PCCN EXAM |ACTUAL QUESTIONS AND VERIFIED
ANSWERS 2026-2027 UPDATED EDITION|GRADED
A+
Question 1
A patient is being treated for hypertensive crisis with Labetalol 10mg IV Q2H PRN and
Enalapril 1.25mg IV Q6H. The RN should hold the meds and notify the provider when lab
findings show:
A. ↓ potassium
B. ↑ hematocrit
C. ↓ platelets
D. ↑ liver function tests
CORRECT ANSWER
D
Question 2
Torsades de Pointes is commonly associated with which of the following electrolyte
disturbances?
A. Hyperkalemia
B. Hypokalemia
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,C. Hypermagnesemia
D. Hypomagnesemia
CORRECT ANSWER
D
Question 3
A patient is admitted to the hospital with abdmominal pain and nausea and was taken to
the OR for an emergent bowel resection. The post-operative course has been complicated
by septic shock and AKI. The patient is placed on intermittent HD. The nurse recognizes
which of the following is a priority to ensure safe patient care while receiving renal
replacement therapy?
A. Invasive hemodynamic monitoring to assess fluid volume status hourly
B. Frequent electrolyte monitoring to identify electrolyte shifts
C. Hourly UO monitoring to know when HD should be d/c
D. Daily weight monitoring to assess fluid status
CORRECT ANSWER
B
Question 4
A 52 year old male just underwent a 3 vessel CABG. He has been in NSR and suddenly
converts to a-fib at a rate of 160. His BP suddenly drops to 72/46 (54) and is feeling SOB.
You should anticipate which of the following?
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, A. Adenosine 6mg rapid IVP
B. Defibrillation with 100 J
C. Synchronized cardioversion with 100 J
D. Diltiazem bolus followed by an infusion
CORRECT ANSWER
C
Question 5
Which of the following is an example of advocacy?
A. Standing behind organizational decisions that are formed based on the needs of patients
B. Working with individuals to create synergistic relationships
C. Consistently acting with intention and upholding ethical values and principles
D. Being an honest and trustworthy individual
CORRECT ANSWER
A
Question 6
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ANSWERS 2026-2027 UPDATED EDITION|GRADED
A+
Question 1
A patient is being treated for hypertensive crisis with Labetalol 10mg IV Q2H PRN and
Enalapril 1.25mg IV Q6H. The RN should hold the meds and notify the provider when lab
findings show:
A. ↓ potassium
B. ↑ hematocrit
C. ↓ platelets
D. ↑ liver function tests
CORRECT ANSWER
D
Question 2
Torsades de Pointes is commonly associated with which of the following electrolyte
disturbances?
A. Hyperkalemia
B. Hypokalemia
1
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,C. Hypermagnesemia
D. Hypomagnesemia
CORRECT ANSWER
D
Question 3
A patient is admitted to the hospital with abdmominal pain and nausea and was taken to
the OR for an emergent bowel resection. The post-operative course has been complicated
by septic shock and AKI. The patient is placed on intermittent HD. The nurse recognizes
which of the following is a priority to ensure safe patient care while receiving renal
replacement therapy?
A. Invasive hemodynamic monitoring to assess fluid volume status hourly
B. Frequent electrolyte monitoring to identify electrolyte shifts
C. Hourly UO monitoring to know when HD should be d/c
D. Daily weight monitoring to assess fluid status
CORRECT ANSWER
B
Question 4
A 52 year old male just underwent a 3 vessel CABG. He has been in NSR and suddenly
converts to a-fib at a rate of 160. His BP suddenly drops to 72/46 (54) and is feeling SOB.
You should anticipate which of the following?
2
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, A. Adenosine 6mg rapid IVP
B. Defibrillation with 100 J
C. Synchronized cardioversion with 100 J
D. Diltiazem bolus followed by an infusion
CORRECT ANSWER
C
Question 5
Which of the following is an example of advocacy?
A. Standing behind organizational decisions that are formed based on the needs of patients
B. Working with individuals to create synergistic relationships
C. Consistently acting with intention and upholding ethical values and principles
D. Being an honest and trustworthy individual
CORRECT ANSWER
A
Question 6
3
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