ALL THE PCCN Exam |Questions with 100% Correct
Answers | Verified | Latest Update 2024 Graded A+
The patient has a waist measurement of 52 inches. His triglyceride level is 175 mg/dL, his high-
density lipoprotein (HDL) cholesterol level is 32 mg/dL, and his fasting plasma glucose level is
224 mg/dL. His blood pressure readings are usually approximately 140/90 mm Hg. The nurse
recognizes the characteristics of: ✔✔metabolic syndrome.
To reverse the hyperglycemic hyperosmolar state, the nurse will first prepare to administer:
✔✔fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The nurse should
anticipate orders for the administration of: ✔✔vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the physiological effect is:
✔✔dilutional hyponatremia, reducing sodium concentration to critically low levels.
Which assessment findings would indicate fluid volume excess? ✔✔edema, auscultation of
a third heart sound, crackles in lungs, bounding pulses, AMS, olguria, HTN
,The report of a renal patient's laboratory results shows that the blood urea nitrogen (BUN) level
is less than 25 mg/dL. To fully understand the patient's renal status, the nurse must consider
this value along with: ✔✔c. creatinine level.
To determine whether edema in a patient's hands is due to circulatory compromise or another
cause, the nurse might: ✔✔elevate the patient's extremities for 1 hour and observe the
degree of edema still present.
Hypovolemia causes tachycardia and : ✔✔hypotension.
To avoid the complications that can result from administering furosemide (Lasix) to stimulate
urinary output, the nurse will carefully monitor: ✔✔levels of electrolytes, especially potassium.
Which dialysis method would be most appropriate for the hemodynamically stable patient
in the anuric phase of acute kidney injury (AKI)? ✔✔Intermittent hemodialysis
What are complications of continuous renal replacement therapy (CRRT)? ✔✔Air
embolism, decreased inflow pressure, electrolyte imbalance
Which electrolytes pose the most potential hazard if not within normal limits for the
person with acute kidney failure? ✔✔Potassium and calcium
,peaked T-waves and a widening of the QRS interval in a pt with AKI are indicative of: ✔✔d.
hyperkalemia.
A patient presents with the following: HR, 120 beats/min; BP, 80/44 mm Hg; urine output
averaging 20 mL/hr over the last 4 hours; afebrile; moist rales in the lungs bilaterally; BUN,
84 mg/dL; creatinine, 3.4 mg/dL. What is the probable cause of this patient's acute kidney
injury (AKI)? ✔✔Left ventricular failure causing prerenal AKI
An elderly patient is in a motor vehicle accident and incurs a significant internal hemorrhage. He
is at greatest risk for which category of acute kidney injury (AKI)? ✔✔Prerenal
A patient is admitted to the unit with the following laboratory values: urine specific gravity,
1.010; urine osmolality, 210 mOsm/kg; BUN/Cr ratio 10:1; urine sodium, 96 mEq/L. The
urine output has been 60 mL since admission 2 hours ago. These values are most consistent
with which of the following types of acute kidney injury (AKI)? ✔✔Intrarenal
Percussing the patient's stomach produces a tympanic sound is a sign that: ✔✔the
patient's stomach is empty.
The nurse is unable to hear bowel sounds in any of the four quadrants of the
patient's abdomen. This may indicate the presence of: ✔✔ban ileus.
Auscultation of the abdomen reveals a bruit over the left renal artery. This is an indication of:
✔✔renal hypertension.
, The nurse observes that striae on the patient's abdomen are pink and purple. This may be
a sign of: ✔✔Cushing's syndrome.
During auscultation of the patient's abdomen, the nurse hears frequent high-pitched, tinkling
sounds. This is probably evidence of: ✔✔normal bowel sounds.
The nurse has been unable to hear any bowel sounds during examination of the patient's
abdomen. The minimum interval for listening before concluding that bowel sounds are
absent is ____ minute(s). ✔✔5
During palpation of the patient's abdomen, rebound tenderness indicates: ✔✔inflammation
of the peritoneum, such as with appenticitis and Chrohn's dz
Elevated alkaline phosphatase level and increasing nausea and abdominal pain indicate:
✔✔gallbladder disease.
The patient's serum transferrin level is higher than 300 mcg/dL. The nurse will review other
laboratory results to evaluate for the possible presence of: ✔✔iron deficiency anemia.
