• PCCN EXAM 09/12/2026
PCCN EXAM NEWEST 2025/ 2026 ACTUAL EXAM
TEST BANK| 2 VERSIONS (VERSION A & B) WITH
COMPLETE 650 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| PROGRESSIVE
CARE CERTIFIED NURSE EXAM PREP (MOST
RECENT!!)
A nursing team leader delegates a task to an unlicensed assistant caring for your patient. Who is responsible for
the patient outcomes?
A. the unlicensed person who completes the task
B. both the team leader and the unlicensed person who completes the task
C. the team leader who delegates the task
P 1
, • PCCN EXAM 09/12/2026
D. the administrative staff –
Correct Answer :C. the team leader who delegates the task
The nurse who delegates remains ultimately accountable for patient outcomes and for supervision of the person
to whom the task was assigned. The scope of nursing includes delegation of tasks to unlicensed assistant
personnel, providing those personnel have adequate training and knowledge. Delegation can be used to
manage the workload and to provide adequate and safe care.
The Health Insurance Portability and Accountability Act (HIPAA) regulates:
A. the transfer of patients from one facility to another
B. clinical trials
C. workplace safety
D. the rights of the individual related to privacy of health information –
Correct Answer :D. the rights of the individual related to privacy of health information
The nurse must not release any information or documentation about a patient's condition or treatment without
consent, as the individual has the right to determine who has access to personal information considered
protected health information, including history, condition, treatments in any form and any documentation.
Personal information can be shared with spouse, legal guardians and those with durable power of attorney.
Your patient is diagnosed with anoxic brain injury. The family overhears a physician stating that dialysis would
improve the patient's condition. Your best response to the family would be:
A. Explain to them that this physician does not have all the facts
B. Reinforce the diagnosis and the limited value of dialysis.
C. Speak to the physician about his comments and the patient's prognosis
D. Ignore the concern and ask the family to sign a do-not-resuscitate (DNR) form –
Correct Answer :C. Speak to the physician about his comments and the patient's prognosis
Direct communication with the physician is the best avenue. The physician may feel that dialysis will improve the
patient's BUN-to-creatinine ratio, and that will improve the assessment of the neurological examination. Even if
dialysis will not improve the final diagnosis, the physician may be attempting a reasonable clinical treatment that
P 2
, • PCCN EXAM 09/12/2026
may improve the assessment of neurological function. Communication is always the best response when there is
a possible conflict. Do not say the physician does not have all the information; it is the nurse who may not have
all the data.
A patient with terminal ovarian cancer states she is convinced that the doctor has misdiagnosed her condition
and asks for a second opinion. Which stage of the Kubler-Ross model is she likely experiencing?
A. anger
B. denial
C. depression
D. bargaining –
Correct Answer :B. denial
Denial is usually only a temporary defense for the individual. Denial is a defense mechanism, and some people
can become locked in this stage. Once in the second stage, the individual recognizes that denial cannot
continue. Because of anger, the person is very difficult to care for due to misplaced feelings of rage and envy.
Bargaining is when the patient or family may change doctors to try to change the outcome of the condition.
They may not yet believe the diagnosis and try to bargain for another. Bargaining also involves the hope that the
individual can somehow postpone or delay death. Usually, the negotiation for an extended life is made with a
higher power in exchange for a reformed lifestyle. During depression, the individual may become silent, refuse
visitors and spend much of the time crying and grieving. This process allows the dying person to disconnect from
things of love and affection. It is not recommended to attempt to cheer up an individual who is in this stage. It is
an important time for grieving that must be processed. In this last stage of acceptance, individuals begin to
come to terms with their mortality, or that of a loves one, or other tragic event. This stage varies according to
the person's situation.
Which of the following is an example of therapeutic communication?
A. "Don't worry. Everything will be fine."
B. "You should listen to your doctor."
C. "Why are you upset?"
D. "Is there anything you would like to discuss?" –
Correct Answer :D. "Is there anything you would like to discuss?"
P 3
, • PCCN EXAM 09/12/2026
This is the best example of an open-ended question and encourages the patient to express his or her feelings.
Nurses should avoid meaningless cliches, such as, "Don't worry. Everything will be fine." as this may not be true.
The nurse should also avoid direct advice such as "You should..." Providing facts and answering questions
directly is the best and represents open communication.
The best time to initiate conflict resolution is:
A. when those in conflict have had time to resolve their differences
B. when conflict interferes with function
C. when those involved ask for conflict resolution
D. at the initial emergence of conflict –
Correct Answer :D. at the initial emergence of conflict
The best time to initiate conflict resolution is when conflict first emerges, but before open conflict and hardening
of positions occurs.
1. Allows both parties to present their sides without bias
2. Encourages operation through negotiation and compromise
3. Maintains focus on the issue
4. Evaluates the need for renegotiation or need for a third party
5. Summarizes and outlines the key arguments
6. Avoids forcing resolution
The nurse is writing education material about heart failure for patients and families. What grade-level writing is
appropriate?
A. first-grade level
B. third-grade level
C. sixth-grade level
D. college freshman level –
Correct Answer :B. third-grade level
Studies now show that all education material that is to be widely distributed should be written at the third-grade
level. This will ensure the best comprehension by patients and families.
