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LATEST PCCN EXAM 2024/2025 QUESTIONS WITH VERIFIED SOLUTIONS
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LATEST PCCN EXAM 2024/2025 QUESTIONS WITH VERIFIED SOLUTIONS LATEST PCCN EXAM 2024/2025 QUESTIONS WITH VERIFIED SOLUTIONS
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LATEST PCCN EXAM 2024/2025 QUESTIONSWITH VERIFIED SOLUTIONS
A 58-year-old male with a history of alcohol abuse is a heavy smoker. He complains of
pain in his chest in the afternoons when he is sitting and watching TV. ECG shows
elevation of ST segments.
The most likely diagnosis is:
a. Unstable angina.
b. Variant/Prinzmetal's angina.
c. Stable angina.
d. Gastroesophageal reflux disease. - CORRECT ANSWER B: Variant angina (also
known as Prinzmetal's angina) results from spasms of the coronary arteries associated
with or without atherosclerotic plaques; and is often related to smoking, alcohol, or illicit
stimulants. Elevation of ST segments typically occurs with variant angina, which
frequently occurs cyclically at the same time each day and often while the person is at
rest. Stable angina occurs regularly with activity. Unstable angina occurs when there is a
change in the pattern of stable angina. GERD pain may be mistaken for angina.
Metabolic syndrome is characterized by:
a. Abdominal obesity, decreased triglyceride level, increased HDL level, and
hypertension.
b. Hypertension, abdominal obesity, and increased HDL level.
c. Abdominal obesity, increased triglyceride level, decreased HDL level, and increased
fasting blood glucose level.
d. Hypotension, decreased fasting blood glucose level, increased triglyceride level, and
decreased HDL level. - CORRECT ANSWER C: Metabolic syndrome (insulin
,LATEST PCCN EXAM 2024/2025 QUESTIONS
WITH VERIFIED SOLUTIONS
resistance) puts people at risk for the development of diabetes mellitus and
cardiovascular disease, and is characterized by abdominal obesity (>35 inches in women
and >40 inches in men), increased triglycerides (150), decreased HDL level (<40 mm
Hg in men and <50 mm Hg in women), elevation of blood pressure (130/ 85 mm Hg),
and increased fasting glucose ( 110 mg/dL). Other indicators include elevation of C-
reactive protein (evidence of a proinflammatory state) and high levels of fibrinogen
(evidence of a prothrombotic state).
Parenteral nutrition with a total nutrient admixture that includes lipids has been ordered
for a burn patient for administration throughout a 24-hour period. When preparing to
administer the solution, the nurse observes that the oil has separated, forming an
obvious layer. Which of the following options is the correct action to take?
a. Administer the solution, as oil separation is normal.
b. Mix the solution by shaking the bag until no oil separation is noticeable.
c. Discard the solution.
d. Return the solution to the pharmacy for the addition of added emulsifier. - CORRECT
ANSWER C: The total nutrient admixture should be discarded if there is "cracking" of
the lipid emulsion and the oil separates into a layer. With TNA, all the components of
parenteral nutrition and lipids are admixed together in one container to create a 3-in-1
formula. Components of parenteral nutrition generally include proteins, carbohydrates,
fats, electrolytes, vitamins, sterile water, and trace vitamins. While most postoperative
patients need 1500 calories per day to prevent protein breakdown, those with fever,
burns, major surgery, trauma, or hypermetabolic disease may need up to 10,000 more
calories daily.
, LATEST PCCN EXAM 2024/2025 QUESTIONS
WITH VERIFIED SOLUTIONS
A 30-year-old patient complains of post-operative pain at 8 on a 1-to-10 scale 12 hours
after surgery, but is not moaning, grimacing, or exhibiting any standard physical signs of
pain. The patient last received pain medication 6 hours earlier, and has orders for
morphine every 4 hours as needed and ibuprofen every 6 hours as needed. Which is the
most appropriate action?
a. Administer ibuprofen.
b. Administer morphine.
c. Administer ibuprofen, and if the patient does not feel relief after one hour post-dose,
then administer morphine.
d. Question present family members about the patient's pain tolerance before making a
decision. - CORRECT ANSWER B: The nurse should give morphine, as 8 on a 1 to
10 scale is representative of severe pain, not uncommon in the first 24 hours after
surgery. Patients have a right to pain control, and the nurse should trust that the pain is
what the patient says it is. Patients may show very different behavior when they are in
pain. Some may cry and moan with minor pain, and others may exhibit little difference
in behavior when truly suffering. Thus, judging pain by behavior can lead to the wrong
conclusions. Questioning family members is not appropriate.
Q-wave myocardial infarction is characterized by:
a. ST-T wave changes with ST depression that reverses within a few days.
b. Small infarct size-due to spontaneous reperfusion.
c. Peak CK levels in 12 to 13 hours.
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