PCCN EXAM NEW 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!!)
The nurse is teaching a patient to manage tracheostomy care. The nurse has prepared written directions and a
video, but the patient ignores them and picks up the pieces of equipment and looks at them trying to figure out
the parts. The patient's learning style is most likely:
A. auditory
B. visual
P 1
, • PCCN EXAM 09/12/2026
C. kinesthetic
D. mixed –
Correct Answer :C. kinesthetic
Kinesthetic learners learn best by handling, doing and practicing the objective. These learners should be allowed
to handle supplies or equipment at their pace, with little interruptions. They do benefit from written directions,
videos and diagrams. Auditory learners learn best by listening and talking, so procedures should be explained
during presentations. Auditory learners benefit from audiotapes and extra time for questions.
A legal document that specifically designates someone to make decisions regarding medical and end-of-life care
for a mentally incompetent patient is:
A. an advanced directive
B. a do-not-resuscitate order
C. a durable power of attorney
D. a general power of attorney –
Correct Answer :C. a durable power of attorney
A patient with a durable power of attorney appointee is the designated person to make all medical and end-of-
life decisions for this patient. This is a legal document that has been filed through the state and gives the
appointee all medical decision ability. Advanced directives are legal documents made by the patient about his or
her living will or specific requests regarding treatment. A DNR is a medical order from the physician that is
written in the chart or is a form filled out by the patient or the power of attorney so that the patient will not
receive CPR or intubation. A general power of attorney allows a designated person to make decisions for a
person over broader areas, including financial.
In communicating with the family of a dying patient, it is important to:
A. Find little improvements to give them hope
B. Provide accurate information
C. Direct all questions back to the physician
P 2
, • PCCN EXAM 09/12/2026
D. Reassure them that it is God's will –
Correct Answer :B. Provide accurate information
The best response is to give the most accurate information about the clinical situation. Explain the patient's
condition in terms the family will understand. This does not diminish hope and provides a direct communication
between the nurse and family. Do not give false hope by finding little improvements.
When conducting research, which of the following sources is deemed invalid?
A. juried medical journal
B. popular press report
C. professional associated reports
D. research article presented at a national medical, nursing convention –
Correct Answer :B. popular press report
Popular press reports are not referred and may be the opinion of the reporter and should not be used as
research material. Juried medical journals are referred, meaning that the article has been reviewed. edited and
substantiated by a well-known authority in the field. Professional associations, such as the American Medical
Association (AMA), provide refereed materials as well. A research article presented at a national convention has
been reviewed and deemed appropriate for presentation by a panel of experts.
Which of the following is one of the most important needs of family members during critical illness?
A. to know the status of the patient
B. to be near the patient
C. to be kept informed
D. to participate in treatment decisions - Correct Answer :C. to be kept informed
Most family members need information about the condition as well as the treatment plan for their loved one.
The number one reason why families are upset with care or sue for poor care is the lack of communication. It is
important to know the status of the patient; this is communication and being informed. Not all families need to
be at the bedside, but all want information regarding the progress of the patient. Some family members do
participate in treatment decisions; however, the research is clear that family members need to be informed.
P 3
, • PCCN EXAM 09/12/2026
Which of the following interventions would ensure that a patient understands and has informed consent for a
test or procedure?
A. Asking the patient to explain the test or procedure
B. giving the patient written instructions for the test or procedure
C. verbally informing the patient about the test or procedure
D. obtaining the patient's signature on the consent form –
Correct Answer :A. Asking the patient to explain the test or procedure
By asking the patient to explain the test of procedure, the nurse is ensuring that the patient heard the
explanation, can understand the explanation by retelling the instructions or specifications and really has
informed consent. Giving written instructions does not examine if the patient understands, nor does their
signature or simply verbally informing them. Informed consent acknowledges that the patient heard,
understands and agrees with the treatment plan.
Following five days in the ICU, a young female patient is transferred to the PCU. After the first night, she reports
not sleeping and becomes increasingly anxious. Which of the following approaches is acceptable for care of this
patient?
A. Establish a quiet environment
B. Work with the patient to restore a normal sleeping pattern
C. Provide sleep medication
D. all of the above –
Correct Answer :D. all of the above
When dealing with a young patient recovering from a critical illness, the nurse should try to establish a normal
pattern of care. Eating, sleeping and bathing all are practices that should return to normal. Providing a quite,
restful environment as well as working with the patient's needs and desires and possible sleep medication are all
acceptable.
A 55 year old male postoperative patient is demonstrating signs of pain; tachycardia, hypertension, abdominal
guarding and increased respiratory rate. The patient refuses pain medication because he believes he will become
addicted to the narcotics. What is the nurse's best response?
A. Acknowledge that the patient is entitled to refuse pain medications
P 4