CCC4 Exam 3 Questions with Correct Answers Latest Update 2025/2026
PT with urine output less than the minimum is the first thing to do? - Answers Palpate bladder
for distention
PT asks about the risk of surgical procedure 1 hr beforehand. What do you do? - Answers call
provider/surgeon to speak with pt
Redness at picc line (catheter site), check: - Answers vitals
Pain is ______ to the pt - Answers subjective
An infection developed while in the hospital is called: - Answers Healthcare associate infection
chest pain, first action - Answers evaluate pain/assess pt
Patients on tpn need bs checks because the tpn can cause the pt's bg to _____ - Answers
increase
Laryngectomy priority - Answers patent airway
Which of these is most concerning a few hours after a knee replacement surgery - Answers
•Cap refill of 7 seconds in toes
Pt diagnosed with sepsis...which finding is most concerning - Answers •Increased lethargy
Initial vitals vs reassessment vitals, what do? - Answers document as normal and continue to
monitor
PAIN MANAGEMENT SHOULD BE ______ TO THE PATIENT - Answers individualized
CLIENT'S NEED TO UNDERSTAND THEIR OPERATION AND WHAT THE DOCTOR TELLS THEM
BEFORE SIGNING. IF THEY DO NOT: - Answers contact provider
What vitamin best promotes wound healing - Answers Vitamin C
What action helps you assess wound drainage over time - Answers circling drainage on dressin
Clients using an incentive spirometer should inhale ______ through the mouthpiece while
keeping the ball ____ - Answers deeply
afloat
How often should scd's be 0n the patient - Answers anytime they are in bed
Can immunocompromised patients have artificial nails? - Answers no
Pale red watery drainage= - Answers serosanguinous
, Who is responsible for obtaining surgical informed consent - Answers contact provider
Non-pharm pain tx - Answers distraction
massage
hot/cold
reposition
movement
herbals
Nurse practice act is what type of law - Answers statutory
Best way to prevent cross-contamination - Answers statutory law
Primary purpose of pacu - Answers monitor/evalute and stabilize pt during recovery form
abethesia
Priority assessment in immediate post-care phase? - Answers airway
Priority assessment after epidural? - Answers check BP
Client had abdominal surgery 10 hours ago, what finding should be reported? - Answers •No
urine output since surgery
When should the pt be medicated for pain prior to wound care? - Answers 30minutes
Which of these Iv therapies has the greatest increase in oxygen-carrying capacity for the pt? -
Answers •Packed red blood cells
Which quality and safety education for nurses competency focuses on the client as the source
of control and full partner in providing compassionate and coordinated care based on respect
for client's preference, value, and needs? - Answers client centered care
The beginning of the post-op period is when: - Answers when surgery is complete and
transfered t opacu
Which of these are signs of fluid volume deficit - Answers •Increasing restlessness
Typical duration for acute pain - Answers 6 months
Best time to apply antiembolism stockings - Answers before rising in the morning
Which of the following documentation entries is most correct? - Answers •The client reports
sharp pain in their lower abdomen when standing
PT with urine output less than the minimum is the first thing to do? - Answers Palpate bladder
for distention
PT asks about the risk of surgical procedure 1 hr beforehand. What do you do? - Answers call
provider/surgeon to speak with pt
Redness at picc line (catheter site), check: - Answers vitals
Pain is ______ to the pt - Answers subjective
An infection developed while in the hospital is called: - Answers Healthcare associate infection
chest pain, first action - Answers evaluate pain/assess pt
Patients on tpn need bs checks because the tpn can cause the pt's bg to _____ - Answers
increase
Laryngectomy priority - Answers patent airway
Which of these is most concerning a few hours after a knee replacement surgery - Answers
•Cap refill of 7 seconds in toes
Pt diagnosed with sepsis...which finding is most concerning - Answers •Increased lethargy
Initial vitals vs reassessment vitals, what do? - Answers document as normal and continue to
monitor
PAIN MANAGEMENT SHOULD BE ______ TO THE PATIENT - Answers individualized
CLIENT'S NEED TO UNDERSTAND THEIR OPERATION AND WHAT THE DOCTOR TELLS THEM
BEFORE SIGNING. IF THEY DO NOT: - Answers contact provider
What vitamin best promotes wound healing - Answers Vitamin C
What action helps you assess wound drainage over time - Answers circling drainage on dressin
Clients using an incentive spirometer should inhale ______ through the mouthpiece while
keeping the ball ____ - Answers deeply
afloat
How often should scd's be 0n the patient - Answers anytime they are in bed
Can immunocompromised patients have artificial nails? - Answers no
Pale red watery drainage= - Answers serosanguinous
, Who is responsible for obtaining surgical informed consent - Answers contact provider
Non-pharm pain tx - Answers distraction
massage
hot/cold
reposition
movement
herbals
Nurse practice act is what type of law - Answers statutory
Best way to prevent cross-contamination - Answers statutory law
Primary purpose of pacu - Answers monitor/evalute and stabilize pt during recovery form
abethesia
Priority assessment in immediate post-care phase? - Answers airway
Priority assessment after epidural? - Answers check BP
Client had abdominal surgery 10 hours ago, what finding should be reported? - Answers •No
urine output since surgery
When should the pt be medicated for pain prior to wound care? - Answers 30minutes
Which of these Iv therapies has the greatest increase in oxygen-carrying capacity for the pt? -
Answers •Packed red blood cells
Which quality and safety education for nurses competency focuses on the client as the source
of control and full partner in providing compassionate and coordinated care based on respect
for client's preference, value, and needs? - Answers client centered care
The beginning of the post-op period is when: - Answers when surgery is complete and
transfered t opacu
Which of these are signs of fluid volume deficit - Answers •Increasing restlessness
Typical duration for acute pain - Answers 6 months
Best time to apply antiembolism stockings - Answers before rising in the morning
Which of the following documentation entries is most correct? - Answers •The client reports
sharp pain in their lower abdomen when standing
