PCCN EXAM GRADED A+ QUESTIONS WITH
WELL QUALIFIED ANSWERS 2024/2025
LATEST
A -nurse -in -the -emergency -department -assesses -a -patient -with -a -hand -laceration -and -notices -
that -the -patient -smells -strongly -of -alcohol. -The -patient -is -diabetic, -irritable, -and -pale -and -
reports -headache. -The -nurse -is -waiting -for -laboratory -results. -What -serum -glucose -level -might -
the -nurse -expect -to -find?
a. -50 -to -60 -mg/dL
b. -<50 -mg/dL
c. ->1000 -mg/dL
d. -80 -to -110 -mg/dL -- -CORRECT -ANSWER-b. -<50mg/dL
Following -a -chest -infection, -a -patient -with -type -1 -diabetes -reports -fatigue -and -nausea. -
Assessment -reveals -a -blood -glucose -level -of -450 -mg/dL. -Which -of -the -following -pharmacologic
-interventions -are -priorities -for -patient -care?
a. -Administer -intravenous -(IV) -fluids -at -the -prescribed -rate -to -correct -sodium -levels.
b. -Administer -intravenous -(IV) -fluids -based -on -corrected -sodium -levels.
c. -Administer -prescribed -insulin -via -IV -bolus, -then -continuous -drip.
d. -"Administer -intravenous -(IV) -fluids -based -on -corrected -sodium -levels" -and -"Administer -
prescribed -insulin -via -IV -bolus, -then -continuous -drip". -- -CORRECT -ANSWER-d. -"Administer -
intravenous -(IV) -fluids -based -on -corrected -sodium -levels" -and -"Administer -prescribed -insulin -via
-IV -bolus, -then -continuous -drip".
Which -of -the -following -are -possible -complications -from -diabetic -ketoacidosis?
a. -Hyponitremia
b. -Metabolic -acidosis
c. -Hyperkalemia
d. -Metabolic -alkalosis -- -CORRECT -ANSWER-b. -Metabolic -acidosis -
MA- -caused -by -ketosis -resulting -from -insulin -deficiency -and -stress -hormone -excess. -
Hyperkalemia -is -caused -by -higher -than -normal -levels -of -potassium, -usually -through -impaired -
, renal -function. -Hyponatremia -is -a -low -level -of -nitrogen -in -the -blood -associated -with -protein -
malnutrition -or -overhydration. -Metabolic -alkalosis -is -an -acid-base -imbalance, -like -metabolic -
acidosis, -but -is -caused -by -an -increase -in -serum -bicarbonate -(HCO3) -concentration.
An -unconscious -patient -with -hypoglycemia -is -being -treated -with -IV -glucose -(50 -mL -of -50% -
dextrose -IV -bolus) -to -correct -serum -glucose -levels -of -40 -mg/dL. -Which -of -the -following -is -a -
possible -complication -of -administering -hypertonic -dextrose?
a. -Myocardial -infarction
b. -Cardiac -arrest
c. -Hypokalemia
d. -Phlebitis -- -CORRECT -ANSWER-c. -phlebitis
Hypoglycemia -resulting -from -insulin -excess -or -other -causes -in -adults -and -children -is -typically -
treated -with -20 -to -50 -mL -of -50% -dextrose -injection -administered -slowly -(eg, -3 -mL/minute) -IV.
-Hypertonic -dextrose -commonly -causes -phlebitis -if -a -peripheral -vein -is -used -and -should -
therefore -be -administered -slowly
A -27-year-old -patient -with -rheumatoid -arthritis -is -admitted -with -anemia. -During -administration -
of -200 -mL -packed -red -blood -cells -(PRBCs) -over -1 -hour, -the -patient -becomes -restless. -Her -
pulse -is -bounding, -and -her -blood -pressure -is -elevated. -The -most -likely -explanation -is:
a. -The -transfusion -was -administered -too -quickly
b. -The -PRBCs -are -contaminated -with -gram-negative -organisms
c. -Allergic -response -to -the -transfusion
d. -Hemolytic -reaction -to -the -transfusion -- -CORRECT -ANSWER-a. -administered -too -quickly
Circulatory -overload -can -happen -any -time -during -a -transfusion -and -is -likely -when -it -is -
administered -too -quickly. -It -causes -hypertension, -bounding -pulse, -and -restlessness. -Treatment -
involves -slowing -the -transfusion -and -monitoring -the -patient's -progress. -Hemolytic, -bacterial, -and
-allergic -reactions -typically -occur -soon -after -transfusion -is -initiated; -hemolytic -and -bacterial -
reactions -are -accompanied -by -tachycardia, -and -allergic -reaction -is -accompanied -by -hypotension
Complications -associated -with -long-term -transfusions -for -sickle -cell -anemia -patients -include:
a. -Renal -dysfunction
WELL QUALIFIED ANSWERS 2024/2025
LATEST
A -nurse -in -the -emergency -department -assesses -a -patient -with -a -hand -laceration -and -notices -
that -the -patient -smells -strongly -of -alcohol. -The -patient -is -diabetic, -irritable, -and -pale -and -
reports -headache. -The -nurse -is -waiting -for -laboratory -results. -What -serum -glucose -level -might -
the -nurse -expect -to -find?
