Adult CCRN/PCCN Certification Practice
Test Questions and Answers 2025
OneAdayAfollowingAposteriorAspinalAfusionAsurgeryAaA35AyearAoldAfemaleAsuddenlyAexhibits
Arestlessness,AlaboredAbreathingAandAacuteAchestApain.AHerAheartArateAisA122/min.,AsheA
isAafebrile,AandAexhibitsAslightlyAdiminishedAbreathAsoundsAonAtheArightAside.
TheAfindingsAdescribedAaboveAshouldAleadAtheAnurseAtoAsuspectAthatAtheApatientAhasAdeve
loped:
A.AAAspontaneousApneumothorax
B.AAApulmonaryAembolus
C.AAspirationApneumonia
D.AAApleuralAeffusionA-ACORRECTAANSWERS-B.AAApulmonaryAembolus
OneAdayAfollowingAposteriorAspinalAfusionAsurgeryAaA35AyearAoldAfemaleAsuddenlyAexhibits
Arestlessness,AlaboredAbreathingAandAacuteAchestApain.AHerAheartArateAisA122/min.,AsheAisA
afebrile,AandAexhibitsAslightlyAdiminishedAbreathAsoundsAonAtheArightAside.
WhichAofAtheAfollowingAwillAmostAlikelyAconfirmAtheApatient'sAdiagnosis?
A.APulmonaryAradioisotopeAscan
B.AEchocardiogram
C.ACardiacAenzymeAstudies
D.AChestAx-rayAandAarterialAbloodAgasesA-ACORRECTAANSWERS-
A.APulmonaryAradioisotopeAscan
TheAnursingAstaffAdoesAnotAwishAtoAbeAassignedAaAdifficultApatientAwhoAcontinuesAtoAdemo
nstrateAdisorderlyAbehavior.AWhichAofAtheAfollowingAisAanAacceptableAsolution?
A.ARequestAtheAfamilyAcontrolAtheApatient'sAbehavior.
B.ATransferAtheApatient
C.ATheApatientAassignmentAshouldAbeAdecidedAbyAtheAChargeANurse.
D.AAlternateAtheApatientAassignmentAamongAtheAnursingAstaff.A-ACORRECTAANSWERS-
D.AAlternateAtheApatientAassignmentAamongAtheAnursingAstaff.
AApatientAwhoAisA72AhoursApostoperativeArepairAofAaAbowelAobstructionAsuddenlyAdemonst
ratesAshortnessAofAbreathAandAhisArespiratoryArateAincreasesAfromA22AtoA45/min.AHisASpO
2AwentAfromA95%AtoA88%Aacutely.AAnAarterialAbloodAgasAsampleAobtainedAwhileAtheApatien
tAisAreceivingAoxygenAviaAaAnasalAcannulaAatA6L/minArevealsAtheAfollowingAresults:
pHA7.40
pCO2A27
pO2A50
AAchestAx-rayAisAobtainedAandAaA"ground-glass-
likeAappearance"AisAreported.AAuscultationAofAtheAlungsArevealsAdiffuseAcracklesAthatAwere
AnotApresentApreviously.
, TheAfindingsAdescribedAaboveAshouldAleadAtheAnurseAtoAbelieveAthatAtheApatientAhas:
A.AAcuteArespiratoryAdistressAsyndrome
B.AAApulmonaryAembolus
C.AAAspontaneousApneumothorax
D.AAspirationApneumoniaA-ACORRECTAANSWERS-
A.AAcuteArespiratoryAdistressAsyndrome
AApatientAwhoAisA72AhoursApostoperativeArepairAofAaAbowelAobstructionAsuddenlyAdemonst
ratesAshortnessAofAbreathAandAhisArespiratoryArateAincreasesAfromA22AtoA45/min.AHisASpO
2AwentAfromA95%AtoA88%Aacutely.AAnAarterialAbloodAgasAsampleAobtainedAwhileAtheApatien
tAisAreceivingAoxygenAviaAaAnasalAcannulaAatA6L/minArevealsAtheAfollowingAresults:
pHA7.40
pCO2A27
pO2A50
AAchestAx-rayAisAobtainedAandAaA"ground-glass-
likeAappearance"AisAreported.AAuscultationAofAtheAlungsArevealsAdiffuseAcracklesAthatAwere
AnotApresentApreviously.
