PCCN Exam 2026 - Multisystem Review questions with verified answers

PCCN Exam 2026 - Multisystem Review questions
with verified answers


Acetaminophen OD - ans-NAC/Mucomyst xc xc xc




24 hours: no symptoms, labs ok GIVE ANTIDOTE
xc xc xc xc xc xc xc




24-72 hours: high AST
xc xc xc




72-96 hours: hepatic injury, peak AST, encephalopathy, coagulopathy, renal failure
xc xc xc xc xc xc xc xc xc




3-5 days: recovery or death
xc xc xc xc




Aspirin OD - ans-charcol+bicarB
xc xc xc




vomitting, tinnitus, confusion, hyperthermia, metabolic acidosis, irregular breathing, organ
xc xc xc xc xc xc xc xc xc




failure

Benzodiazepine OD - ans-Flumazenil xc xc xc




Beta Blockers OD - ans-Glucagon/Insulin
xc xc xc xc




bradycardia, hypotension, decreased CO, heart block, lethargy, seizures
xc xc xc xc xc xc xc




Ca Channel Blockers OD - ans-Calcium/Insulin
xc xc xc xc xc




prolonged AV conduction, vasodilation, bradycardia, lethargy, seizures, hyperglycemia
xc xc xc xc xc xc xc




Cocaine OD - ans-Benzodiazepines + vasodilators
xc xc xc xc xc




tachycardia, HTN, fever, coronary spasm, MI xc xc xc xc xc




Opioid OD - ans-Narcan xc xc xc




bradycardia, hypotension, respiratory depression xc xc xc




Tricyclic Antidepressant OD - ans-Bicarb
xc xc xc xc




hyperthermia, hypotension, confusion, seizures, dilated pupils, cardiac arrest, tachycardia
xc xc xc xc xc xc xc xc




ETOH Withdrawl - ans-sudden cessation of alcohol intake
xc xc xc xc xc xc xc




tachycardia, tachypnea, tremors, anxiety, irritation, sweating, adrenergic issues, seizures,
xc xc xc xc xc xc xc xc xc




delirium tremens xc




CIWAs (Clinical Institute Withdrawal Assessment Scale) - ans-
xc xc xc xc xc xc xc




MEDICATIONS: ativan, phenobarbital, librium, precedex, haldol, seroquel, IVF, electrolyte xc xc xc xc xc xc xc xc x




management, thiamine, prophylactic seizure medications
c xc xc xc xc xc




<8 NO meds
xc xc




9-14 OPTIONAL meds
xc xc




15-19 NEED meds xc xc




>20: HIGH RISK (ICU)
xc xc xc