PCCN EXAM TEST BANK EXAM VERIFIED QUESTIONS WITH ANSWERS
AND FEEDBACK ALREADY GRADED A+ PCCN EXAM 2026 PASS
GUARANTED UPDATED
1) Laboratory studies from a 22-year-old male client with Type I diabetes mellitus are evaluated
during an admission for severe pneumonia. Which of the following laboratory results should the
nurse report to the physician?
A. Glycosylated hemoglobin (HbA1c), 9.8%
B. Low-density lipoprotein (LDL),
C. 94 mg/dLHematocrit (Hct), 53%
D. Urine specific gravity, 1.250 - A. Glycosylated hemoglobin (HbA1c), 9.8%
Feedback
Glycosylated hemoglobin measures the average blood sugar levels over a 2 to 3 month time period.
Clients with previously diagnosed diabetes mellitus should aim to keep their HbA1c levels below
7%.CONTENT AREA: Clinical Judgement: Endocrine/Hematology/Neurology/GI/Renal
,PCCN EXAM TEST BANK EXAM VERIFIED QUESTIONS WITH ANSWERS
AND FEEDBACK ALREADY GRADED A+ PCCN EXAM 2026 PASS
GUARANTED UPDATED
2) A nurse is caring for a 71-year-old female patient with end-stage chronic obstructive pulmonary
disease (COPD) who is experiencing cardiac ischemia with increased shortness of breath. The MOST
appropriate goal of oxygen therapy for this patient would be to:
A. Limit supplemental oxygen to lower the risk of reducing respiratory drive
B. Maintain oxygen saturations between 86% and 89%
C. Administer oxygen until oxygen saturations are greater than 95% in order to relieve ischemia
D. Maintain oxygen saturations between 90% and 92% - D. Maintain oxygen saturations between 90%
and 92%
Feedback
Maintaining oxygen saturations between 90% and 92% will serve the purpose of providing enough
oxygen to relieve cardiac ischemia while reducing the risk of respiratory depression in a patient with
COPD.
3) The nurse is assessing a 68 year old female patient with a history of chronic obstructive
pulmonary disease (COPD). The patient presents with complaints of recent confusion, increased
fatigue, and syncopal episodes when walking. The nurse assesses S3 and S4 sounds on auscultation,
jugular vein distention, and +3 pitting edema of the ankles and feet. Which of the following
,PCCN EXAM TEST BANK EXAM VERIFIED QUESTIONS WITH ANSWERS
AND FEEDBACK ALREADY GRADED A+ PCCN EXAM 2026 PASS
GUARANTED UPDATED
complications of COPD does the nurse suspect the patient is most likely experiencing? A. Acute
respiratory distress syndrome (ARDS)
B. Bronchiectasis
C. Heart failure
D. Cor pulmonale - D. Cor pulmonale
Feedback
The nurse should recognize that a history of COPD together with the signs and symptoms listed here are
suggestive of cor pulmonale. The patient requires further workup to confirm this diagnosis.
4) A 42-year-old male with Marfan syndrome and complaint of dizziness is admitted to the
telemetry unit for monitoring. Which of the following accompanying symptoms may indicate the need
for immediate surgical attention?
A. Cough with vocal hoarseness
B. Limited rotation of the left shoulder
C.Headache that resolved after breakfast, but has returned
D. Sudden stabbing pain in the right elbow - A. Cough with vocal hoarseness
Feedback
Patients diagnosed with Marfan syndrome are at higher risk for aortic aneurysms. Changes in vocal
quality accompanied by a cough or dysphagia (difficulty swallowing) may indicate that a thoracic aortic
aneurysm is becoming more enlarged.
, PCCN EXAM TEST BANK EXAM VERIFIED QUESTIONS WITH ANSWERS
AND FEEDBACK ALREADY GRADED A+ PCCN EXAM 2026 PASS
GUARANTED UPDATED
5) The nurse is assessing a 74 year old female patient who has presented with the following
symptoms: cool, clammy skin; faint, irregular peripheral pulses, and +3 pitting edema in her bilateral
lower extremities. Her partner tells the nurse the patient has a history of heart failure with a recent
LVEF of 20%, as well as type 2 diabetes. The patient's HR is 132, BP is 79/48, and blood glucose is 349.
Which of the following conditions does the nurse suspect?
A. Cardiogenic shock
B. Diabetic ketoacidosis
C. Fluid overload
D. Obstructive shock - A. Cardiogenic shock
Feedback
The nurse should identify that cardiogenic shock is an emergency that has extremely high mortality rates
without timely intervention. The patient's history of heart failure together with her acute symptoms of
weak pulses, edema, and hypotension all point to cardiogenic shock.
6) The nurse is caring for a patient with stage 5 chronic kidney disease who normally receives
hemodialysis three times a week on Monday, Wednesday, and Friday. It is now Sunday and the
patient states they have missed their last two dialysis sessions. The patient is complaining of
shortness of breath and fatigue, and their labs show a creatinine of 3.9 and potassium of 6.8. What is
the BEST treatment for this patient ?
