PCCN Exam questions TEST BANK 2026 WITH 400 QUESTIONS
AND CORRECT DETAILED ANSWERS (100% CORRECT ANSWERS)
PCCN EXAM PREP TEST BANK (NEWLY UPDATED 2026-2027!!)
The nurse's priority in eye care for the patient in a coma will be:
c. keeping the eyes moist to prevent corneal ulceration.
The patient has markedly deep, rapid respirations with a fruity breath odor. Based
on the patient's history, the nurse will:
perform a blood glucose measurement.
The patient with the syndrome of inappropriate antidiuretic hormone (SIADH)
secretion will need to have the imbalance of which electrolyte corrected as
soon as possible?
Sodium
Which of the following conditions occurs when the renal tubules are unable to
reabsorb excess glucose?
Glycosuria
The patient has a waist measurement of 52 inches. His triglyceride level is 175
mg/dL, his high-density lipoprotein (HDL) cholesterol level is 32 mg/dL, and
his fasting plasma glucose level is 224 mg/dL. His blood pressure readings
are usually approximately 140/90 mm Hg. The nurse recognizes the
characteristics of:
metabolic syndrome.
,To reverse the hyperglycemic hyperosmolar state, the nurse will first prepare to
administer:
fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The
nurse should anticipate orders for the administration of:
vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the
physiological effect is:
dilutional hyponatremia, reducing sodium concentration to critically low levels.
Which assessment findings would indicate fluid volume excess?
edema, auscultation of a third heart sound, crackles in lungs, bounding pulses,
AMS, olguria, HTN
The report of a renal patient's laboratory results shows that the blood urea
nitrogen (BUN) level is less than 25 mg/dL. To fully understand the patient's
renal status, the nurse must consider this value along with:
c. creatinine level.
To determine whether edema in a patient's hands is due to circulatory
compromise or another cause, the nurse might:
elevate the patient's extremities for 1 hour and observe the degree of edema
still present.
,Hypovolemia causes tachycardia and :
hypotension.
To avoid the complications that can result from administering furosemide (Lasix)
to stimulate urinary output, the nurse will carefully monitor:
levels of electrolytes, especially potassium.
Which dialysis method would be most appropriate for the hemodynamically
stable patient in the anuric phase of acute kidney injury (AKI)?
Intermittent hemodialysis
What are complications of continuous renal replacement therapy (CRRT)?
Air embolism, decreased inflow pressure, electrolyte imbalance
Which electrolytes pose the most potential hazard if not within normal limits
for the person with acute kidney failure?
Potassium and calcium
peaked T-waves and a widening of the QRS interval in a pt with AKI are indicative
of:
d. hyperkalemia.
, A patient presents with the following: HR, 120 beats/min; BP, 80/44 mm Hg; urine
output averaging 20 mL/hr over the last 4 hours; afebrile; moist rales in the
lungs bilaterally; BUN, 84 mg/dL; creatinine, 3.4 mg/dL. What is the probable
cause of this patient's acute kidney injury (AKI)?
Left ventricular failure causing prerenal AKI
An elderly patient is in a motor vehicle accident and incurs a significant internal
hemorrhage. He is at greatest risk for which category of acute kidney injury
(AKI)?
Prerenal
A patient is admitted to the unit with the following laboratory values: urine
specific gravity, 1.010; urine osmolality, 210 mOsm/kg; BUN/Cr ratio 10:1; urine
sodium, 96 mEq/L. The urine output has been 60 mL since admission 2 hours
ago. These values are most consistent with which of the following types of
acute kidney injury (AKI)?
Intrarenal
Percussing the patient's stomach produces a tympanic sound is a sign that:
the patient's stomach is empty.
The nurse is unable to hear bowel sounds in any of the four quadrants of the
patient's abdomen. This may indicate the presence of:
ban ileus.
AND CORRECT DETAILED ANSWERS (100% CORRECT ANSWERS)
PCCN EXAM PREP TEST BANK (NEWLY UPDATED 2026-2027!!)
The nurse's priority in eye care for the patient in a coma will be:
c. keeping the eyes moist to prevent corneal ulceration.
The patient has markedly deep, rapid respirations with a fruity breath odor. Based
on the patient's history, the nurse will:
perform a blood glucose measurement.
The patient with the syndrome of inappropriate antidiuretic hormone (SIADH)
secretion will need to have the imbalance of which electrolyte corrected as
soon as possible?
Sodium
Which of the following conditions occurs when the renal tubules are unable to
reabsorb excess glucose?
Glycosuria
The patient has a waist measurement of 52 inches. His triglyceride level is 175
mg/dL, his high-density lipoprotein (HDL) cholesterol level is 32 mg/dL, and
his fasting plasma glucose level is 224 mg/dL. His blood pressure readings
are usually approximately 140/90 mm Hg. The nurse recognizes the
characteristics of:
metabolic syndrome.
,To reverse the hyperglycemic hyperosmolar state, the nurse will first prepare to
administer:
fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The
nurse should anticipate orders for the administration of:
vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the
physiological effect is:
dilutional hyponatremia, reducing sodium concentration to critically low levels.
Which assessment findings would indicate fluid volume excess?
edema, auscultation of a third heart sound, crackles in lungs, bounding pulses,
AMS, olguria, HTN
The report of a renal patient's laboratory results shows that the blood urea
nitrogen (BUN) level is less than 25 mg/dL. To fully understand the patient's
renal status, the nurse must consider this value along with:
c. creatinine level.
To determine whether edema in a patient's hands is due to circulatory
compromise or another cause, the nurse might:
elevate the patient's extremities for 1 hour and observe the degree of edema
still present.
,Hypovolemia causes tachycardia and :
hypotension.
To avoid the complications that can result from administering furosemide (Lasix)
to stimulate urinary output, the nurse will carefully monitor:
levels of electrolytes, especially potassium.
Which dialysis method would be most appropriate for the hemodynamically
stable patient in the anuric phase of acute kidney injury (AKI)?
Intermittent hemodialysis
What are complications of continuous renal replacement therapy (CRRT)?
Air embolism, decreased inflow pressure, electrolyte imbalance
Which electrolytes pose the most potential hazard if not within normal limits
for the person with acute kidney failure?
Potassium and calcium
peaked T-waves and a widening of the QRS interval in a pt with AKI are indicative
of:
d. hyperkalemia.
, A patient presents with the following: HR, 120 beats/min; BP, 80/44 mm Hg; urine
output averaging 20 mL/hr over the last 4 hours; afebrile; moist rales in the
lungs bilaterally; BUN, 84 mg/dL; creatinine, 3.4 mg/dL. What is the probable
cause of this patient's acute kidney injury (AKI)?
Left ventricular failure causing prerenal AKI
An elderly patient is in a motor vehicle accident and incurs a significant internal
hemorrhage. He is at greatest risk for which category of acute kidney injury
(AKI)?
Prerenal
A patient is admitted to the unit with the following laboratory values: urine
specific gravity, 1.010; urine osmolality, 210 mOsm/kg; BUN/Cr ratio 10:1; urine
sodium, 96 mEq/L. The urine output has been 60 mL since admission 2 hours
ago. These values are most consistent with which of the following types of
acute kidney injury (AKI)?
Intrarenal
Percussing the patient's stomach produces a tympanic sound is a sign that:
the patient's stomach is empty.
The nurse is unable to hear bowel sounds in any of the four quadrants of the
patient's abdomen. This may indicate the presence of:
ban ileus.
