AACN PCCN certification Exam Explore New
180 Questions and Answers|2025 Update|
100% Correct.
Which cerebral artery is most commonly involved in an epidural
bleed?✔✔CORRECT ANSWERS✔✔Middle menigneal
Spinal cord injury patient with hypertension and
bradycardia✔✔CORRECT ANSWERS✔✔Autonomic dysrelwfzia
Check for bladder dissection
Which lab values are consistent with patient in acute phase of
rhabomyolsis✔✔CORRECT ANSWERS✔✔Hyperkalmiea ans
hypocalcemia
Aa gradient measures what✔✔CORRECT ANSWERS✔✔Degree
of shunt
What type of brain hematoma require immediate
surgery?✔✔CORRECT ANSWERS✔✔Epidural hematoma (burr
hole and clot evacuation)
,Linear temporal skull fracture is associated with
what?✔✔CORRECT ANSWERS✔✔Epidural hematoma
Management of high calcium✔✔CORRECT
ANSWERS✔✔Diuretics and ns infusions
Lab value typically associated with chronic
alcoholism✔✔CORRECT ANSWERS✔✔Hypomagnesium
TIA vs normal stroke✔✔CORRECT ANSWERS✔✔Stroke like
symptoms that usually reverse within 1 hour
Best Choi e of medication for alcohol withdrawal
patients✔✔CORRECT ANSWERS✔✔Diazepam Valium
Life threatening complications of heroin use✔✔CORRECT
ANSWERS✔✔Prolonged qt interval - torsades de pointes
✔✔CORRECT ANSWERS✔✔Anterior cerebral arterial embolism
= hemiplegia / voluntary movement
,Posterior cerebral artery = visual loss
Middle cerbeal artery embolism = aphasia
Posterior cerebral artery embolism = sensory loss
Symptoms consistent with ICH✔✔CORRECT ANSWERS✔✔N/V
Photophobia
Increasing drowsiness
Michal rigidity
Headache
HTN
What to give to prevent wernicke encaphepathy✔✔CORRECT
ANSWERS✔✔Thiamine
Dantrolene for cerbral palsy and what other medications should
not be combined?✔✔CORRECT ANSWERS✔✔Danteolene and
calcium channel blockers can cause v fibrillation
, Where do you want to keep co2 levels for head
patient✔✔CORRECT ANSWERS✔✔35-45
hyperresonace and dullness over lung indicates...✔✔CORRECT
ANSWERS✔✔hyperresonance= air
dullness= fluid
decreasing the TV on ventilator will do what to
co2?✔✔CORRECT ANSWERS✔✔increase co2
The major effect of ARDS on lung tissue is✔✔CORRECT
ANSWERS✔✔Decreased compliance
Decreased compliance is related to alteration of lung
endothelium and vascular tissue. Pathophysiologic changes in
lung vascular tissue and increased lung edema contribute to the
decrease in compliance. The end result is stiffness of the fluid-
filled non-aerated airways. There is an increase in capillary
permeability due to the release of cytokines and a decrease in
functional residual capacity due to pathophysiologic changes in
the lung. The inflammatory process of ARDS causes inactivation,
destruction and decreased production of surfactant. This leads
180 Questions and Answers|2025 Update|
100% Correct.
Which cerebral artery is most commonly involved in an epidural
bleed?✔✔CORRECT ANSWERS✔✔Middle menigneal
Spinal cord injury patient with hypertension and
bradycardia✔✔CORRECT ANSWERS✔✔Autonomic dysrelwfzia
Check for bladder dissection
Which lab values are consistent with patient in acute phase of
rhabomyolsis✔✔CORRECT ANSWERS✔✔Hyperkalmiea ans
hypocalcemia
Aa gradient measures what✔✔CORRECT ANSWERS✔✔Degree
of shunt
What type of brain hematoma require immediate
surgery?✔✔CORRECT ANSWERS✔✔Epidural hematoma (burr
hole and clot evacuation)
,Linear temporal skull fracture is associated with
what?✔✔CORRECT ANSWERS✔✔Epidural hematoma
Management of high calcium✔✔CORRECT
ANSWERS✔✔Diuretics and ns infusions
Lab value typically associated with chronic
alcoholism✔✔CORRECT ANSWERS✔✔Hypomagnesium
TIA vs normal stroke✔✔CORRECT ANSWERS✔✔Stroke like
symptoms that usually reverse within 1 hour
Best Choi e of medication for alcohol withdrawal
patients✔✔CORRECT ANSWERS✔✔Diazepam Valium
Life threatening complications of heroin use✔✔CORRECT
ANSWERS✔✔Prolonged qt interval - torsades de pointes
✔✔CORRECT ANSWERS✔✔Anterior cerebral arterial embolism
= hemiplegia / voluntary movement
,Posterior cerebral artery = visual loss
Middle cerbeal artery embolism = aphasia
Posterior cerebral artery embolism = sensory loss
Symptoms consistent with ICH✔✔CORRECT ANSWERS✔✔N/V
Photophobia
Increasing drowsiness
Michal rigidity
Headache
HTN
What to give to prevent wernicke encaphepathy✔✔CORRECT
ANSWERS✔✔Thiamine
Dantrolene for cerbral palsy and what other medications should
not be combined?✔✔CORRECT ANSWERS✔✔Danteolene and
calcium channel blockers can cause v fibrillation
, Where do you want to keep co2 levels for head
patient✔✔CORRECT ANSWERS✔✔35-45
hyperresonace and dullness over lung indicates...✔✔CORRECT
ANSWERS✔✔hyperresonance= air
dullness= fluid
decreasing the TV on ventilator will do what to
co2?✔✔CORRECT ANSWERS✔✔increase co2
The major effect of ARDS on lung tissue is✔✔CORRECT
ANSWERS✔✔Decreased compliance
Decreased compliance is related to alteration of lung
endothelium and vascular tissue. Pathophysiologic changes in
lung vascular tissue and increased lung edema contribute to the
decrease in compliance. The end result is stiffness of the fluid-
filled non-aerated airways. There is an increase in capillary
permeability due to the release of cytokines and a decrease in
functional residual capacity due to pathophysiologic changes in
the lung. The inflammatory process of ARDS causes inactivation,
destruction and decreased production of surfactant. This leads
