AACN PCCN Practice Test 2025 Questions
And Answers
A 72 y/o man is in the ICU for chronic renal failure. What electrolyte abnormalities would
the nurse watch for?
A. Decreased BUN and Creatinine from diseased kidneys
B. High pH and alkalosis
C. Hyperkalemia
D. Thrombocytopenia - ANSWER>>C. Hyperkalemia
The nurse is providing care for a patient with pyelonephritis. What treatment is
appropriate for this patient?
A. Restrict oral and IV fluids to prevent renal failure
B. 2 L hypertonic solution with magnesium rider
C. 2 Grams Ceftriaxone
D. Prepare patient for emergent dialysis - ANSWER>>C. 2 Grams Ceftriaxone
Rationale: Appropriate therapy for pyelonephritis includes: Give 2 L of IV fluid, Give 2
Tylenol #3 or similar pain control. Give 2 gm ceftriaxone. If the patient can tolerate two
glasses of water and fever decreases by 2 degrees: Trimethoprim/Sulfamethoxazole
(TMP/SMX) double-strength BID for two weeks; follow-up in two days for progress
check.
Toxic Shock, Myxedema coma, and Addisonian Crisis are all types of what type of
shock?
A. Neurogenic
B. Anaphylactic
C. Distributive
D. Hypovolemic - ANSWER>>C. Distributive
Positive cultures distinguish what two stages of the sepsis spectrum?
A. SIRS and sepsis
B. Sepsis and severe sepsis
C. Sepsis and septic shock
D. SIRS and severe shock - ANSWER>>A. SIRS and sepsis
Which scenario would be the best example of secondary MODS?
, A. Respiratory failure due to pneumonia
B. Acute respiratory distress syndrome secondary to pancreatitis
C. Neurologic anoxia due to hypoxemia
D. Renal Failure due to prolonged hypovolemic shock - ANSWER>>B. Acute respiratory
distress syndrome secondary to pancreatitis
Example of catecholamines are:
A. Mast cells, basophils, and eosinophils
B. Histamine, tryptase, and heparin
C. Histamine, epinephrine, and steroids
D. Epinephrine, norepinephrine, and dopamine - ANSWER>>D. Epinephrine,
norepinephrine, and dopamine
Which of following is a nursing priority when providing care to a patient during a
seizure?
A. Ensure the patient has an open airway
B. Stay away from the patient
C. Administer Haldol
D. Padded tongue blade in mouth - ANSWER>>A. Ensure the patient has an open
airway
The nurse assesses damage to the right cerebral hemisphere in a patient. Assessment
finding would include
A. Deviation of the eyes to the left
B. Left homonymous hemianopia
C. Right hemi paresis
D. Right hemiplegia - ANSWER>>B. Left homonymous hemianopia
ICP continued to climb in a patient who has become unresponsive and vitals signs are
as follows B/P 190-70 Heart rate 45. The nurse understands this reflex to be:
A. Vaso-vagal response
B. Cushing's response
C. Slurred speech
D. Hypertensive crisis - ANSWER>>B. Cushing's response
Management of a patient with a subarachnoid hemorrhage would include the following
A. KVO Intravenous fluids
B. Beta blockers
C. Maintaining mean arterial blood pressure greater than 90
And Answers
A 72 y/o man is in the ICU for chronic renal failure. What electrolyte abnormalities would
the nurse watch for?
A. Decreased BUN and Creatinine from diseased kidneys
B. High pH and alkalosis
C. Hyperkalemia
D. Thrombocytopenia - ANSWER>>C. Hyperkalemia
The nurse is providing care for a patient with pyelonephritis. What treatment is
appropriate for this patient?
A. Restrict oral and IV fluids to prevent renal failure
B. 2 L hypertonic solution with magnesium rider
C. 2 Grams Ceftriaxone
D. Prepare patient for emergent dialysis - ANSWER>>C. 2 Grams Ceftriaxone
Rationale: Appropriate therapy for pyelonephritis includes: Give 2 L of IV fluid, Give 2
Tylenol #3 or similar pain control. Give 2 gm ceftriaxone. If the patient can tolerate two
glasses of water and fever decreases by 2 degrees: Trimethoprim/Sulfamethoxazole
(TMP/SMX) double-strength BID for two weeks; follow-up in two days for progress
check.
Toxic Shock, Myxedema coma, and Addisonian Crisis are all types of what type of
shock?
A. Neurogenic
B. Anaphylactic
C. Distributive
D. Hypovolemic - ANSWER>>C. Distributive
Positive cultures distinguish what two stages of the sepsis spectrum?
A. SIRS and sepsis
B. Sepsis and severe sepsis
C. Sepsis and septic shock
D. SIRS and severe shock - ANSWER>>A. SIRS and sepsis
Which scenario would be the best example of secondary MODS?
, A. Respiratory failure due to pneumonia
B. Acute respiratory distress syndrome secondary to pancreatitis
C. Neurologic anoxia due to hypoxemia
D. Renal Failure due to prolonged hypovolemic shock - ANSWER>>B. Acute respiratory
distress syndrome secondary to pancreatitis
Example of catecholamines are:
A. Mast cells, basophils, and eosinophils
B. Histamine, tryptase, and heparin
C. Histamine, epinephrine, and steroids
D. Epinephrine, norepinephrine, and dopamine - ANSWER>>D. Epinephrine,
norepinephrine, and dopamine
Which of following is a nursing priority when providing care to a patient during a
seizure?
A. Ensure the patient has an open airway
B. Stay away from the patient
C. Administer Haldol
D. Padded tongue blade in mouth - ANSWER>>A. Ensure the patient has an open
airway
The nurse assesses damage to the right cerebral hemisphere in a patient. Assessment
finding would include
A. Deviation of the eyes to the left
B. Left homonymous hemianopia
C. Right hemi paresis
D. Right hemiplegia - ANSWER>>B. Left homonymous hemianopia
ICP continued to climb in a patient who has become unresponsive and vitals signs are
as follows B/P 190-70 Heart rate 45. The nurse understands this reflex to be:
A. Vaso-vagal response
B. Cushing's response
C. Slurred speech
D. Hypertensive crisis - ANSWER>>B. Cushing's response
Management of a patient with a subarachnoid hemorrhage would include the following
A. KVO Intravenous fluids
B. Beta blockers
C. Maintaining mean arterial blood pressure greater than 90