OnAadmission,AyourApatient'sAarterialAbloodAgasAonAroomAairAis:ApHA7.23,APaCO2A55,APaO
2A90,AHCO3A30.ATheAcorrectAarterialAbloodAgasAinterpretationAis:
A.AUncompensatedAmetabolicAacidosis
B.AUncompensatedArespiratoryAalkalosis
C.AUncompensatedArespiratoryAacidosis
D.AUncompensatedAmetabolicAalkalosisA-ACORRECTAANSWERS-
C.AUncompensatedArespiratoryAacidosis
AApatientAwhoAisA72AhoursApostoperativeArepairAofAaAbowelAobstructionAsuddenlyAdemonst
ratesAshortnessAofAbreathAandAhisArespiratoryArateAincreasesAfromA22AtoA45/min.AHisASpO
2AwentAfromA95%AtoA88%Aacutely.AAnAarterialAbloodAgasAsampleAobtainedAwhileAtheApatien
tAisAreceivingAoxygenAviaAaAnasalAcannulaAatA6L/minArevealsAtheAfollowingAresults:
pHA7.40
pCO2A27
pO2A50
AAchestAx-rayAisAobtainedAandAaA"ground-glass-
likeAappearance"AisAreported.AAuscultationAofAtheAlungsArevealsAdiffuseAcracklesAthatAwere
AnotApresentApreviously.
YourApatientAjustAreceivedA10AunitsAofAbankedAbloodAforAaAGIAbleed.AYouAknowAthisAwillAaff
ectAtheAoxyhemoglobinAdissociationAcurveAby:
A.AShiftingAitAtoAtheAright
B.ACausingAaAplateauAinAtheAcurve
C.AShiftingAitAtoAtheAleft
D.ACausingAnoAchangeAinAtheAcurveA-ACORRECTAANSWERS-C.AShiftingAitAtoAtheAleft
Test Questions and Answers 2025
OneAdayAfollowingAposteriorAspinalAfusionAsurgeryAaA35AyearAoldAfemaleAsuddenlyAexhibits
Arestlessness,AlaboredAbreathingAandAacuteAchestApain.AHerAheartArateAisA122/min.,AsheA
isAafebrile,AandAexhibitsAslightlyAdiminishedAbreathAsoundsAonAtheArightAside.
TheAfindingsAdescribedAaboveAshouldAleadAtheAnurseAtoAsuspectAthatAtheApatientAhasAdeve
loped:
A.AAAspontaneousApneumothorax
B.AAApulmonaryAembolus
C.AAspirationApneumonia
D.AAApleuralAeffusionA-ACORRECTAANSWERS-B.AAApulmonaryAembolus
OneAdayAfollowingAposteriorAspinalAfusionAsurgeryAaA35AyearAoldAfemaleAsuddenlyAexhibits
Arestlessness,AlaboredAbreathingAandAacuteAchestApain.AHerAheartArateAisA122/min.,AsheAisA
afebrile,AandAexhibitsAslightlyAdiminishedAbreathAsoundsAonAtheArightAside.
WhichAofAtheAfollowingAwillAmostAlikelyAconfirmAtheApatient'sAdiagnosis?
A.APulmonaryAradioisotopeAscan
B.AEchocardiogram
C.ACardiacAenzymeAstudies
D.AChestAx-rayAandAarterialAbloodAgasesA-ACORRECTAANSWERS-
A.APulmonaryAradioisotopeAscan
TheAnursingAstaffAdoesAnotAwishAtoAbeAassignedAaAdifficultApatientAwhoAcontinuesAtoAdemo
nstrateAdisorderlyAbehavior.AWhichAofAtheAfollowingAisAanAacceptableAsolution?
A.ARequestAtheAfamilyAcontrolAtheApatient'sAbehavior.
B.ATransferAtheApatient
C.ATheApatientAassignmentAshouldAbeAdecidedAbyAtheAChargeANurse.
