AACN PCCN Exam Review: Multisystem
Questions and Answers 2025
NormalAinflammatoryAresponseA-ACORRECTAANSWERS-
vasodilatation,AincreasedAmicrovascularApermeability,AcellularAactivationAandAreleaseAofA
mediators,AandAcoagulation
DefineAsepsisA-ACORRECTAANSWERS-
systemicAresponseAtoAinfection,AmanifestedAbyAtwoAorAmoreAconditionsAresultingAfromAinfe
ctionA(tempA>38C,AHRA>90Abpm,ARRA>20Abpm,APaCO2A<32AmmHg,AWBCA>12,A<4)
DefineAsepticAshockA-ACORRECTAANSWERS-
sepsisAwithAhypotension,AdespiteAadequateAfluidAresuscitation,AalongAwithApresenceAofApe
rfusionAabnormalitiesAincludingAlacticAacidosis,Aoliguria,AacuteAAMS
RiskAfactorsAforAsepsisA-ACORRECTAANSWERS-
malnutrition,Aimmunosuppression,AprolongedAantibioticAuse,AinvasiveAdevices
DefineAMODSA-ACORRECTAANSWERS-
multipleAorganAdysfunction,AworseningAprogressionAofAsystemicAinflammatoryAresponseA(
SIRS)AinvolvingAsignsAofAorganAdysfunction
ManagementAofAsepsisA-ACORRECTAANSWERS-
treatAcauseA(antibiotics),AmaximizeAoxygen,AmaximizeACOA(difficultAbcApathologicalAproble
mAofASIRSAisAincreasedApermeabilityAofAcapillaryAbedA-
AliberalAfluidAadmin),AdecreaseAoxygenAdemandA(reduceAtachycardia,Atachypnea,Ahyperth
ermia,Apain,ApreventAshivering,AcomfortAmeasures)
WhatAisANOTAanAaccurateAmeasurementAofAadequateAperfusionA-
ACORRECTAANSWERS-
BLOODAPRESSURE,AadequateApressureAdoesAnotAalwaysAequalAadequateAperfusion
SymptomsAofAalcoholAwithdrawalA-ACORRECTAANSWERS-
insomnia,Atremors,Aanxiety,AGIAupset,AHA,Asweating,Apalpitations,Ahallucinations,Aseizures
,Afever,Aagitation
HowAisAisopropylAalcoholAintoxicationAdistinguishedAfromAotherAtypesAofAalcoholAintoxicatio
nA-ACORRECTAANSWERS-presenceAofAketoacidsAinAurineAandAserum
WhichAimbalanceAisAseenAinAmethanolAintoxicationAandArelievedAbyAhyperventilationA-
ACORRECTAANSWERS-metabolicAacidosisA(decreasedAbicarbonateAlevel)
WhichAalcoholAintoxicationAaffectsArenalAtubularAdegenerationA-ACORRECTAANSWERS-
ethyleneAglycolAintoxication
WhichAvitaminsAareAmostAimportantAinAalcoholAwithdrawalA-ACORRECTAANSWERS-
thiamine,AfolateA(bananaAbagAofABAvitamins)
SignsAandAsymptomsAapplicableAtoAmajorityAofAdrugAoverdoseA-ACORRECTAANSWERS-
decreasedALOC,AbehavioralAchanges,ArespiratoryAdepression
AntidoteAforAacetaminophenA-ACORRECTAANSWERS-N-acetylcysteine
AntidoteAforAopiatesA-ACORRECTAANSWERS-naloxone
AntidoteAforAbenzodiazepinesA-ACORRECTAANSWERS-
flumazenilA(avoidAifApotentialAforAseizure)
AntidoteAforAdigoxinA-ACORRECTAANSWERS-digiband
Questions and Answers 2025
NormalAinflammatoryAresponseA-ACORRECTAANSWERS-
vasodilatation,AincreasedAmicrovascularApermeability,AcellularAactivationAandAreleaseAofA
mediators,AandAcoagulation
DefineAsepsisA-ACORRECTAANSWERS-
systemicAresponseAtoAinfection,AmanifestedAbyAtwoAorAmoreAconditionsAresultingAfromAinfe
ctionA(tempA>38C,AHRA>90Abpm,ARRA>20Abpm,APaCO2A<32AmmHg,AWBCA>12,A<4)
DefineAsepticAshockA-ACORRECTAANSWERS-
sepsisAwithAhypotension,AdespiteAadequateAfluidAresuscitation,AalongAwithApresenceAofApe
rfusionAabnormalitiesAincludingAlacticAacidosis,Aoliguria,AacuteAAMS
RiskAfactorsAforAsepsisA-ACORRECTAANSWERS-
malnutrition,Aimmunosuppression,AprolongedAantibioticAuse,AinvasiveAdevices
DefineAMODSA-ACORRECTAANSWERS-
multipleAorganAdysfunction,AworseningAprogressionAofAsystemicAinflammatoryAresponseA(
SIRS)AinvolvingAsignsAofAorganAdysfunction
ManagementAofAsepsisA-ACORRECTAANSWERS-
treatAcauseA(antibiotics),AmaximizeAoxygen,AmaximizeACOA(difficultAbcApathologicalAproble
mAofASIRSAisAincreasedApermeabilityAofAcapillaryAbedA-
AliberalAfluidAadmin),AdecreaseAoxygenAdemandA(reduceAtachycardia,Atachypnea,Ahyperth
ermia,Apain,ApreventAshivering,AcomfortAmeasures)
WhatAisANOTAanAaccurateAmeasurementAofAadequateAperfusionA-
ACORRECTAANSWERS-
BLOODAPRESSURE,AadequateApressureAdoesAnotAalwaysAequalAadequateAperfusion
SymptomsAofAalcoholAwithdrawalA-ACORRECTAANSWERS-
insomnia,Atremors,Aanxiety,AGIAupset,AHA,Asweating,Apalpitations,Ahallucinations,Aseizures
,Afever,Aagitation
HowAisAisopropylAalcoholAintoxicationAdistinguishedAfromAotherAtypesAofAalcoholAintoxicatio
nA-ACORRECTAANSWERS-presenceAofAketoacidsAinAurineAandAserum
WhichAimbalanceAisAseenAinAmethanolAintoxicationAandArelievedAbyAhyperventilationA-
ACORRECTAANSWERS-metabolicAacidosisA(decreasedAbicarbonateAlevel)
WhichAalcoholAintoxicationAaffectsArenalAtubularAdegenerationA-ACORRECTAANSWERS-
ethyleneAglycolAintoxication
WhichAvitaminsAareAmostAimportantAinAalcoholAwithdrawalA-ACORRECTAANSWERS-
thiamine,AfolateA(bananaAbagAofABAvitamins)
SignsAandAsymptomsAapplicableAtoAmajorityAofAdrugAoverdoseA-ACORRECTAANSWERS-
decreasedALOC,AbehavioralAchanges,ArespiratoryAdepression
AntidoteAforAacetaminophenA-ACORRECTAANSWERS-N-acetylcysteine
AntidoteAforAopiatesA-ACORRECTAANSWERS-naloxone
AntidoteAforAbenzodiazepinesA-ACORRECTAANSWERS-
flumazenilA(avoidAifApotentialAforAseizure)
AntidoteAforAdigoxinA-ACORRECTAANSWERS-digiband