adult CCRN -PCCN certification practice test.pdf file:///C:/Users/HP/Desktop/New%20fl/adult%20CCRN%20-PCCN%
Adult CCRN/PCCN Certification Practice Test
1. One day following posterior spinal fusion surgery a 35 year old female suddenly
exhibits restlessness, labored breathing and acute chest pain. Herheart rate is 122/min.,
she is afebrile, and exhibits slightly diminished breathsounds on the right side.
The findings described above should lead the nurse to suspect that the patienthas developed
A. A spontaneous pneumothorax
B. A pulmonary embolus
C. Aspiration pneumonia
D. A pleural effusion
Answer B. A pulmonary embolus
2. One day following posterior spinal fusion surgery a 35 year old female suddenly
exhibits restlessness, labored breathing and acute chest pain. Herheart rate is 122/min.,
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she is afebrile, and exhibits slightly diminished breathsounds 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
Answer A. Pulmonary radioisotope scan
3. The nursing staff does not wish to be assigned a difficult patient who continues to
demonstrate disorderly behavior. Which of the following is anacceptable 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.
Answer D. Alternate thepatient assignment among the nursing staff.
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4. A patient who is 72 hours postoperative repair of a bowel obstruction suddenly
demonstrates shortness of breath and his respiratory rate increasesfrom 22 to 45/min. His
SpO2 went from 95% to 88% acutely. An arterial bloodgas sample obtained while the
patient is receiving oxygen via a nasal cannulaat 6L/min reveals the following results
pH 7.40
pCO2 27
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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 pre-viously.
The findings described above should lead the nurse to believe that the patienthas
A. Acute respiratory distress syndrome
B. A pulmonary embolus
C. A spontaneous pneumothorax
D. Aspiration pneumonia
Answer A. Acute respiratory distress syndrome
5. A patient who is 72 hours postoperative repair of a bowel obstruction suddenly
demonstrates shortness of breath and his respiratory rate increasesfrom 22 to 45/min. His
SpO2 went from 95% to 88% acutely. An arterial bloodgas sample obtained while the
patient is receiving oxygen via a nasal cannulaat 6L/min reveals the following results
pH 7.40
pCO2 27
4 of 37 10/8/2024, 8:11
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