PCCN Practice Exam | 100+ Questions
and 100% Correct Answers | Rated A+ |
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A pt is being discharged is tearful and states, "Medication costs are
overwhelming, and I have to come back to the hospital when my condition
flares up when I have no medications. The social workers give me phone
numbers and websites, but I don't have a computer or know what to say to
those people." This is the patient's third admission. The doctor has written 5
necessary prescriptions for the pt heart condition. The next action for the
nurse should be to
A. perform medication reconciliation to determine generic equivalents for
the prescriptions
B. review previously provided information and assist the pt in contacting
assistance programs before discharge
C call the physician and request enough samples to fill the prescription
D. help the pt prioritize which medications are necessary and which she
could do without.
- Correct Answer - B (Assisting the pt to contact assistance programs
(e.g., from the pharmaceutical companies) may help the pt afford the
prescribed medications)
Which of the ff are symptoms of hypoglycemia
A. bradycardia and diaphoresis
B. flushed dry skin and tachycardia
,C. anxiety and flushed dry skin
D. tachycardia and trembling
- Correct Answer - D (Pt with hypoglycemia will present with diaphoresis)
A pt with hepatic failure and end stage renal disease is hemodynamically
stable but disoriented. The family is trying to make end of life decisions but
is expressing frustration, because "every doctor who comes in tells us
something different." The most appropriate action for the nurse would be to
A. review the physicians' progress note with the family members
B. contact the physicians individually, explain the issue and ask them to
speak once more with the family
C. ask the clinical nurse specialist to help coordinate a family conference
with as many physicians as possible
D. request that an ethics committee intervene and review the case.
- Correct Answer - C (Having all providers together will allow for sharing of
perspectives and possibly consensus-building surrounding the pt's
condition)
Twelve hours after sustaining a pelvic fracture, a pt reports chest pain,
hemoptysis and severe shortness of breath. Respiratory rate is 34. ABG on
02 at 4l via NC are: pH 7.48, pCO2 28, p02 68. The nurse should suspect
that the patient has developed.
A. tension pneumothorax
B. a pulmonary embolism
C. post-intubation laryngeal edema
D. respiratory failure
,- Correct Answer - B (This pt is at risk for developing a PE (postoperative
status) and has symptoms of this condition)
A pt is admitted with hypertrophic cardiomyopathy. For which of the ff
dysrhythmias is this patient at risk
A. SB
B. PAC
C. SVT
D. asystole
- Correct Answer - C (Hypertrophic cardiomyopathy is distinguished by a
hypertrophied, non-dilated left ventricle. A trial dilation results in atrial
fibrillation and SVT)
A nurse caring for a 76 year old patient in the PCU. Which of the ff age
related cardiac changes should the nurse anticipate.
A. decreased response to catecholamines
B. increased myocardial compliance
C. decreased audibility of S1
D. increased resting heart rate
- Correct Answer - A (Aging is associated with a decreased response to
catecholamines. It is also associated with decrease in myocardial
compliance. It is also associated with an increased audibility of S1 because
of increased rigidity of the ventricular wall. It is associated with a decrease
in resting HR.)
A pt with type II diabetes and recent pneumonia is admitted with a serum
glucose level of 590. The pt is alert and oriented, denies nausea or
, vomiting and reports being very thirsty with frequent urination. Data are as
follows
BP 112/58, HR 114, RR 18, T 100 (37.8), O2 sat 92% on 2 L via NC
Which of the ff lab findings should the nurse anticipate
Urine ketones Arterial pH
A. negative 7.42
B. positive 7.24
C. negative 7.35
D. positive 7.50
- Correct Answer - B (This pt is demonstrating signs and symptoms of
DKA. DKA is associated with an elevated blood sugar, ketonuria and
decrease in pH associated with a metabolic acidosis.)
Which of the ff is initially indicated for a pt diagnosed with an ischemic
stroke 2 hours prior to admission to the PCU
A. clopidogrel (Plavix)
B. heparin
C. argatroban (Acova)
D. TPA (activase)
- Correct Answer - D (TPA are used to dissolve clots. TPA dissolves the
clots and permits reperfusion of the brain tissue. It should be used as soon
as possible after onset of symptoms. The maximum time has been
expanded to 4.5 hours or less from the onset of symptoms)
Three days following STEMI and cardiac catheterization with stent
insertion, a pt develops sudden-onset diffuse crackles and a new loud
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