A. 80 mg IV push furosemide followed by rechecking the potassium level, with more IV furosemide as
needed
B. 15 g kayexalate PO twice daily
C. Intravenous calcium infusion
AND FEEDBACK ALREADY GRADED A+ PCCN EXAM 2026 PASS
GUARANTED UPDATED
1) Laboratory studies from a 22-year-old male client with Type I diabetes mellitus are evaluated
during an admission for severe pneumonia. Which of the following laboratory results should the
nurse report to the physician?
A. Glycosylated hemoglobin (HbA1c), 9.8%
B. Low-density lipoprotein (LDL),
C. 94 mg/dLHematocrit (Hct), 53%
D. Urine specific gravity, 1.250 - A. Glycosylated hemoglobin (HbA1c), 9.8%
Feedback
Glycosylated hemoglobin measures the average blood sugar levels over a 2 to 3 month time period.
Clients with previously diagnosed diabetes mellitus should aim to keep their HbA1c levels below
7%.CONTENT AREA: Clinical Judgement: Endocrine/Hematology/Neurology/GI/Renal
,PCCN EXAM TEST BANK EXAM VERIFIED QUESTIONS WITH ANSWERS
AND FEEDBACK ALREADY GRADED A+ PCCN EXAM 2026 PASS
GUARANTED UPDATED
2) A nurse is caring for a 71-year-old female patient with end-stage chronic obstructive pulmonary
disease (COPD) who is experiencing cardiac ischemia with increased shortness of breath. The MOST
appropriate goal of oxygen therapy for this patient would be to:
A. Limit supplemental oxygen to lower the risk of reducing respiratory drive
B. Maintain oxygen saturations between 86% and 89%
C. Administer oxygen until oxygen saturations are greater than 95% in order to relieve ischemia
D. Maintain oxygen saturations between 90% and 92% - D. Maintain oxygen saturations between 90%
and 92%
Feedback
Maintaining oxygen saturations between 90% and 92% will serve the purpose of providing enough
oxygen to relieve cardiac ischemia while reducing the risk of respiratory depression in a patient with
COPD.
3) The nurse is assessing a 68 year old female patient with a history of chronic obstructive
pulmonary disease (COPD). The patient presents with complaints of recent confusion, increased
fatigue, and syncopal episodes when walking. The nurse assesses S3 and S4 sounds on auscultation,
jugular vein distention, and +3 pitting edema of the ankles and feet. Which of the following
,PCCN EXAM TEST BANK EXAM VERIFIED QUESTIONS WITH ANSWERS
AND FEEDBACK ALREADY GRADED A+ PCCN EXAM 2026 PASS
GUARANTED UPDATED
complications of COPD does the nurse suspect the patient is most likely experiencing? A. Acute
respiratory distress syndrome (ARDS)
B. Bronchiectasis
C. Heart failure
D. Cor pulmonale - D. Cor pulmonale
Feedback
The nurse should recognize that a history of COPD together with the signs and symptoms listed here are
suggestive of cor pulmonale. The patient requires further workup to confirm this diagnosis.
4) A 42-year-old male with Marfan syndrome and complaint of dizziness is admitted to the
telemetry unit for monitoring. Which of the following accompanying symptoms may indicate the need
for immediate surgical attention?
A. Cough with vocal hoarseness
B. Limited rotation of the left shoulder
C.Headache that resolved after breakfast, but has returned
D. Sudden stabbing pain in the right elbow - A. Cough with vocal hoarseness
Feedback
Patients diagnosed with Marfan syndrome are at higher risk for aortic aneurysms. Changes in vocal
quality accompanied by a cough or dysphagia (difficulty swallowing) may indicate that a thoracic aortic
aneurysm is becoming more enlarged.
, PCCN EXAM TEST BANK EXAM VERIFIED QUESTIONS WITH ANSWERS
AND FEEDBACK ALREADY GRADED A+ PCCN EXAM 2026 PASS
GUARANTED UPDATED
5) The nurse is assessing a 74 year old female patient who has presented with the following
symptoms: cool, clammy skin; faint, irregular peripheral pulses, and +3 pitting edema in her bilateral
lower extremities. Her partner tells the nurse the patient has a history of heart failure with a recent
LVEF of 20%, as well as type 2 diabetes. The patient's HR is 132, BP is 79/48, and blood glucose is 349.
Which of the following conditions does the nurse suspect?
A. Cardiogenic shock
B. Diabetic ketoacidosis
C. Fluid overload
D. Obstructive shock - A. Cardiogenic shock
Feedback
The nurse should identify that cardiogenic shock is an emergency that has extremely high mortality rates
without timely intervention. The patient's history of heart failure together with her acute symptoms of
weak pulses, edema, and hypotension all point to cardiogenic shock.
6) The nurse is caring for a patient with stage 5 chronic kidney disease who normally receives
hemodialysis three times a week on Monday, Wednesday, and Friday. It is now Sunday and the
patient states they have missed their last two dialysis sessions. The patient is complaining of
shortness of breath and fatigue, and their labs show a creatinine of 3.9 and potassium of 6.8. What is
the BEST treatment for this patient ?
A. 80 mg IV push furosemide followed by rechecking the potassium level, with more IV furosemide as
needed
B. 15 g kayexalate PO twice daily
C. Intravenous calcium infusion
