Exam (elaborations)
PCCN Good questions and answers (Newest 2024/2025) 100- verified correct answers
- Course
- Institution
PCCN Good questions and answers (Newest 2024/2025) 100- verified correct answers
[Show more]
Content preview
PCCN Goodquestions and
answers
(Newest
2024/2025)
100% verified
correct answers
,PCCN questions And answers
Two days following a near-drowning accident, a pt is dyspneic, using accessory
II II II II II II II II II II II
IImuscles, expectorating large amounts of secretions and reporting feeling of
II II II II II II II II II
IIimpending death. Changes to the assessment data include II II II II II II II
RR- 24 TO 36 II II II
CXR clear to bilateral diffuse infiltrates
II II II II II
ABG 40% face mask or 100% non-rebreather mask
II II II II II II II
pO2 II120 IImm IIHg IIto II56 IImm IIHg pCO2 33 mmHg to II II II
II56 mmHg pH 7.42 to 7.35
II II II II
HCO3 24 meq/L to 27 mEq/L II II II II II
Which of the ff do these changes most likely represent
II II II II II II II II II
A. aspiration pneumonia
II II
B. pulmonary embolism
II II
C. interstitial pneumonitis
II II
D. ARDS - D. The onset of symptoms occured within 48 hours of the incident. THe
II II II II II II II II II II II II II II II II
IIbilateral diffuse infiltrates and ABG results indicating hypoxemia and CO2 retention
II II II II II II II II II II
IIare all consistent with ARDS.
II II II II II
Aspiration pneumonia should include hypoxxemia, respiratory alkalosis. The CXR
II II II II II II II II
IIresults would reveal an area of opacity with aspiration pneumonia rather than diffuse
II II II II II II II II II II II II
IIinfiltrates.
Interstitial lung disease invlolves an inflammation of supportive tissue between the air
II II II II II II II II II II II
IIsacs rather than inflammation in the air sacs themselves. Symptoms would be SOB
II II II II II II II II II II II II
IIand a dry cough. II II II
IIA pt reports chest pain that is sharp, constant, worse when lying down and alleviated
II II II II II II II II II II II II II II
IIwith sitting up and leaning forward. The most likely cause of these findings is A.
II II II II II II II II II II II II II
IIACS
B. pericarditis C.
II
IIPE
D. AAA - B Pericarditis is inflammation of the pericardial sac. The damaged
II II II II II II II II II II II II II
IIepicardium becomes rough and inflamed and irritates the pericardium lying adjacent IIto
II II II II II II II II II II
IIit, precipitating pericarditis. Pain is the most common symptom of pericarditis. THe
II II II II II II II II II II II
IIpain is sharp, constant and is alleviated when sitting up and leaning forward.
II II II II II II II II II II II II
IIA pt tells a nurse, "I don't know how I'm going to pay for this hospitalization." The
II II II II II II II II II II II II II II II II
IInurse should II
A. arrange a meeting with hospital social services staff
II II II II II II II II
B. Notify the business office so a payment plan can be designed
II II II II II II II II II II II
, C. redirect the pt toward meeting psychologic needs
II II II II II II II
D. give the pt applications for public assistance medical coverage - II IIA. Collaboration
II II II II II II II II II II II
IIwith a social worker is indicated in this case the social worker can assist the pt in
II II II II II II II II II II II II II II II II
IIidentifying ways to address the financial implications of this hospitalization and help
II II II II II II II II II II II
IIidentify methods of payments. II II II
A cardiac pt with with DNR status is being managed medically. The nurse notes a
II II II II II II II II II II II II II II II
IInew cough, thick yellow sputum and a temperature of 101.4 (38.4) Coarse crackles
II II II II II II II II II II II II
IIare present in the right upper field. The nurse should most immediately anticipate
II II II II II II II II II II II II
A. blood and sputum cultures followed by a broad spectrum abx
II II II II II II II II II II
B. mucolytics and judicious IV fluid administration
II II II II II II
C. an antyipyretic and conservative management
II II II II II
D. NPO status and encouragement of frequent activity - A. This pt symptoms are
II II II II II II II II II II II II II II
IIconsistent with pneumonia. Management should include abx therapy, oxygen therapy
II II II II II II II II II
IIfor hypoxemia, mechanical ventilation if acute respiratory failure develops, fluid
II II II II II II II II II
IImanagement for hydration, nutritional support, and treatment of associated medical II II II II II II II II II
IIproblems and complications. II II
Which of the ff findings is most indicative of a ruptured aortic aneurysm A.