D.AAlternateAtheApatientAassignmentAamongAtheAnursingAstaff.A-ACORRECTAANSWERS-
D.AAlternateAtheApatientAassignmentAamongAtheAnursingAstaff.
AApatientAwhoAisA72AhoursApostoperativeArepairAofAaAbowelAobstructionAsuddenlyAdemonst
ratesAshortnessAofAbreathAandAhisArespiratoryArateAincreasesAfromA22AtoA45/min.AHisASpO
2AwentAfromA95%AtoA88%Aacutely.AAnAarterialAbloodAgasAsampleAobtainedAwhileAtheApatien
tAisAreceivingAoxygenAviaAaAnasalAcannulaAatA6L/minArevealsAtheAfollowingAresults:
pHA7.40
pCO2A27
pO2A50
AAchestAx-rayAisAobtainedAandAaA"ground-glass-
likeAappearance"AisAreported.AAuscultationAofAtheAlungsArevealsAdiffuseAcracklesAthatAwere
AnotApresentApreviously.
, TheAfindingsAdescribedAaboveAshouldAleadAtheAnurseAtoAbelieveAthatAtheApatientAhas:
A.AAcuteArespiratoryAdistressAsyndrome
B.AAApulmonaryAembolus
C.AAAspontaneousApneumothorax
D.AAspirationApneumoniaA-ACORRECTAANSWERS-
A.AAcuteArespiratoryAdistressAsyndrome
AApatientAwhoAisA72AhoursApostoperativeArepairAofAaAbowelAobstructionAsuddenlyAdemonst
ratesAshortnessAofAbreathAandAhisArespiratoryArateAincreasesAfromA22AtoA45/min.AHisASpO
2AwentAfromA95%AtoA88%Aacutely.AAnAarterialAbloodAgasAsampleAobtainedAwhileAtheApatien
tAisAreceivingAoxygenAviaAaAnasalAcannulaAatA6L/minArevealsAtheAfollowingAresults:
pHA7.40
pCO2A27
pO2A50
AAchestAx-rayAisAobtainedAandAaA"ground-glass-
likeAappearance"AisAreported.AAuscultationAofAtheAlungsArevealsAdiffuseAcracklesAthatAwere
AnotApresentApreviously.
OnAadmission,AyourApatient'sAarterialAbloodAgasAonAroomAairAis:ApHA7.23,APaCO2A55,APaO
2A90,AHCO3A30.ATheAcorrectAarterialAbloodAgasAinterpretationAis:
A.AUncompensatedAmetabolicAacidosis
B.AUncompensatedArespiratoryAalkalosis
C.AUncompensatedArespiratoryAacidosis
D.AUncompensatedAmetabolicAalkalosisA-ACORRECTAANSWERS-
C.AUncompensatedArespiratoryAacidosis
AApatientAwhoAisA72AhoursApostoperativeArepairAofAaAbowelAobstructionAsuddenlyAdemonst
ratesAshortnessAofAbreathAandAhisArespiratoryArateAincreasesAfromA22AtoA45/min.AHisASpO
2AwentAfromA95%AtoA88%Aacutely.AAnAarterialAbloodAgasAsampleAobtainedAwhileAtheApatien
tAisAreceivingAoxygenAviaAaAnasalAcannulaAatA6L/minArevealsAtheAfollowingAresults:
pHA7.40
pCO2A27
pO2A50
AAchestAx-rayAisAobtainedAandAaA"ground-glass-
likeAappearance"AisAreported.AAuscultationAofAtheAlungsArevealsAdiffuseAcracklesAthatAwere
AnotApresentApreviously.
YourApatientAjustAreceivedA10AunitsAofAbankedAbloodAforAaAGIAbleed.AYouAknowAthisAwillAaff
ectAtheAoxyhemoglobinAdissociationAcurveAby:
A.AShiftingAitAtoAtheAright
B.ACausingAaAplateauAinAtheAcurve
C.AShiftingAitAtoAtheAleft
D.ACausingAnoAchangeAinAtheAcurveA-ACORRECTAANSWERS-C.AShiftingAitAtoAtheAleft