ADULT CCRN/PCCN CERTIFICATION PRACTICE TEST NEWEST
2024-2025 EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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
Ans: B. A pulmonary embolus
QUESTION>>>> 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?
, 2
A. Pulmonary radioisotope scan
B. Echocardiogram
C. Cardiac enzyme studies
D. Chest x-ray and arterial blood gases
Ans: A. Pulmonary radioisotope scan
QUESTION>>>> 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.
Ans: D. Alternate the patient assignment among the nursing staff.
QUESTION>>>> 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
Master01 | Dec, 2024/2025 | Latest update
, 3
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
Ans: A. Acute respiratory distress syndrome
QUESTION>>>> 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
Master01 | Dec, 2024/2025 | Latest update
2024-2025 EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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
Ans: B. A pulmonary embolus
QUESTION>>>> 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?
, 2
A. Pulmonary radioisotope scan
B. Echocardiogram
C. Cardiac enzyme studies
D. Chest x-ray and arterial blood gases
Ans: A. Pulmonary radioisotope scan
QUESTION>>>> 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.
Ans: D. Alternate the patient assignment among the nursing staff.
QUESTION>>>> 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
Master01 | Dec, 2024/2025 | Latest update
, 3
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
Ans: A. Acute respiratory distress syndrome
QUESTION>>>> 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
Master01 | Dec, 2024/2025 | Latest update
