PCCN Exam Questions with Correct
Answers Latest Updates A Solved
100% Correct 2023- 2024 (Actual
Exam) With Rationales Score 100%
,A pt with ESRD and HF is receiving HD through an
AV graft. VS are BP 190/94, HR 104, RR 26. The pt
has crackles bilaterally and is bleeding from the
graft site. The nurse should
A. asses for bruit and thrill every 30 min for 2 hours
and reasses
B. notify the interventional radiologist
C. ask the nephrologist to insert a temp catheter
into the contralateral arm
D. collaborate with the nephrologists regarding not
using heparin during dialysis treatment - ANSWER-
B.
Rationale: If the bleeding is not controlled following
application of direct pressure to the site, repair by
an interventional radiologist is indicated.
,A pt presents with a temperature of 105.6 F (40.9)
and nuchal rigidity. A nurse obtains blood culture
and administers antibiotics. The patient remains
febrile, and the family questions the adequacy of
the interventions. The nurse's best response should
be to
A. arrange a social service consult
B. assure the family that everything will be
explained later.
C suggest that the family discuss their concerns with
the physician
D. acknowledge the family's concerns while
explaining rationales for the interventions -
ANSWER-D.
Rationale: The nurse demonstrating high levels of
caring practices and facilitation of learning will
acknowledge and address the family's learning
, A pt who is newly admitted is hemodynamically
stable, had sustained a stroke and had been on
mechanical ventilation via tracheostomy tube, a
continuous sedation infusion and enteral feedings
in the ICU for several days. The pt is now off
sedation and receiving O2 via a trach collar. Gastric
residual volumes of 250 ml every 6 hours over the
past 3 days have been noted. Upon collaborating
with the nutritionist and physician, the nurse should
anticipate which of the ff
A. dilution of the enteral feeds by 50% with water
B. administration of a prokinetic agent
C. decreasing the rate of enteral feedings by 50%
D. initiation of pernteral nutrition - ANSWER-B.
Rationale: In a studr of 206 critically ill pt, 2 or
more GRVs of at least 200 mL and 1 or more GRVs
of at least 250 mL were found significantly more
often in pt who experienced frequent aspiration.
Prokinetics have been advocated to improve gastric
emptying.
Answers Latest Updates A Solved
100% Correct 2023- 2024 (Actual
Exam) With Rationales Score 100%
,A pt with ESRD and HF is receiving HD through an
AV graft. VS are BP 190/94, HR 104, RR 26. The pt
has crackles bilaterally and is bleeding from the
graft site. The nurse should
A. asses for bruit and thrill every 30 min for 2 hours
and reasses
B. notify the interventional radiologist
C. ask the nephrologist to insert a temp catheter
into the contralateral arm
D. collaborate with the nephrologists regarding not
using heparin during dialysis treatment - ANSWER-
B.
Rationale: If the bleeding is not controlled following
application of direct pressure to the site, repair by
an interventional radiologist is indicated.
,A pt presents with a temperature of 105.6 F (40.9)
and nuchal rigidity. A nurse obtains blood culture
and administers antibiotics. The patient remains
febrile, and the family questions the adequacy of
the interventions. The nurse's best response should
be to
A. arrange a social service consult
B. assure the family that everything will be
explained later.
C suggest that the family discuss their concerns with
the physician
D. acknowledge the family's concerns while
explaining rationales for the interventions -
ANSWER-D.
Rationale: The nurse demonstrating high levels of
caring practices and facilitation of learning will
acknowledge and address the family's learning
, A pt who is newly admitted is hemodynamically
stable, had sustained a stroke and had been on
mechanical ventilation via tracheostomy tube, a
continuous sedation infusion and enteral feedings
in the ICU for several days. The pt is now off
sedation and receiving O2 via a trach collar. Gastric
residual volumes of 250 ml every 6 hours over the
past 3 days have been noted. Upon collaborating
with the nutritionist and physician, the nurse should
anticipate which of the ff
A. dilution of the enteral feeds by 50% with water
B. administration of a prokinetic agent
C. decreasing the rate of enteral feedings by 50%
D. initiation of pernteral nutrition - ANSWER-B.
Rationale: In a studr of 206 critically ill pt, 2 or
more GRVs of at least 200 mL and 1 or more GRVs
of at least 250 mL were found significantly more
often in pt who experienced frequent aspiration.
Prokinetics have been advocated to improve gastric
emptying.
