Adult CCRN-PCCN Certification Practice Test Exam with Questions and Answers –
100% Solved
A 14-year-old with diabetes is admitted for hypoglycemia. The patient admits to the nurse that
he does not take insulin or check is blood sugar at school. Which of the following should the
nurse do?
A. Arrange for the patient to attend a diabetes support group for teenagers
B. Encourage the parents to take disciplinary action
C. Counsel the patient on the long term consequences of not taking insulin
D. Hold a conference with the school nurse regarding the need for monitoring students with
diabetes - ✔✔✔-A. Arrange for the patient to attend a diabetes support group for teenagers
A 30-year-old man is admitted to the critical care unit after a motor vehicle collision. The
emergency department nurse reports that he was unconscious at the scene of the accident but
is now alert and oriented. Skull films show a linear fracture of the right temporal bone. He is a
significant risk for _______.
A. Subdural hematoma
B. Intracerebral hematoma
C. Epidural hematoma
D. Scalp hematoma - ✔✔✔-C. Epidural hematoma
A 42 y/o woman with a 6 month history of worsening anxiety, heat intolerance, and weight loss
presents to the emergency department. Which of the following are indicators of
hyperthyroidism?
A. Constipation, lower body temperature, and edema
B. High T3 and T4 and low TSH.
C. Depression, dementia, and reflex changes
D. Low T3 and T4 and high TSH - ✔✔✔-B. High T3 and T4 and low TSH.
,Adult CCRN-PCCN Certification Practice Test Exam with Questions and Answers –
100% Solved
Rationale: Constipation, lower body temperature, edema, depression, dementia, reflex changes,
low T3, low T4, high TSH are all indicators of hypothyroidism.
A 44-year-old female patient is being suctioned through her endotracheal tube, and her heart
rate drops dramatically. What should you do?
A. Continue suctioning and then administer 100% oxygen
B. Turn the head to the left side
C. Instill saline down the endotracheal tube to loosen up the mucus plus
D. Stop suctioning and administer 100% oxygen - ✔✔✔-D. Stop suctioning and administer 100%
oxygen
A 46-year-old male developed an epidural hematoma after being in a motor vehicle collison. He
has had a craniotomy to evacuate the clot, and an intraventricular catheter was placed during
surgery. Which of the following is important in caring for the patient with intracranial pressure
(ICP) monitoring?
A. Use a flush system
B. Use a preservative-free isotonic saline
C. Use a pressure bag
D. Use heparin to maintain integrity of the line - ✔✔✔-B. Use a preservative-free isotonic saline
A 47-year-old male patient is scheduled for a radical laryngectomy. You are about to witness
your patient signing a surgical consent when he tells you that he does not really understand
what is going to be done. What should you do?
A. Notify the physician that the patient needs additional explanation
, Adult CCRN-PCCN Certification Practice Test Exam with Questions and Answers –
100% Solved
B. Make drawings explaining the procedure and then witness the consent
C. Explain the procedure and then witness the consent
D. Tell the patient that he will receive additional information later but that he must sign the
consent form now. - ✔✔✔-A. Notify the physician that the patient needs additional explanation
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. Reocclusion after CABG
C. Acute adrenal crisis from being off her medications preoperatively
D. Hypervolemia and hypokalemia - ✔✔✔-C. Acute adrenal crisis from being off her
medications preoperatively
A 62-year-old man arrives in the emergency department with the complaints of chest pain. The
12-lead electrocardiogram shows ST segment elevation in leads V3 and V4. Occlusion of the
affected coronary artery most likely would affect perfusion to which portion of the conduction
system?
A. Bachmann's Bundle
B. Bundle of His
C. Sinoatrial (SA) node
D. Atrioventricular (AV) nodes - ✔✔✔-B. Bundle of His
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:
100% Solved
A 14-year-old with diabetes is admitted for hypoglycemia. The patient admits to the nurse that
he does not take insulin or check is blood sugar at school. Which of the following should the
nurse do?
A. Arrange for the patient to attend a diabetes support group for teenagers
B. Encourage the parents to take disciplinary action
C. Counsel the patient on the long term consequences of not taking insulin
D. Hold a conference with the school nurse regarding the need for monitoring students with
diabetes - ✔✔✔-A. Arrange for the patient to attend a diabetes support group for teenagers
A 30-year-old man is admitted to the critical care unit after a motor vehicle collision. The
emergency department nurse reports that he was unconscious at the scene of the accident but
is now alert and oriented. Skull films show a linear fracture of the right temporal bone. He is a
significant risk for _______.
A. Subdural hematoma
B. Intracerebral hematoma
C. Epidural hematoma
D. Scalp hematoma - ✔✔✔-C. Epidural hematoma
A 42 y/o woman with a 6 month history of worsening anxiety, heat intolerance, and weight loss
presents to the emergency department. Which of the following are indicators of
hyperthyroidism?
A. Constipation, lower body temperature, and edema
B. High T3 and T4 and low TSH.
C. Depression, dementia, and reflex changes
D. Low T3 and T4 and high TSH - ✔✔✔-B. High T3 and T4 and low TSH.
,Adult CCRN-PCCN Certification Practice Test Exam with Questions and Answers –
100% Solved
Rationale: Constipation, lower body temperature, edema, depression, dementia, reflex changes,
low T3, low T4, high TSH are all indicators of hypothyroidism.
A 44-year-old female patient is being suctioned through her endotracheal tube, and her heart
rate drops dramatically. What should you do?
A. Continue suctioning and then administer 100% oxygen
B. Turn the head to the left side
C. Instill saline down the endotracheal tube to loosen up the mucus plus
D. Stop suctioning and administer 100% oxygen - ✔✔✔-D. Stop suctioning and administer 100%
oxygen
A 46-year-old male developed an epidural hematoma after being in a motor vehicle collison. He
has had a craniotomy to evacuate the clot, and an intraventricular catheter was placed during
surgery. Which of the following is important in caring for the patient with intracranial pressure
(ICP) monitoring?
A. Use a flush system
B. Use a preservative-free isotonic saline
C. Use a pressure bag
D. Use heparin to maintain integrity of the line - ✔✔✔-B. Use a preservative-free isotonic saline
A 47-year-old male patient is scheduled for a radical laryngectomy. You are about to witness
your patient signing a surgical consent when he tells you that he does not really understand
what is going to be done. What should you do?
A. Notify the physician that the patient needs additional explanation
, Adult CCRN-PCCN Certification Practice Test Exam with Questions and Answers –
100% Solved
B. Make drawings explaining the procedure and then witness the consent
C. Explain the procedure and then witness the consent
D. Tell the patient that he will receive additional information later but that he must sign the
consent form now. - ✔✔✔-A. Notify the physician that the patient needs additional explanation
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. Reocclusion after CABG
C. Acute adrenal crisis from being off her medications preoperatively
D. Hypervolemia and hypokalemia - ✔✔✔-C. Acute adrenal crisis from being off her
medications preoperatively
A 62-year-old man arrives in the emergency department with the complaints of chest pain. The
12-lead electrocardiogram shows ST segment elevation in leads V3 and V4. Occlusion of the
affected coronary artery most likely would affect perfusion to which portion of the conduction
system?
A. Bachmann's Bundle
B. Bundle of His
C. Sinoatrial (SA) node
D. Atrioventricular (AV) nodes - ✔✔✔-B. Bundle of His
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:
