PCCN practice exam 2025 Exam || Most Recent Exam Actual
Complete Real Exam Questions And Correct Answers (Verified
Answers) Already Graded A+ | Guaranteed Success!! Newest Exam
| Just Released!! 2026-2027
An older patient is experiencing delirium 24 hours following hip replacement.
Which intervention might worsen the patient's condition?
A. Removing any unnecessary tubes and equipment from the room
B. Assessing and treating the patient's pain every 2 hours
C. Ensuring that the patient has the means to call for help
D. Loosely applying soft restraints
D.
Older patients are at increased risk for delirium during acute hospitalization.
Interventions to manage acute delirium include removing or camouflaging
tubes, removing unnecessary equipment, frequently reorienting the patient,
and ensuring that the call bell is consistently within reach, assessing and
treating pain effectively, and encouraging mobility and involvement in
activities of daily living. Restraining the patient is contraindicated in the care of
patients with delirium.
,A patient shows a new slight facial droop and the patient's right arm is weaker
than the left. A priority intervention would be to
A. Obtain a serum glucose level
B. Obtain a full set of vital signs
C. Initiate the stroke protocol
D. Initiate the code response team
C.
The stroke protocol should be activated as soon as signs of stroke are
identified in a patient. Initial signs of stroke include facial droop, arm down
drift, and garbled speech. For best outcomes, the time elapsed between initials
signs of stroke and treatment must be as short as possible.
Which of the following lab results shows acute pancreatitis?
elevated glucose, lipase, amylase, BUN/Cr, triglycerides, and bilirubin (know
your lab values)
low calcium, mag and potassium
tx: fluids, rest pancreas, pain management, monitor and replace electrolytes,
nutrition, surgery (first line if hemorrhagic/necrotizing)
Post-op gastric bypass c/o tachycardia, tachypnea, diaphoresis, fever and
reveals clean, dry, closed abd staple line and large firm abdomen.
suspect anastomosis leak and possible peritonitis
Discharge education for (diet) post cholecystitis
low-fat diet
, Assessment findings for large bowel obstruction vs small bowel obstruction
LBO - lower abdominal pain, distention, NO
vomiting SBO - high-pitched bowel sounds,
n/v, acute pain Liver failure - ascites, rebound
tenderness, jaundice
pancreatitis/gallstones - low-grade fever, steatorrhea, no bowel sounds
Determinants of cardiac output:
CO = HR X SV
(preload + afterload + contractility)
s/s heart failure
cardiac: tachycardic, weak pulse, jvd, s3, displaced pmi, cardiomegaly, valvular
abnormalities, peripheral edema, + hepatojugular reflux
pulmonary: bibasilar rales, pnd, dyspnea
neurologic: fatigue, dizziness, change LOC, impending doom
HFrEF (HF with reduced EF)
EF: <40
HFpEF (HF with preserved EF)
EF: >50
Complete Real Exam Questions And Correct Answers (Verified
Answers) Already Graded A+ | Guaranteed Success!! Newest Exam
| Just Released!! 2026-2027
An older patient is experiencing delirium 24 hours following hip replacement.
Which intervention might worsen the patient's condition?
A. Removing any unnecessary tubes and equipment from the room
B. Assessing and treating the patient's pain every 2 hours
C. Ensuring that the patient has the means to call for help
D. Loosely applying soft restraints
D.
Older patients are at increased risk for delirium during acute hospitalization.
Interventions to manage acute delirium include removing or camouflaging
tubes, removing unnecessary equipment, frequently reorienting the patient,
and ensuring that the call bell is consistently within reach, assessing and
treating pain effectively, and encouraging mobility and involvement in
activities of daily living. Restraining the patient is contraindicated in the care of
patients with delirium.
,A patient shows a new slight facial droop and the patient's right arm is weaker
than the left. A priority intervention would be to
A. Obtain a serum glucose level
B. Obtain a full set of vital signs
C. Initiate the stroke protocol
D. Initiate the code response team
C.
The stroke protocol should be activated as soon as signs of stroke are
identified in a patient. Initial signs of stroke include facial droop, arm down
drift, and garbled speech. For best outcomes, the time elapsed between initials
signs of stroke and treatment must be as short as possible.
Which of the following lab results shows acute pancreatitis?
elevated glucose, lipase, amylase, BUN/Cr, triglycerides, and bilirubin (know
your lab values)
low calcium, mag and potassium
tx: fluids, rest pancreas, pain management, monitor and replace electrolytes,
nutrition, surgery (first line if hemorrhagic/necrotizing)
Post-op gastric bypass c/o tachycardia, tachypnea, diaphoresis, fever and
reveals clean, dry, closed abd staple line and large firm abdomen.
suspect anastomosis leak and possible peritonitis
Discharge education for (diet) post cholecystitis
low-fat diet
, Assessment findings for large bowel obstruction vs small bowel obstruction
LBO - lower abdominal pain, distention, NO
vomiting SBO - high-pitched bowel sounds,
n/v, acute pain Liver failure - ascites, rebound
tenderness, jaundice
pancreatitis/gallstones - low-grade fever, steatorrhea, no bowel sounds
Determinants of cardiac output:
CO = HR X SV
(preload + afterload + contractility)
s/s heart failure
cardiac: tachycardic, weak pulse, jvd, s3, displaced pmi, cardiomegaly, valvular
abnormalities, peripheral edema, + hepatojugular reflux
pulmonary: bibasilar rales, pnd, dyspnea
neurologic: fatigue, dizziness, change LOC, impending doom
HFrEF (HF with reduced EF)
EF: <40
HFpEF (HF with preserved EF)
EF: >50
