTEANSWERD.EUrgentEhemodialysis

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TheEnurseEshouldErecognizeEthatEdialysisEisEtheEbestEoptionEforEthisEpatientEsinceEtheyEareEalreadyEa
EregularEdialysisEpatientEandEareEaElikelyEcandidateEtoEreceiveEurgentEdialysisEdueEtoEtheirEmissedEdi


alysisEsessions,EshortnessEofEbreath,EandEcriticalEpotassiumElevel.

, AE17-year-
oldEmaleEclientEisErecoveringEfromEidiopathicEinfectiveEendocarditis.ETheEnurseEshouldEincludeEwhi
chEofEtheEfollowingEteachingEpointsEinEtheEdischargeEcareEplanEforEthisEclient?

A.ETakingEprophylacticEantibioticsEbeforeEdentalEprocedures

B.EDrinkingEnoEmoreEthanE1EliterEofEfluidEperEday

C.EStrictlyEavoidingEcaffeineEorEotherEstimulants

D.EEncouragingEaEhealthyElow-fatEdietEthatEincludesEatEleastE2EgramsEofEsodiumEintakeEperEdayE-
ECORRECTEANSWERA.ETakingEprophylacticEantibioticsEbeforeEdentalEprocedures



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ClientEwithEaEhistoryEofEinfectiveEendocarditisEshouldEtakeEprophylacticEantibioticsEbeforeEdentalEp
roceduresEandEsomeEsurgicalEprocedures.



TheEnurseEisEcaringEforEaE21EyearEoldEfemaleEwhoEisEbeingEtreatedEwithEIVEmagnesiumEforEpre-
eclampsia.EUponEassessment,EtheEnurseEnotesEthatEtheEpatient'sEskinEisEflushed,EherEbloodEpressur
eEisE88/56,EandEherErespiratoryErateEisE12.ETheEnurseEchecksEtheEpatient'sEmagnesiumElevelEandEfin
dsEthatEitEisE7.2Emg/dL.EWhichEofEtheEfollowingEactionsEdoesEtheEnurseEanticipateEtakingEnext?

A.EAdministeringEintravenousEcalciumEgluconate

B.EIncreasingEtheErateEofEtheEmagnesiumEinfusion

C.EPlacingEtheEpatientEinETrendelenburgEandEadministeringEaEbolusEofEIVEfluid

D.PreparingEtheEpatientEforEaEbedsideEcardioversion.E-
ECORRECTEANSWERA.EAdministeringEintravenousEcalciumEgluconate



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TheEnurseEshouldEidentifyEthatEtheEsignsEandEsymptomsEhereEareEreflectiveEofEaEcriticallyEhighEmag
nesiumElevel,EreflectedEbyEtheElabElevelEofE7.2Emg/dL,EandEthatEtheEcorrectEtreatmentEisEanEinfusio
nEofEcalciumEgluconate.



AE22-year-
oldEmaleEpatientEisEadmittedEforEobservationEfollowingEaElinearEtemporalEskullEfractureEfromEaEskii
ngEaccident.EUponEadmissionEatE2Epm,EtheEpatientEwasEalertEandEoriented,EandEreportsEthatEheE"pa