ADULT CCRN/PCCN CERTIFICATION PRACTICE
Adult CCRN/PCCN Certification Practice
Test 2024/2025 Fully Solved 100% Correct
An Elderly Man With Type 2 Dm Comes Into The Emergency Department After
Spending All Day In The Mall Shopping With His Wife. He Tells You That His Heart
Is Racing And He Is Sweaty And Shaky. What Is The Best Course Of Action For The
Nurse?
A. Give The Patient A Candy Bar And Drink Regular Soda Then Check His Bg.
B. CHECK HIS BLOOD GLUCOSE LEVEL AND OBTAIN AN ECG.
C. Check His Blood Glucose And Inject Nph Insulin If He's Hyperglycemic.
D. Give The Patient 4 Glucose Tablets And Then Check His Blood Glucose.
Successful Treatment Of DKA Revolves Around:
A. Correction Of Orthostatic Hypotension With Electrolytes
B. ADMINISTRATION OF FLUIDS, ELECTROLYTES AND INSULIN
C. Gradually Decreasing A Patient's Excessive Fluid Volume From Hyperosmolality
D. Administration Of Glucagon To Elevate Plasma Blood Levels
What Is The Somogyi Phenomenon Generally Attributed?
A. Prolonged Hyperglycaemia That Has Led To Neurological Damage And Impaired
Counterregulatory Response
B. Cyclic Rise In Blood Glucose Associated With Increased Need For Insulin
C. Nocturnal Food Ingestion
D. COUNTER-REGULATORY RESPONSE TO SEVERE HYPOGLYCAEMIA
The Serum Potassium (K+) Of A Patient With Dka Is 5.4 Meq/L. What Changes Would
The Nurse Expect To See On An EKG?
, ADULT CCRN/PCCN CERTIFICATION PRACTICE
A. PEAKED T WAVES AND WIDENED QRS COMPLEX.
B. Abnormal Q Waves And Prolonged St Segments.
C. Abnormal P Waves And Depressed T Waves.
D. Peaked P Waves And Increased T Waves.
A 55 Y/O Steroid Dependent Woman With Rheumatoid Arthritis Undergoes A Cabg
X 4. She Was Doing Well In The Icu 1 Day Post Op, But Then Has A Run Of V-Tach
And V-Fibrillation. The Nurse Recognizes This May Be Due To The Following:
A. Reperfusion After CABG
B. Reclusion After CABG
C. ACUTE ADRENAL CRISIS FROM BEING OFF HER MEDICATIONS PREOPERATIVELY
D. Hypervolemia And Hypokalaemia
A 68 Y/O Male Had A Aaa Repair 3 Days Ago But Is Now In Renal Failure. The Nurse
Understands The Likely Causes For This May Be:
A. Post Renal Kidney Stone Obstruction
B. Malignant Hyperthermia
C. Rhabdomyolysis
D. ACUTE TUBULAR NECROSIS DUE TO AORTIC CROSS CLAMPING FOR LONGER
THAN 30 MINUTES IN SURGERY.
Rationale: Kidney Stones, Malignant Hyperthermia, And Rhabdomyolysis Are Not
Results Of A AAA Surgical Procedure Specifically.
A 72 Y/O Man Is In The Icu For Chronic Renal Failure. What Electrolyte
Abnormalities Would The Nurse Watch For?
A. Decreased Bun And Creatinine From Diseased Kidneys
, ADULT CCRN/PCCN CERTIFICATION PRACTICE
B. High Ph And Alkalosis
C. HYPERKALEMIA
D. Thrombocytopenia
The Nurse Is Providing Care For A Patient With Pyelonephritis. What Treatment Is
Appropriate For This Patient?
A. Restrict Oral And Iv Fluids To Prevent Renal Failure
B. 2 L Hypertonic Solution With Magnesium Rider
C. 2 GRAMS CEFTRIAXONE
D. Prepare Patient For Emergent Dialysis
Rationale: Appropriate Therapy For Pyelonephritis Includes: Give 2 L Of Iv Fluid,
Give 2 Tylenol #3 Or Similar Pain Control. Give 2 Gm Ceftriaxone. If The Patient Can
Tolerate Two Glasses Of Water And Fever Decreases By 2 Degrees:
Trimethoprim/Sulfamethoxazole (Tmp/Smx) Double-Strength Bid For Two Weeks;
Follow-Up In Two Days For Progress Check.
Toxic Shock, Myxedema Coma, And Addisonian Crisis Are All Types Of What Type
Of Shock?
A. Neurogenic
B. Anaphylactic
C. DISTRIBUTIVE
D. Hypovolemic
Positive Cultures Distinguish What Two Stages Of The Sepsis Spectrum?