a. -50 -to -60 -mg/dL
b. -<50 -mg/dL
c. ->1000 -mg/dL
d. -80 -to -110 -mg/dL -- -CORRECT -ANSWER-b. -<50mg/dL
Following -a -chest -infection, -a -patient -with -type -1 -diabetes -reports -fatigue -and -nausea. -
Assessment -reveals -a -blood -glucose -level -of -450 -mg/dL. -Which -of -the -following -pharmacologic
-interventions -are -priorities -for -patient -care?
a. -Administer -intravenous -(IV) -fluids -at -the -prescribed -rate -to -correct -sodium -levels.
b. -Administer -intravenous -(IV) -fluids -based -on -corrected -sodium -levels.
c. -Administer -prescribed -insulin -via -IV -bolus, -then -continuous -drip.
d. -"Administer -intravenous -(IV) -fluids -based -on -corrected -sodium -levels" -and -"Administer -
prescribed -insulin -via -IV -bolus, -then -continuous -drip". -- -CORRECT -ANSWER-d. -"Administer -
intravenous -(IV) -fluids -based -on -corrected -sodium -levels" -and -"Administer -prescribed -insulin -via
-IV -bolus, -then -continuous -drip".
Which -of -the -following -are -possible -complications -from -diabetic -ketoacidosis?
a. -Hyponitremia
b. -Metabolic -acidosis
c. -Hyperkalemia
d. -Metabolic -alkalosis -- -CORRECT -ANSWER-b. -Metabolic -acidosis -
MA- -caused -by -ketosis -resulting -from -insulin -deficiency -and -stress -hormone -excess. -
Hyperkalemia -is -caused -by -higher -than -normal -levels -of -potassium, -usually -through -impaired -
, renal -function. -Hyponatremia -is -a -low -level -of -nitrogen -in -the -blood -associated -with -protein -
malnutrition -or -overhydration. -Metabolic -alkalosis -is -an -acid-base -imbalance, -like -metabolic -
acidosis, -but -is -caused -by -an -increase -in -serum -bicarbonate -(HCO3) -concentration.
An -unconscious -patient -with -hypoglycemia -is -being -treated -with -IV -glucose -(50 -mL -of -50% -
dextrose -IV -bolus) -to -correct -serum -glucose -levels -of -40 -mg/dL. -Which -of -the -following -is -a -
possible -complication -of -administering -hypertonic -dextrose?
a. -Myocardial -infarction
b. -Cardiac -arrest
c. -Hypokalemia
d. -Phlebitis -- -CORRECT -ANSWER-c. -phlebitis
Hypoglycemia -resulting -from -insulin -excess -or -other -causes -in -adults -and -children -is -typically -
treated -with -20 -to -50 -mL -of -50% -dextrose -injection -administered -slowly -(eg, -3 -mL/minute) -IV.
-Hypertonic -dextrose -commonly -causes -phlebitis -if -a -peripheral -vein -is -used -and -should -
therefore -be -administered -slowly
A -27-year-old -patient -with -rheumatoid -arthritis -is -admitted -with -anemia. -During -administration -
of -200 -mL -packed -red -blood -cells -(PRBCs) -over -1 -hour, -the -patient -becomes -restless. -Her -
pulse -is -bounding, -and -her -blood -pressure -is -elevated. -The -most -likely -explanation -is:
a. -The -transfusion -was -administered -too -quickly
b. -The -PRBCs -are -contaminated -with -gram-negative -organisms
c. -Allergic -response -to -the -transfusion
d. -Hemolytic -reaction -to -the -transfusion -- -CORRECT -ANSWER-a. -administered -too -quickly
Circulatory -overload -can -happen -any -time -during -a -transfusion -and -is -likely -when -it -is -
administered -too -quickly. -It -causes -hypertension, -bounding -pulse, -and -restlessness. -Treatment -
involves -slowing -the -transfusion -and -monitoring -the -patient's -progress. -Hemolytic, -bacterial, -and
-allergic -reactions -typically -occur -soon -after -transfusion -is -initiated; -hemolytic -and -bacterial -
reactions -are -accompanied -by -tachycardia, -and -allergic -reaction -is -accompanied -by -hypotension
Complications -associated -with -long-term -transfusions -for -sickle -cell -anemia -patients -include:
a. -Renal -dysfunction
