Adult CCRN PCCN Certification Practice
Test With Correct Questions And Answers
2024
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 .- .correct .answer.B. .A .pulmonary .embolus
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.
Which .of .the .following .will .most .likely .confirm .the .patient's .diagnosis?
A. .Pulmonary .radioisotope .scan
B. .Echocardiogram
C. .Cardiac .enzyme .studies
D. .Chest .x-ray .and .arterial .blood .gases .- .correct .answer.A. .Pulmonary .radioisotope .scan
The .nursing .staff .does .not .wish .to .be .assigned .a .difficult .patient .who .continues .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. .- .correct .answer.D.
.Alternate .the .patient .assignment .among .the .nursing .staff.
, A .patient .who .is .72 .hours .postoperative .repair .of .a .bowel .obstruction .suddenly
.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. .Auscultation
.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 .- .correct .answer.A. .Acute .respiratory .distress .syndrome
A .patient .who .is .72 .hours .postoperative .repair .of .a .bowel .obstruction .suddenly
.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. .Auscultation
.of .the .lungs .reveals .diffuse .crackles .that .were .not .present .previously.
On .admission, .your .patient's .arterial .blood .gas .on .room .air .is: .pH .7.23, .PaCO2 .55, .PaO2
.90, .HCO3 .30. .The .correct .arterial .blood .gas .interpretation .is:
A. .Uncompensated .metabolic .acidosis
B. .Uncompensated .respiratory .alkalosis
C. .Uncompensated .respiratory .acidosis
D. .Uncompensated .metabolic .alkalosis .- .correct .answer.C. .Uncompensated .respiratory
.acidosis
A .patient .who .is .72 .hours .postoperative .repair .of .a .bowel .obstruction .suddenly
.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. .Auscultation
.of .the .lungs .reveals .diffuse .crackles .that .were .not .present .previously.
Test With Correct Questions And Answers
2024
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 .- .correct .answer.B. .A .pulmonary .embolus
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.
Which .of .the .following .will .most .likely .confirm .the .patient's .diagnosis?
A. .Pulmonary .radioisotope .scan
B. .Echocardiogram
C. .Cardiac .enzyme .studies
D. .Chest .x-ray .and .arterial .blood .gases .- .correct .answer.A. .Pulmonary .radioisotope .scan
The .nursing .staff .does .not .wish .to .be .assigned .a .difficult .patient .who .continues .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. .- .correct .answer.D.
.Alternate .the .patient .assignment .among .the .nursing .staff.
, A .patient .who .is .72 .hours .postoperative .repair .of .a .bowel .obstruction .suddenly
.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. .Auscultation
.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 .- .correct .answer.A. .Acute .respiratory .distress .syndrome
A .patient .who .is .72 .hours .postoperative .repair .of .a .bowel .obstruction .suddenly
.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. .Auscultation
.of .the .lungs .reveals .diffuse .crackles .that .were .not .present .previously.
On .admission, .your .patient's .arterial .blood .gas .on .room .air .is: .pH .7.23, .PaCO2 .55, .PaO2
.90, .HCO3 .30. .The .correct .arterial .blood .gas .interpretation .is:
A. .Uncompensated .metabolic .acidosis
B. .Uncompensated .respiratory .alkalosis
C. .Uncompensated .respiratory .acidosis
D. .Uncompensated .metabolic .alkalosis .- .correct .answer.C. .Uncompensated .respiratory
.acidosis
A .patient .who .is .72 .hours .postoperative .repair .of .a .bowel .obstruction .suddenly
.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. .Auscultation
.of .the .lungs .reveals .diffuse .crackles .that .were .not .present .previously.
