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PCCN Questions and Answers (Verified Answers)Latest Update 2024/2025
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PCCN Questions and Answers (Verified Answers)Latest Update 2024/2025
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PCCN Questions and Answers (Verified Answers)LatestUpdate 2024/2025
PCCN Questions and Answers
Which of the ff do these changes most likely represent
A. aspiration pneumonia
B. pulmonary embolism
C. interstitial pneumonitis
D. ARDS (Answer) : D . The onset of symptoms occured within 48 hours
of the incident. THe bilateral diffuse infiltrates and ABG results
indicating hypoxemia and CO2 retention are all consistent with ARDS.
Aspiration pneumonia should include hypoxxemia, respiratory
alkalosis. The CXR results would reveal an area of opacity with
aspiration pneumonia rather than diffuse infiltrates.
Interstitial lung disease invlolves an inflammation of supportive tissue
between the air sacs rather than inflammation in the air sacs
themselves. Symptoms would be SOB and a dry cough.
1. A pt reports chest pain that is sharp, constant, worse when lying down
and alleviated with sitting up and leaning forward. The most likely cause of
these findings is
A. ACS
B. pericarditis
C. PE
D. AAA (Answer) : B Pericarditis is inflammation of the pericardial sac.
,The damaged epi- cardium becomes rough and inflamed and irritates
the pericardium lying adjacent to it, precipitating pericarditis. Pain is
the most common symptom of pericarditis. THe pain is sharp, constant
and is alleviated when sitting up and leaning forward.
2. A pt tells a nurse, "I don't know how I'm going to pay for this
hospitaliza- tion." The nurse should
A. arrange a meeting with hospital social services staff
B. Notify the business office so a payment plan can be designed
,C. redirect the pt toward meeting psychologic needs
D. give the pt applications for public assistance medical coverage (Answer)
: A. Collab- oration with a social worker is indicated in this case the
social worker can assist the pt in identifying ways to address the
financial implications of this hospitalization and help identify methods
of payments.
3. A cardiac pt with with DNR status is being managed medically. The
nurse notes a new cough, thick yellow sputum and a temperature of 101.4
(38.4) Coarse crackles are present in the right upper field. The nurse
should most immediately anticipate
A. blood and sputum cultures followed by a broad spectrum abx
B. mucolytics and judicious IV fluid administration
C. an antyipyretic and conservative management
D. NPO status and encouragement of frequent activity (Answer) : A. This pt
symptoms are consistent with pneumonia. Management should include
abx therapy, oxygen therapy for hypoxemia, mechanical ventilation if
acute respiratory failure develops, fluid management for hydration,
nutritional support, and treatment of associated medical problems and
complications.
4. Which of the ff findings is most indicative of a ruptured aortic aneurysm
A. Back pain
B. bounding peripheral pulses
, C. intermittent claudication
D. warm, flushed skin (Answer) : A. An aneurysm is the localized dilation
of an artery. Should an aneurysm rupture, blood will build up under
pressure in the tissues surrounding the aorta, which can result in acute
pain and tenderness in theses areas. This is particularly the case if the
aneurysm leaks from the back of the aorta. Ruptured AAA presents
with a classic triad of pain in the flank or back, hypotension and a
pulsatile abdominal mass; however, only about half of the full triad.
The pt will complain of the pain and may feel cold, sweaty and faint on
standing. The pt may also report abdominal pain. A small percentage
may have vomiting
5. According to recommendations based on research findings, pain
assess- ment should occur
A. based on changes in vital signs
B. only when the pt movements indicate the pt is seeking attention
C. routinely, regardless of physical findings
D. only when the presence of pain can be validated (Answer) : C. Pain is
considered the fifth vital sign and must be assessed regularly.
Presence of physical findings may be part of the comprehensive
assessment of pain. However, physical findings may not be present in
all patients with pain
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