2026-2027 ADULT CCRN /PCCN CERTIFICATION
EXAM|REAL QUESTIONS AND ANSWERS |ALREADY
GRADED A+
One day following posterior spinal fusion surgery a 35 year old female
suddenly exhibits restlessness, labored breathing and acute chest pain. Her
heart rate is 122/min., she is afebrile, and exhibits slightly diminished breath
sounds on the right side.The findings described above should lead the nurse to
suspect that the patient has developed:
A. A spontaneous pneumothorax
B. A pulmonary embolus
C. Aspiration pneumonia
D. A pleural effusion
B. A pulmonary embolus
One day following posterior spinal fusion surgery a 35 year old female
suddenly exhibits restlessness, labored breathing and acute chest pain. Her
heart rate is 122/min., she is afebrile, and exhibits slightly diminished breath
sounds on the right side.
Which of the following will most likely confirm the patient's diagnosis?
A. Pulmonary radioisotope scan
B. Echocardiogram
C. Cardiac enzyme studies
D. Chest x-ray and arterial blood gases
A. Pulmonary radioisotope scan
,The nursing staff does not wish to be assigned a difficult patient who
continues to demonstrate disorderly behavior. Which of the following is an
acceptable solution?
A. Request the family control the patient's behavior.
B. Transfer the patient
C. The patient assignment should be decided by the Charge Nurse.
D. Alternate the patient assignment among the nursing staff.
D. Alternate the patient assignment among the nursing staff.
ARDS is characterized by which of the following:
A. Refractory hypercarbia
B. Increase in surfactant
C. Increased lung compliance
D. Shunting
D. Shunting
Rationale: ARDS is characterized by refractory hypoxia, shunting, decreased
lung compliance, and decreased surfactant.
A 42 y/o woman with a 6 month history of worsening anxiety, heat
intolerance, and weight loss presents to the emergency department. Which of
the following are indicators of hyperthyroidism?
A. Constipation, lower body temperature, and edema
, B. High T3 and T4 and low TSH.
C. Depression, dementia, and reflex changes
D. Low T3 and T4 and high TSH
B. High T3 and T4 and low TSH.
Rationale: Constipation, lower body temperature, edema, depression,
dementia, reflex changes, low T3, low T4, high TSH are all indicators of
hypothyroidism.
A patient who is 72 hours postoperative repair of a bowel obstruction
suddenly demonstrates shortness of breath and his respiratory rate increases
from 22 to 45/min. His SpO2 went from 95% to 88% acutely. An arterial blood
gas sample obtained while the patient is receiving oxygen via a nasal cannula
at 6L/min reveals the following results:
pH 7.40
pCO2 27
pO2 50
A chest x-ray is obtained and a "ground-glass-like appearance" is reported.
Auscultation of the lungs reveals diffuse crackles that were not present
previously.
The findings described above should lead the nurse to believe that the patient
has:
A. Acute respiratory distress syndrome
B. A pulmonary embolus
C. A spontaneous pneumothorax
D. Aspiration pneumonia
EXAM|REAL QUESTIONS AND ANSWERS |ALREADY
GRADED A+
One day following posterior spinal fusion surgery a 35 year old female
suddenly exhibits restlessness, labored breathing and acute chest pain. Her
heart rate is 122/min., she is afebrile, and exhibits slightly diminished breath
sounds on the right side.The findings described above should lead the nurse to
suspect that the patient has developed:
A. A spontaneous pneumothorax
B. A pulmonary embolus
C. Aspiration pneumonia
D. A pleural effusion
B. A pulmonary embolus
One day following posterior spinal fusion surgery a 35 year old female
suddenly exhibits restlessness, labored breathing and acute chest pain. Her
heart rate is 122/min., she is afebrile, and exhibits slightly diminished breath
sounds on the right side.
Which of the following will most likely confirm the patient's diagnosis?
A. Pulmonary radioisotope scan
B. Echocardiogram
C. Cardiac enzyme studies
D. Chest x-ray and arterial blood gases
A. Pulmonary radioisotope scan
,The nursing staff does not wish to be assigned a difficult patient who
continues to demonstrate disorderly behavior. Which of the following is an
acceptable solution?
A. Request the family control the patient's behavior.
B. Transfer the patient
C. The patient assignment should be decided by the Charge Nurse.
D. Alternate the patient assignment among the nursing staff.
D. Alternate the patient assignment among the nursing staff.
ARDS is characterized by which of the following:
A. Refractory hypercarbia
B. Increase in surfactant
C. Increased lung compliance
D. Shunting
D. Shunting
Rationale: ARDS is characterized by refractory hypoxia, shunting, decreased
lung compliance, and decreased surfactant.
A 42 y/o woman with a 6 month history of worsening anxiety, heat
intolerance, and weight loss presents to the emergency department. Which of
the following are indicators of hyperthyroidism?
A. Constipation, lower body temperature, and edema
, B. High T3 and T4 and low TSH.
C. Depression, dementia, and reflex changes
D. Low T3 and T4 and high TSH
B. High T3 and T4 and low TSH.
Rationale: Constipation, lower body temperature, edema, depression,
dementia, reflex changes, low T3, low T4, high TSH are all indicators of
hypothyroidism.
A patient who is 72 hours postoperative repair of a bowel obstruction
suddenly demonstrates shortness of breath and his respiratory rate increases
from 22 to 45/min. His SpO2 went from 95% to 88% acutely. An arterial blood
gas sample obtained while the patient is receiving oxygen via a nasal cannula
at 6L/min reveals the following results:
pH 7.40
pCO2 27
pO2 50
A chest x-ray is obtained and a "ground-glass-like appearance" is reported.
Auscultation of the lungs reveals diffuse crackles that were not present
previously.
The findings described above should lead the nurse to believe that the patient
has:
A. Acute respiratory distress syndrome
B. A pulmonary embolus
C. A spontaneous pneumothorax
D. Aspiration pneumonia