II II II II II II II II II II II II II
IIBack pain II
B. bounding peripheral pulses
II II II
C. intermittent claudication
II II
D. warm, flushed skin - A. An aneurysm is the localized dilation of an artery. Should
II II II II II II II II II II II II II II II II
IIan aneurysm rupture, blood will build up under pressure in the tissues surrounding
II II II II II II II II II II II II
IIthe aorta, which can result in acute pain and tenderness in theses areas. This is
II II II II II II II II II II II II II II
IIparticularly the case if the aneurysm leaks from the back of the aorta. Ruptured AAA
II II II II II II II II II II II II II II
IIpresents with a classic triad of pain in the flank or back, hypotension and a pulsatile
II II II II II II II II II II II II II II II
IIabdominal mass; however, only about half of the full triad. The pt will complain of the
II II II II II II II II II II II II II II II
IIpain and may feel cold, sweaty and faint on standing. The pt may also report
II II II II II II II II II II II II II II
IIabdominal pain. A small percentage may have vomiting II II II II II II II
According to recommendations based on research findings, pain assessment should
II II II II II II II II II II
IIoccur
A. based on changes in vital signs
II II II II II II
B. only when the pt movements indicate the pt is seeking attention
II II II II II II II II II II II
C. routinely, regardless of physical findings
II II II II II
D. only when the presence of pain can be validated - C. Pain is considered the fifth
II II II II II II II II II II II II II II II II II
IIvital sign and must be assessed regularly. Presence of physical findings may be part
II II II II II II II II II II II II II
IIof the comprehensive assessment of pain. However, physical findings may not be
II II II II II II II II II II II
IIpresent in all patients with pain II II II II II
II A pt with a tracheostomy requires frequent suctioning for thick sputum, A nurse finds
II II II II II II II II II II II II II
II a colleague instilling saline in the endotracheal tube prior to suctioning. The most
II II II II II II II II II II II II
, IIappropriate response by the nurse would be to II II II II II II II
A. report the colleague to the charge nurse or manager
II II II II II II II II II
B. noted the practice on the pt chart to ensure consistency of suctioning techniques
II II II II II II II II II II II II II
C. ask the attending physician to review the suctioning policy.
II II II II II II II II II
D. IIcollaborate with the colleague to review the evidence about this IIpractice. - D. In II II II II II II II II II II II II II
IIaddition to an unappreciable increase in sputum recovery, use of NS adversely
II II II II II II II II II II II
IIaffects arterial and global tissue oxygenation and dislodges bacterial colonies, thus
II II II II II II II II II II
IIcontributing to lower airway contamination. Other harmful pt outcomes have been II II II II II II II II II II
IIreported in the nursing literature, including delays in return to baseline vital signs,
II II II II II II II II II II II II
IISpo2 and intracranial pressure. Because no solid scientifically based benefits for
II II II II II II II II II II
IIroutine use of normal saline have been shown, it is highly recommended that this
II II II II II II II II II II II II II
IIpotentially harmful practice be abandoned. Instead, treatment considerations should
II II II II II II II II
IIcenter on ways to prevent the development of thick tenacious secretions. A review of
II II II II II II II II II II II II II
IIthese data should take place with the colleague to help mitigate continuation of this
II II II II II II II II II II II II II
IIdangerous practice II
Upon admission to the PCU, you screen a pt to determine whether to administer an
II II II II II II II II II II II II II II II
IIinfluenza vaccine. Which of the following is a contraindication to the vaccine?
II II II II II II II II II II II
A. Guillian-Barre syndrome
II II
B. chronic renal failure
II II II
C. COPD
II
D. cirrhosis - A. Persons who developed Guillain-Barre syndrome after receiving an
II II II II II II II II II II II II
IIinfluenza vaccine should not receive the influenza vaccine without checking with their
II II II II II II II II II II II
IIprovider
Emergency treatment of ventricular dysrhythmias for the pt who has an ICD
II II II II II II II II II II II II
IIpacemaker includes which of the following II II II II II
A. If a pt develops vfib, the nurse should not defibrillate with external paddles
II II II II II II II II II II II II II
B. if the ICD is firing correctly and the pt does not have pulse, CPR is not indicated
II II II II II II II II II II II II II II II II II
C. when preparing for external defibrillation, avoid placing the paddle directly over the
II II II II II II II II II II II II
IIICD pulse generator II II
D. when you need to turn off all functions of the ICD or pacemaker, apply a magnet -
II II II II II II II II II II II II II II II II II II
IIC. Defibrillation has been known to cause malfunction of an ICD or pacemaker. Care
II II II II II II II II II II II II II
IIshould be taken to ensure the defibrillation paddle/ pads are applied at least 4-finger
II II II II II II II II II II II II II
IIbreaths away from the device. The anterior-lateral and anterior-posterior positions for
II II II II II II II II II II
IIpaddle/pad placement are acceptable in a pt with a permanent ICD or pacemaker.
II II II II II II II II II II II II
IIThe pads may also be placed safely away from the ICD with 1 pad at the apex left
II II II II II II II II II II II II II II II II II
IImid-axillary, 5th ICS., and the other pad right of the sternum just below the clavicle.
II II II II II II II II II II II II II II
Based on the device implanted and the manufacturer, application of a magnet may
II II II II II II II II II II II II
IIturn device off or reset to the default settings.
II II II II II II II II
A pt is admitted following mitral valve replacement. Which of the following should
II II II II II II II II II II II II II
IImost likely be included in the patent's plan of care
II II II II II II II II II
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller PatrickHaller. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.09. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80461 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
