ADULT CCRN/PCCN Certification Practice
Test Questions and Answers
1. One day following posterior spinal fusion surgery a 35 year old
female suddenly exhibits restlessness, labored breathing and acute
chest pain. Her heart rate is 122/min., she is afebrile, and exhibits
slightly diminished breath sounds on the right side.
The findings described above should lead the nurse to suspect that
the patient has developed:
A. A spontaneous pneumothorax
B. A pulmonary embolus
C. Aspiration pneumonia
D. A pleural effusion: B. A pulmonary embolus
2. One day following posterior spinal fusion surgery a 35 year old
female sud- denly exhibits restlessness, labored breathing and acute
chest pain. Her heart rate is 122/min., she is afebrile, and exhibits
slightly diminished breath sounds on the right side.
Which of the following will most likely confirm the patient's
diagnosis?
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28
,A. Pulmonary radioisotope scan
B. Echocardiogram
C. Cardiac enzyme studies
D. Chest x-ray and arterial blood gases: A. Pulmonary radioisotope scan
3. The nursing staff does not wish to be assigned a difficult patient
who contin- ues to demonstrate disorderly behavior. Which of the
following is an acceptable solution?
A. Request the family control the patient's behavior.
B. Transfer the patient
C. The patient assignment should be decided by the Charge Nurse.
D. Alternate the patient assignment among the nursing staff.: D.
Alternate the patient assignment among the nursing staff.
4. A patient who is 72 hours postoperative repair of a bowel
obstruction sudden- ly demonstrates shortness of breath and his
respiratory rate increases from 22 to 45/min. His SpO2 went from
95% to 88% acutely. An arterial blood gas sample obtained while
the patient is receiving oxygen via a nasal cannula at 6L/min
reveals the following results:
pH 7.40
pCO2 27
pO2 50
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28
, A chest x-ray is obtained and a "ground-glass-like appearance" is
reported. Aus- cultation of the lungs reveals diffuse crackles that were
not present previously.
The findings described above should lead the nurse to believe that the
patient has:
A. Acute respiratory distress syndrome
B. A pulmonary embolus
C. A spontaneous pneumothorax
D. Aspiration pneumonia: A. Acute respiratory distress syndrome
5. A patient who is 72 hours postoperative repair of a bowel
obstruction sudden- ly demonstrates shortness of breath and his
respiratory rate increases from 22 to 45/min. His SpO2 went from
95% to 88% acutely. An arterial blood gas sample obtained while
the patient is receiving oxygen via a nasal cannula at 6L/min
reveals the following results:
pH 7.40
pCO2 27
pO2 50
A chest x-ray is obtained and a "ground-glass-like appearance" is
reported. Aus- cultation of the lungs reveals diffuse crackles that were
not present previously.
3/
28
Test Questions and Answers
1. One day following posterior spinal fusion surgery a 35 year old
female suddenly exhibits restlessness, labored breathing and acute
chest pain. Her heart rate is 122/min., she is afebrile, and exhibits
slightly diminished breath sounds on the right side.
The findings described above should lead the nurse to suspect that
the patient has developed:
A. A spontaneous pneumothorax
B. A pulmonary embolus
C. Aspiration pneumonia
D. A pleural effusion: B. A pulmonary embolus
2. One day following posterior spinal fusion surgery a 35 year old
female sud- denly exhibits restlessness, labored breathing and acute
chest pain. Her heart rate is 122/min., she is afebrile, and exhibits
slightly diminished breath sounds on the right side.
Which of the following will most likely confirm the patient's
diagnosis?
1/
28
,A. Pulmonary radioisotope scan
B. Echocardiogram
C. Cardiac enzyme studies
D. Chest x-ray and arterial blood gases: A. Pulmonary radioisotope scan
3. The nursing staff does not wish to be assigned a difficult patient
who contin- ues to demonstrate disorderly behavior. Which of the
following is an acceptable solution?
A. Request the family control the patient's behavior.
B. Transfer the patient
C. The patient assignment should be decided by the Charge Nurse.
D. Alternate the patient assignment among the nursing staff.: D.
Alternate the patient assignment among the nursing staff.
4. A patient who is 72 hours postoperative repair of a bowel
obstruction sudden- ly demonstrates shortness of breath and his
respiratory rate increases from 22 to 45/min. His SpO2 went from
95% to 88% acutely. An arterial blood gas sample obtained while
the patient is receiving oxygen via a nasal cannula at 6L/min
reveals the following results:
pH 7.40
pCO2 27
pO2 50
2/
28
, A chest x-ray is obtained and a "ground-glass-like appearance" is
reported. Aus- cultation of the lungs reveals diffuse crackles that were
not present previously.
The findings described above should lead the nurse to believe that the
patient has:
A. Acute respiratory distress syndrome
B. A pulmonary embolus
C. A spontaneous pneumothorax
D. Aspiration pneumonia: A. Acute respiratory distress syndrome
5. A patient who is 72 hours postoperative repair of a bowel
obstruction sudden- ly demonstrates shortness of breath and his
respiratory rate increases from 22 to 45/min. His SpO2 went from
95% to 88% acutely. An arterial blood gas sample obtained while
the patient is receiving oxygen via a nasal cannula at 6L/min
reveals the following results:
pH 7.40
pCO2 27
pO2 50
A chest x-ray is obtained and a "ground-glass-like appearance" is
reported. Aus- cultation of the lungs reveals diffuse crackles that were
not present previously.
3/
28
