Exam
Exam Solution zm
PCCN exam notes () 2026 A+ GRADE ASSURED COMPLE
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TE SOLUTIONS AND VERIFIED ANSWERS (48BCA)
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QUESTION 1 zm
Term
ANSWER
Definition
QUESTION 2 zm
Pt on Vtach, HR 135, RR 32, BP 90/48, conscious but c/o dizziness, recent K+ lvl is 3.
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4. What action would you do first?
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a. emergent defib
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b. amio 300mg IVP
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c. emergent cardioversion
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d. hang 10 mEq KCL/50mL D5W
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ANSWER
C
QUESTION 3 zm
76-year-
old patient is receiving gentamicin and linezolid for an infection. Which of the followi
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ng potential complications is the most important for the nurse to monitor this patient
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for?
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A. Acute delirium
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B. Acute kidney injury
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C. Acute hepatic failure
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D. Sepsis
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ANSWER
, B. Gentamicin is a nephrotoxic agent that places patients at risk for acute kidney injury, and this ris
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k is increased in older patients. Acute delirium (A), liver failure (C), and sepsis (
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D) are all complications that could occur in an older adult with an infection but would not be cause
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d by the administration of an antibiotic.
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QUESTION 4 zm
An older patient is experiencing delirium 24 hours following hip replacement. Which i
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ntervention might worsen the patient's condition? zm zm zm zm zm
A. Removing any unnecessary tubes and equipment from the room
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B. Assessing and treating the patient's pain every 2 hours
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C. Ensuring that the patient has the means to call for help
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D. Loosely applying soft restraints
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ANSWER
D. Older patients are at increased risk for delirium during acute hospitalization. Interventions to ma
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nage acute delirium include removing or camouflaging tubes, removing unnecessary equipment, freq
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uently reorienting the patient, and ensuring that the call bell is consistently within reach, assessing
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and treating pain effectively, and encouraging mobility and involvement in activities of daily living. R
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estraining the patient is contraindicated in the care of patients with delirium.
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QUESTION 5 zm
A patient shows a new slight facial droop and the patient's right arm is weaker than t
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he left. A priority intervention would be to
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A. Obtain a serum glucose level
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B. Obtain a full set of vital signs
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C. Initiate the stroke protocol
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D. Initiate the code response team
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ANSWER
C. The stroke protocol should be activated as soon as signs of stroke are identified in a patient. Initi
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al signs of stroke include facial droop, arm down drift, and garbled speech. For best outcomes, the ti
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me elapsed between initials signs of stroke and treatment must be as short as possible.
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QUESTION 6 zm
Which of the following lab results shows acute pancreatitis?
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ANSWER
elevated glucose, lipase, amylase, BUN/Cr, triglycerides, and bilirubin (know your lab values) low cal
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cium, mag and potassium tx: fluids, rest pancreas, pain management, monitor and replace electrolyte
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s, nutrition, surgery (first line if hemorrhagic/necrotizing)
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Exam Solution zm
PCCN exam notes () 2026 A+ GRADE ASSURED COMPLE
zm zm zm zm zm zm zm zm
TE SOLUTIONS AND VERIFIED ANSWERS (48BCA)
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QUESTION 1 zm
Term
ANSWER
Definition
QUESTION 2 zm
Pt on Vtach, HR 135, RR 32, BP 90/48, conscious but c/o dizziness, recent K+ lvl is 3.
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4. What action would you do first?
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a. emergent defib
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b. amio 300mg IVP
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c. emergent cardioversion
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d. hang 10 mEq KCL/50mL D5W
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ANSWER
C
QUESTION 3 zm
76-year-
old patient is receiving gentamicin and linezolid for an infection. Which of the followi
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ng potential complications is the most important for the nurse to monitor this patient
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for?
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A. Acute delirium
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B. Acute kidney injury
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C. Acute hepatic failure
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D. Sepsis
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ANSWER
, B. Gentamicin is a nephrotoxic agent that places patients at risk for acute kidney injury, and this ris
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
k is increased in older patients. Acute delirium (A), liver failure (C), and sepsis (
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D) are all complications that could occur in an older adult with an infection but would not be cause
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d by the administration of an antibiotic.
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QUESTION 4 zm
An older patient is experiencing delirium 24 hours following hip replacement. Which i
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ntervention might worsen the patient's condition? zm zm zm zm zm
A. Removing any unnecessary tubes and equipment from the room
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B. Assessing and treating the patient's pain every 2 hours
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C. Ensuring that the patient has the means to call for help
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D. Loosely applying soft restraints
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ANSWER
D. Older patients are at increased risk for delirium during acute hospitalization. Interventions to ma
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nage acute delirium include removing or camouflaging tubes, removing unnecessary equipment, freq
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uently reorienting the patient, and ensuring that the call bell is consistently within reach, assessing
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and treating pain effectively, and encouraging mobility and involvement in activities of daily living. R
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estraining the patient is contraindicated in the care of patients with delirium.
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QUESTION 5 zm
A patient shows a new slight facial droop and the patient's right arm is weaker than t
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he left. A priority intervention would be to
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A. Obtain a serum glucose level
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B. Obtain a full set of vital signs
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C. Initiate the stroke protocol
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D. Initiate the code response team
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ANSWER
C. The stroke protocol should be activated as soon as signs of stroke are identified in a patient. Initi
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al signs of stroke include facial droop, arm down drift, and garbled speech. For best outcomes, the ti
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me elapsed between initials signs of stroke and treatment must be as short as possible.
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QUESTION 6 zm
Which of the following lab results shows acute pancreatitis?
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ANSWER
elevated glucose, lipase, amylase, BUN/Cr, triglycerides, and bilirubin (know your lab values) low cal
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cium, mag and potassium tx: fluids, rest pancreas, pain management, monitor and replace electrolyte
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s, nutrition, surgery (first line if hemorrhagic/necrotizing)
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