A. SIRS AND SEPSIS
Adult CCRN/PCCN Certification Practice
Test 2024/2025 Fully Solved 100% Correct
An Elderly Man With Type 2 Dm Comes Into The Emergency Department After
Spending All Day In The Mall Shopping With His Wife. He Tells You That His Heart
Is Racing And He Is Sweaty And Shaky. What Is The Best Course Of Action For The
Nurse?
A. Give The Patient A Candy Bar And Drink Regular Soda Then Check His Bg.
B. CHECK HIS BLOOD GLUCOSE LEVEL AND OBTAIN AN ECG.
C. Check His Blood Glucose And Inject Nph Insulin If He's Hyperglycemic.
D. Give The Patient 4 Glucose Tablets And Then Check His Blood Glucose.
Successful Treatment Of DKA Revolves Around:
A. Correction Of Orthostatic Hypotension With Electrolytes
B. ADMINISTRATION OF FLUIDS, ELECTROLYTES AND INSULIN
C. Gradually Decreasing A Patient's Excessive Fluid Volume From Hyperosmolality
D. Administration Of Glucagon To Elevate Plasma Blood Levels
What Is The Somogyi Phenomenon Generally Attributed?
A. Prolonged Hyperglycaemia That Has Led To Neurological Damage And Impaired
Counterregulatory Response
B. Cyclic Rise In Blood Glucose Associated With Increased Need For Insulin
C. Nocturnal Food Ingestion
D. COUNTER-REGULATORY RESPONSE TO SEVERE HYPOGLYCAEMIA
The Serum Potassium (K+) Of A Patient With Dka Is 5.4 Meq/L. What Changes Would
The Nurse Expect To See On An EKG?
, ADULT CCRN/PCCN CERTIFICATION PRACTICE
A. PEAKED T WAVES AND WIDENED QRS COMPLEX.
B. Abnormal Q Waves And Prolonged St Segments.
C. Abnormal P Waves And Depressed T Waves.
D. Peaked P Waves And Increased T Waves.
A 55 Y/O Steroid Dependent Woman With Rheumatoid Arthritis Undergoes A Cabg
X 4. She Was Doing Well In The Icu 1 Day Post Op, But Then Has A Run Of V-Tach
And V-Fibrillation. The Nurse Recognizes This May Be Due To The Following:
A. Reperfusion After CABG
B. Reclusion After CABG
C. ACUTE ADRENAL CRISIS FROM BEING OFF HER MEDICATIONS PREOPERATIVELY
D. Hypervolemia And Hypokalaemia
A 68 Y/O Male Had A Aaa Repair 3 Days Ago But Is Now In Renal Failure. The Nurse
Understands The Likely Causes For This May Be:
A. Post Renal Kidney Stone Obstruction
B. Malignant Hyperthermia
C. Rhabdomyolysis
D. ACUTE TUBULAR NECROSIS DUE TO AORTIC CROSS CLAMPING FOR LONGER
THAN 30 MINUTES IN SURGERY.
Rationale: Kidney Stones, Malignant Hyperthermia, And Rhabdomyolysis Are Not
Results Of A AAA Surgical Procedure Specifically.
A 72 Y/O Man Is In The Icu For Chronic Renal Failure. What Electrolyte
Abnormalities Would The Nurse Watch For?
A. Decreased Bun And Creatinine From Diseased Kidneys
, ADULT CCRN/PCCN CERTIFICATION PRACTICE
B. High Ph And Alkalosis
C. HYPERKALEMIA
D. Thrombocytopenia
The Nurse Is Providing Care For A Patient With Pyelonephritis. What Treatment Is
Appropriate For This Patient?
A. Restrict Oral And Iv Fluids To Prevent Renal Failure
B. 2 L Hypertonic Solution With Magnesium Rider
C. 2 GRAMS CEFTRIAXONE
D. Prepare Patient For Emergent Dialysis
Rationale: Appropriate Therapy For Pyelonephritis Includes: Give 2 L Of Iv Fluid,
Give 2 Tylenol #3 Or Similar Pain Control. Give 2 Gm Ceftriaxone. If The Patient Can
Tolerate Two Glasses Of Water And Fever Decreases By 2 Degrees:
Trimethoprim/Sulfamethoxazole (Tmp/Smx) Double-Strength Bid For Two Weeks;
Follow-Up In Two Days For Progress Check.
Toxic Shock, Myxedema Coma, And Addisonian Crisis Are All Types Of What Type
Of Shock?
A. Neurogenic
B. Anaphylactic
C. DISTRIBUTIVE
D. Hypovolemic
Positive Cultures Distinguish What Two Stages Of The Sepsis Spectrum?
A. SIRS AND SEPSIS