The patient's alpha fetoprotein level is 200 ng/mL. This can indicate the presence of ____
cancer. ✔✔liver
Answers | Verified | Latest Update 2024 Graded A+
The patient has a waist measurement of 52 inches. His triglyceride level is 175 mg/dL, his high-
density lipoprotein (HDL) cholesterol level is 32 mg/dL, and his fasting plasma glucose level is
224 mg/dL. His blood pressure readings are usually approximately 140/90 mm Hg. The nurse
recognizes the characteristics of: ✔✔metabolic syndrome.
To reverse the hyperglycemic hyperosmolar state, the nurse will first prepare to administer:
✔✔fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The nurse should
anticipate orders for the administration of: ✔✔vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the physiological effect is:
✔✔dilutional hyponatremia, reducing sodium concentration to critically low levels.
Which assessment findings would indicate fluid volume excess? ✔✔edema, auscultation of
a third heart sound, crackles in lungs, bounding pulses, AMS, olguria, HTN
,The report of a renal patient's laboratory results shows that the blood urea nitrogen (BUN) level
is less than 25 mg/dL. To fully understand the patient's renal status, the nurse must consider
this value along with: ✔✔c. creatinine level.
To determine whether edema in a patient's hands is due to circulatory compromise or another
cause, the nurse might: ✔✔elevate the patient's extremities for 1 hour and observe the
degree of edema still present.
Hypovolemia causes tachycardia and : ✔✔hypotension.
To avoid the complications that can result from administering furosemide (Lasix) to stimulate
urinary output, the nurse will carefully monitor: ✔✔levels of electrolytes, especially potassium.
Which dialysis method would be most appropriate for the hemodynamically stable patient
in the anuric phase of acute kidney injury (AKI)? ✔✔Intermittent hemodialysis
What are complications of continuous renal replacement therapy (CRRT)? ✔✔Air
embolism, decreased inflow pressure, electrolyte imbalance
Which electrolytes pose the most potential hazard if not within normal limits for the
person with acute kidney failure? ✔✔Potassium and calcium
,peaked T-waves and a widening of the QRS interval in a pt with AKI are indicative of: ✔✔d.
hyperkalemia.
A patient presents with the following: HR, 120 beats/min; BP, 80/44 mm Hg; urine output
averaging 20 mL/hr over the last 4 hours; afebrile; moist rales in the lungs bilaterally; BUN,
84 mg/dL; creatinine, 3.4 mg/dL. What is the probable cause of this patient's acute kidney
injury (AKI)? ✔✔Left ventricular failure causing prerenal AKI
An elderly patient is in a motor vehicle accident and incurs a significant internal hemorrhage. He
is at greatest risk for which category of acute kidney injury (AKI)? ✔✔Prerenal
A patient is admitted to the unit with the following laboratory values: urine specific gravity,
1.010; urine osmolality, 210 mOsm/kg; BUN/Cr ratio 10:1; urine sodium, 96 mEq/L. The
urine output has been 60 mL since admission 2 hours ago. These values are most consistent
with which of the following types of acute kidney injury (AKI)? ✔✔Intrarenal
Percussing the patient's stomach produces a tympanic sound is a sign that: ✔✔the
patient's stomach is empty.
The nurse is unable to hear bowel sounds in any of the four quadrants of the
patient's abdomen. This may indicate the presence of: ✔✔ban ileus.
Auscultation of the abdomen reveals a bruit over the left renal artery. This is an indication of:
✔✔renal hypertension.
, The nurse observes that striae on the patient's abdomen are pink and purple. This may be
a sign of: ✔✔Cushing's syndrome.
During auscultation of the patient's abdomen, the nurse hears frequent high-pitched, tinkling
sounds. This is probably evidence of: ✔✔normal bowel sounds.
The nurse has been unable to hear any bowel sounds during examination of the patient's
abdomen. The minimum interval for listening before concluding that bowel sounds are
absent is ____ minute(s). ✔✔5
During palpation of the patient's abdomen, rebound tenderness indicates: ✔✔inflammation
of the peritoneum, such as with appenticitis and Chrohn's dz
Elevated alkaline phosphatase level and increasing nausea and abdominal pain indicate:
✔✔gallbladder disease.
The patient's serum transferrin level is higher than 300 mcg/dL. The nurse will review other
laboratory results to evaluate for the possible presence of: ✔✔iron deficiency anemia.
The patient's alpha fetoprotein level is 200 ng/mL. This can indicate the presence of ____
cancer. ✔✔liver