P 4
PCCN EXAM NEWEST 2025/ 2026 ACTUAL EXAM
TEST BANK| 2 VERSIONS (VERSION A & B) WITH
COMPLETE 650 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| PROGRESSIVE
CARE CERTIFIED NURSE EXAM PREP (MOST
RECENT!!)
A nursing team leader delegates a task to an unlicensed assistant caring for your patient. Who is responsible for
the patient outcomes?
A. the unlicensed person who completes the task
B. both the team leader and the unlicensed person who completes the task
C. the team leader who delegates the task
P 1
, • PCCN EXAM 09/12/2026
D. the administrative staff –
Correct Answer :C. the team leader who delegates the task
The nurse who delegates remains ultimately accountable for patient outcomes and for supervision of the person
to whom the task was assigned. The scope of nursing includes delegation of tasks to unlicensed assistant
personnel, providing those personnel have adequate training and knowledge. Delegation can be used to
manage the workload and to provide adequate and safe care.
The Health Insurance Portability and Accountability Act (HIPAA) regulates:
A. the transfer of patients from one facility to another
B. clinical trials
C. workplace safety
D. the rights of the individual related to privacy of health information –
Correct Answer :D. the rights of the individual related to privacy of health information
The nurse must not release any information or documentation about a patient's condition or treatment without
consent, as the individual has the right to determine who has access to personal information considered
protected health information, including history, condition, treatments in any form and any documentation.
Personal information can be shared with spouse, legal guardians and those with durable power of attorney.
Your patient is diagnosed with anoxic brain injury. The family overhears a physician stating that dialysis would
improve the patient's condition. Your best response to the family would be:
A. Explain to them that this physician does not have all the facts
B. Reinforce the diagnosis and the limited value of dialysis.
C. Speak to the physician about his comments and the patient's prognosis
D. Ignore the concern and ask the family to sign a do-not-resuscitate (DNR) form –
Correct Answer :C. Speak to the physician about his comments and the patient's prognosis
Direct communication with the physician is the best avenue. The physician may feel that dialysis will improve the
patient's BUN-to-creatinine ratio, and that will improve the assessment of the neurological examination. Even if
dialysis will not improve the final diagnosis, the physician may be attempting a reasonable clinical treatment that
P 2
, • PCCN EXAM 09/12/2026
may improve the assessment of neurological function. Communication is always the best response when there is
a possible conflict. Do not say the physician does not have all the information; it is the nurse who may not have
all the data.
A patient with terminal ovarian cancer states she is convinced that the doctor has misdiagnosed her condition
and asks for a second opinion. Which stage of the Kubler-Ross model is she likely experiencing?
A. anger
B. denial
C. depression
D. bargaining –
Correct Answer :B. denial
Denial is usually only a temporary defense for the individual. Denial is a defense mechanism, and some people
can become locked in this stage. Once in the second stage, the individual recognizes that denial cannot
continue. Because of anger, the person is very difficult to care for due to misplaced feelings of rage and envy.
Bargaining is when the patient or family may change doctors to try to change the outcome of the condition.
They may not yet believe the diagnosis and try to bargain for another. Bargaining also involves the hope that the
individual can somehow postpone or delay death. Usually, the negotiation for an extended life is made with a
higher power in exchange for a reformed lifestyle. During depression, the individual may become silent, refuse
visitors and spend much of the time crying and grieving. This process allows the dying person to disconnect from
things of love and affection. It is not recommended to attempt to cheer up an individual who is in this stage. It is
an important time for grieving that must be processed. In this last stage of acceptance, individuals begin to
come to terms with their mortality, or that of a loves one, or other tragic event. This stage varies according to
the person's situation.
Which of the following is an example of therapeutic communication?
A. "Don't worry. Everything will be fine."
B. "You should listen to your doctor."
C. "Why are you upset?"
D. "Is there anything you would like to discuss?" –
Correct Answer :D. "Is there anything you would like to discuss?"
P 3
, • PCCN EXAM 09/12/2026
This is the best example of an open-ended question and encourages the patient to express his or her feelings.
Nurses should avoid meaningless cliches, such as, "Don't worry. Everything will be fine." as this may not be true.
The nurse should also avoid direct advice such as "You should..." Providing facts and answering questions
directly is the best and represents open communication.
The best time to initiate conflict resolution is:
A. when those in conflict have had time to resolve their differences
B. when conflict interferes with function
C. when those involved ask for conflict resolution
D. at the initial emergence of conflict –
Correct Answer :D. at the initial emergence of conflict
The best time to initiate conflict resolution is when conflict first emerges, but before open conflict and hardening
of positions occurs.
1. Allows both parties to present their sides without bias
2. Encourages operation through negotiation and compromise
3. Maintains focus on the issue
4. Evaluates the need for renegotiation or need for a third party
5. Summarizes and outlines the key arguments
6. Avoids forcing resolution
The nurse is writing education material about heart failure for patients and families. What grade-level writing is
appropriate?
A. first-grade level
B. third-grade level
C. sixth-grade level
D. college freshman level –
Correct Answer :B. third-grade level
Studies now show that all education material that is to be widely distributed should be written at the third-grade
level. This will ensure the best comprehension by patients and families.
P 4
