• PCCN EXAM 09/12/2026
PCCN EXAM 1 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!!)
A patient who has sustained a septal wall infarction several days ago now is complaining of acute shortness of
breath. The nurse auscultates rales bilaterally, notes decreasing O2 saturations and lowered blood pressure.
These signs and symptoms may indicate:
A. Deep vein thrombosis
B. pneumonia
P 1
, • PCCN EXAM 09/12/2026
C. anxiety
D. acute ventricular septal defect (VSD) with heart failure
- Correct Answer :D. acute ventricular septal defect (VSD) with heart failure
A complication of septal wall infarction is VSD. This may occur 3-7 days after infarction and appears as acute
decompensated heart failure. DVT does not have a presentation of acute onset heart failure. Pneumonia may
present with chest pain and rales on the affected side, but not acute decompensated heart failure. Anxiety
usually does not change the patient's total physical exam with decreasing saturations, rales bilaterally and acute
shortness of breath.
An elderly patient with an abdominal aortic aneurysm decline surgery for the condition. What medication may be
helpful in the prevention of rupture of this aneurysm?
A. benazepril (Lotensin)
B. captopril (Capoten)
C. metoprolol (Lopressor)
D. ramipril (Altace) –
Correct Answer :C. metoprolol (Lopressor)
Beta blockers are the best treatment for the prevention of an abdominal aortic aneurysm rupture. The other
answers are all angiotensin-converting enzyme inhibitors and will decrease the patient's hypertension; it is the
beta blocker that is suggested for this patient. Beta blockers, while decreasing blood pressure, also inhibit the
force of ventricular contraction, which helps prevent tension on the aortic wall, thereby reducing stress and the
possibility of rupture.
During the treatment of supraventricular tachycardia, which medication is given rapidly intravenous (IV) push
and may result in a brief sinus pause?
A. lidocaine (Xylocaine)
B. epinephrine (Adrenaclick)
C. adenosine (Adenocard)
D. procainamide –
Correct Answer :C. adenosine (Adenocard)
P 2
, • PCCN EXAM 09/12/2026
Adenosine is used for the treatment of supraventricular tachycardia. It is given as a rapid IV push with a large
saline flush. It often results in a sinus pause, then the rhythm converts to sinus. None of the other medications
are used for supraventricular tachycardia.
You are caring for a patient recently admitted with an inferior wall MI. Which of the following 12-lead ECG findings
would you anticipate?
A. T wave inversion in leads I and aVL
B. Q wave formation and ST segment elevation in leads II, III, and aVF
C. QRS duration greater than 0.01 in all leads
D. R wave taller in V6 –
Correct Answer :B. Q wave formation and ST segment elevation in leads II, III, and aVF
With STEMI, the patient will have ST segment elevation. The inferior leads are II, III, and aVF. T wave inversion in
leads I and aVL indicate ischemia in the anterior leads. QRS duration that is prolonged may indicate an
intraventricular conduction defect, and an R wave taller in V6 is a bundle branch block.
What should the nurse do if they suspect that their caregiver has abused an elderly patient?
A. No action is necessary
B. Talk with the caregiver
C. Tell the charge nurse, proceed up the chain of command about the possibility of abuse
D. Call the police –
Correct Answer :C. Tell the charge nurse, proceed up the chain of command about the possibility of abuse
Whenever the nurse suspects abuse or neglect, the possibility must be documented and the charge nurse
notified. This information then must go up the chain of command. If abuse is suspected, it always needs to be
addressed. The caregiver may not be the correct person to discuss this with. The bedside nurse should not call
the police without the charge nurse and the house supervisor's knowledge.
A young woman is recovering from surgery with an abdominal drain and IV fluids. Her 8 year old son is not
sleeping well and wishes to see his mother. Which action is a family-centered and caring practice?
A. Take the boy immediately to see his mother
P 3
, • PCCN EXAM 09/12/2026
B. Explain what the mother looks like with an abdominal drain and IVs and then take the boy to see his mother
C. Tell the boy that he cannot see his mother until the drains have been removed
D. Tell the boy he cannot see his mother –
Correct Answer :B. Explain what the mother looks like with an abdominal drain and IVs and then take the boy
to see his mother
Addressing the boy's fears, such as his mother's appearance postsurgery and allowing the visit reflects caring
and family-centered care. Immediately taking the boy into the room without explanation may be detrimental to
the boy and increase his anxiety. Not allowing the boy to visit is not caring or family-centered care.
Resiliency is the patient's ability to:
A. avoid illness
B. adapt to his illness
C. accept his illness
D. recover from his illness –
Correct Answer :D. recover from his illness
The definition of resiliency according to the AACN is the"capacity to return to a restorative level of functioning
using compensatory/coping mechanisms: the ability to bounce back quickly after an insult." Avoiding illness,
adapting to illness and accepting illness are all patient adaptive capacities; however, the ability to be resilient is
to recover from an illness.
A nurse who is caring for a patient with a large abdominal wound will be teaching his wife how to change the
dressing and care for the wound. When developing the teaching plan, the nurse must first:
A. Assess the wife's knowledge and skills
B. Set up a schedule to demonstrate the techniques of dressing changes
C. Provide the wife with written information about the procedure
D. Write goals, objectives and outline for the procedure - Correct Answer :A. Assess the wife's knowledge and
skills
To develop a personalized and effective teaching plan, the first step is to assess the learner's current knowledge
level and her willingness to provide this skill. Setting up a schedule, providing written materials and establishing
learning goals are appropriate nursing actions after first assessing the wife's knowledge and willingness.
