THE PCCN EXAM (ACTUAL ) QUESTIONS.

THE PCCN EXAM (ACTUAL 2024-2025) QUESTIONS WIT
ANSWERS
Which electrolytes pose the most potential hazard if not within
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normal limits for the person with acute kidney failure?
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- <<<Answers>>>Potassium and calcium
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peaked T- H




waves and a widening of the QRS interval in a pt with AKI are i
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ndicative of: - <<<Answers>>>d. hyperkalemia. H H H H




A patient presents with the following: HR, 120 beats/min; BP, 8
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0/44 mm Hg; urine output averaging 20 mL/hr over the last 4 hou
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rs; afebrile; moist rales in the lungs bilaterally; BUN, 84 mg/dL;
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creatinine, 3.4 mg/dL. What is the probable cause of this patient'
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s acute kidney injury (AKI)? -
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<<<Answers>>>Left ventricular failure causing prerenal AKI H H H H H




To determine whether edema in a patient's hands is due to circul
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atory compromise or another cause, the nurse might: -
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<<<Answers>>>elevate the patient's extremities for 1 hour and H H H H H H H




observe the degree of edema still present.
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Hypovolemia causes tachycardia and : - H H H H H




<<<Answers>>>hypotension.


To avoid the complications that can result from administering fu
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rosemide (Lasix) to stimulate urinary output, the nurse will caref
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ully monitor: - H H




<<<Answers>>>levels of electrolytes, especially potassium.
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, THE PCCN EXAM (ACTUAL 2024- H H H H




2025) QUESTIONS WITH ANSWERS H H H




Which dialysis method would be most appropriate for the hemo
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dynamically stable patient in the anuric phase of acute kidney inj
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ury (AKI)? - <<<Answers>>>Intermittent hemodialysis
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What are complications of continuous renal replacement therap
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y (CRRT)? -
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<<<Answers>>>Air embolism, decreased inflow pressure, elec
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trolyte imbalance H




What type of formula would be most appropriate for a patient wit
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h acute pancreatitis? - <<<Answers>>>Low fat
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A person with a body mass index (BMI) of 32 would be consider
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ed: - <<<Answers>>>obese
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Diet therapy for a hypertensive person 1 day after a myocardial
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infarction would include all the following except: H H H H H H




- <<<Answers>>>a fluid-restricted diet.
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Kwashiorkor malnutrition results in: - H H H H




<<<Answers>>>low levels of serum proteins, low lymphocyte
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count, and hair loss. H H H




Significant laboratory and clinical findings in the nutritional ass
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essment of patient with cardiovascular disease include: -
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<<<Answers>>>b. elevated low- H H




density lipoprotein (LDL) cholesterol and decreased subcutaneo
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us fat. H

, THE PCCN EXAM (ACTUAL 2024- H H H H




2025) QUESTIONS WITH ANSWERS H H H




Serum proteins serve the function of: -
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<<<Answers>>>maintaining osmotic pressure. H H




A patient on mechanical ventilation is receiving total parenteral
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nutrition (TPN). Why is appropriate caloric intake important? -
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<<<Answers>>>Excessive calorie intake can cause an increas
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e in PaCO2.
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How does AKI cause acidosis? -
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<<<Answers>>>Decreased urine output impairs potassium exc
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retion. The resulting hyperkalemia causes a shift in H+, the accu
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mulation results in acidosis H H H




A patient with severe abdominal pain for the last week presents
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with elevated amylase, lipase, and a rigid abdomen. What do yo
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u suspect? - <<<Answers>>>pancreatitis
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How is acute pancreatitis treated? -
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<<<Answers>>>hydration, electrolyte balance, nutrition and pa H H H H H




in control
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What procedure measures heart pressure and diagnoses pulmon
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ary hypertension? - <<<Answers>>>right-
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sided heart catheterization; provides measurements of right atriu
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m, right ventricle, pulmonary artery, and pulmonary artery occlu
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sive pressure H

, THE PCCN EXAM (ACTUAL 2024-H H H H




2025) QUESTIONS WITH ANSWERS H H H




Why does lowering fever improve prognosis in stroke pts? -
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<<<Answers>>>Increased metabolic demands, enhanced H H H H




neurotransmitter release, and increased free radicals may i H H H H H H H




ncrease stroke mortality. H H




What is a contraindication to administer nitroglycerin to a pt wit
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h a right ventricular infarction? -
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<<<Answers>>>nitroglycerin reduces preload, and pts with a R H H H H H H H




VI are preload dependent
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What are six risk factors for delirium? -
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<<<Answers>>>cognitive impairment, sleep deprivation, dehy H H H H




dration, immobility, hearing impairment, vision impairment
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What does a pericardial friction rub sound like? -
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<<<Answers>>>grating sound with s1 and s2 Nor H H H H H H




mal PR interval - <<<Answers>>>0.12-
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0.20 normal QRS - <<<Answers>>>0.04-0.10
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complications of an intra-aortic balloon pump (IAPB). - H H H H H H H




<<<Answers>>>Thrombocytopenia, aortic dissection and septi H H H H




cemia