P 4
PCCN EXAM 1 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!!)
A patient who has sustained a septal wall infarction several days ago now is complaining of acute shortness of
breath. The nurse auscultates rales bilaterally, notes decreasing O2 saturations and lowered blood pressure.
These signs and symptoms may indicate:
A. Deep vein thrombosis
B. pneumonia
P 1
, • PCCN EXAM 09/12/2026
C. anxiety
D. acute ventricular septal defect (VSD) with heart failure
- Correct Answer :D. acute ventricular septal defect (VSD) with heart failure
A complication of septal wall infarction is VSD. This may occur 3-7 days after infarction and appears as acute
decompensated heart failure. DVT does not have a presentation of acute onset heart failure. Pneumonia may
present with chest pain and rales on the affected side, but not acute decompensated heart failure. Anxiety
usually does not change the patient's total physical exam with decreasing saturations, rales bilaterally and acute
shortness of breath.
An elderly patient with an abdominal aortic aneurysm decline surgery for the condition. What medication may be
helpful in the prevention of rupture of this aneurysm?
A. benazepril (Lotensin)
B. captopril (Capoten)
C. metoprolol (Lopressor)
D. ramipril (Altace) –
Correct Answer :C. metoprolol (Lopressor)
Beta blockers are the best treatment for the prevention of an abdominal aortic aneurysm rupture. The other
answers are all angiotensin-converting enzyme inhibitors and will decrease the patient's hypertension; it is the
beta blocker that is suggested for this patient. Beta blockers, while decreasing blood pressure, also inhibit the
force of ventricular contraction, which helps prevent tension on the aortic wall, thereby reducing stress and the
possibility of rupture.
During the treatment of supraventricular tachycardia, which medication is given rapidly intravenous (IV) push
and may result in a brief sinus pause?
A. lidocaine (Xylocaine)
B. epinephrine (Adrenaclick)
C. adenosine (Adenocard)
D. procainamide –
Correct Answer :C. adenosine (Adenocard)
P 2
, • PCCN EXAM 09/12/2026
Adenosine is used for the treatment of supraventricular tachycardia. It is given as a rapid IV push with a large
saline flush. It often results in a sinus pause, then the rhythm converts to sinus. None of the other medications
are used for supraventricular tachycardia.
You are caring for a patient recently admitted with an inferior wall MI. Which of the following 12-lead ECG findings
would you anticipate?
A. T wave inversion in leads I and aVL
B. Q wave formation and ST segment elevation in leads II, III, and aVF
C. QRS duration greater than 0.01 in all leads
D. R wave taller in V6 –
Correct Answer :B. Q wave formation and ST segment elevation in leads II, III, and aVF
With STEMI, the patient will have ST segment elevation. The inferior leads are II, III, and aVF. T wave inversion in
leads I and aVL indicate ischemia in the anterior leads. QRS duration that is prolonged may indicate an
intraventricular conduction defect, and an R wave taller in V6 is a bundle branch block.
What should the nurse do if they suspect that their caregiver has abused an elderly patient?
A. No action is necessary
B. Talk with the caregiver
C. Tell the charge nurse, proceed up the chain of command about the possibility of abuse
D. Call the police –
Correct Answer :C. Tell the charge nurse, proceed up the chain of command about the possibility of abuse
Whenever the nurse suspects abuse or neglect, the possibility must be documented and the charge nurse
notified. This information then must go up the chain of command. If abuse is suspected, it always needs to be
addressed. The caregiver may not be the correct person to discuss this with. The bedside nurse should not call
the police without the charge nurse and the house supervisor's knowledge.
A young woman is recovering from surgery with an abdominal drain and IV fluids. Her 8 year old son is not
sleeping well and wishes to see his mother. Which action is a family-centered and caring practice?
A. Take the boy immediately to see his mother
P 3
, • PCCN EXAM 09/12/2026
B. Explain what the mother looks like with an abdominal drain and IVs and then take the boy to see his mother
C. Tell the boy that he cannot see his mother until the drains have been removed
D. Tell the boy he cannot see his mother –
Correct Answer :B. Explain what the mother looks like with an abdominal drain and IVs and then take the boy
to see his mother
Addressing the boy's fears, such as his mother's appearance postsurgery and allowing the visit reflects caring
and family-centered care. Immediately taking the boy into the room without explanation may be detrimental to
the boy and increase his anxiety. Not allowing the boy to visit is not caring or family-centered care.
Resiliency is the patient's ability to:
A. avoid illness
B. adapt to his illness
C. accept his illness
D. recover from his illness –
Correct Answer :D. recover from his illness
The definition of resiliency according to the AACN is the"capacity to return to a restorative level of functioning
using compensatory/coping mechanisms: the ability to bounce back quickly after an insult." Avoiding illness,
adapting to illness and accepting illness are all patient adaptive capacities; however, the ability to be resilient is
to recover from an illness.
A nurse who is caring for a patient with a large abdominal wound will be teaching his wife how to change the
dressing and care for the wound. When developing the teaching plan, the nurse must first:
A. Assess the wife's knowledge and skills
B. Set up a schedule to demonstrate the techniques of dressing changes
C. Provide the wife with written information about the procedure
D. Write goals, objectives and outline for the procedure - Correct Answer :A. Assess the wife's knowledge and
skills
To develop a personalized and effective teaching plan, the first step is to assess the learner's current knowledge
level and her willingness to provide this skill. Setting up a schedule, providing written materials and establishing
learning goals are appropriate nursing actions after first assessing the wife's knowledge and willingness.
P 4
