PCCN Review Exam 2026 ACTUAL TEST BANK 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
The nurse has a 32 year old female patient with a diagnosis of major depressive
disorder. The patient tells the nurse that she wishes every night that she could go
to sleep and never wake up. She also tells the nurse that she has been thinking
that it would be easy to take a whole bottle of Tylenol "to end my pain forever."
What is the MOST appropriate intervention for the nurse to take?
A. Encourage the patient to engage in psychotherapy when she is ready to talk
about her feelings.
B. Ensure that the patient's physical environment is safe and free of objects that
could be used to harm herself
C. Remind the patient to take her scheduled medications
D. Tell the patient to take some time alone to process her thoughts and feelings
B. Ensure that the patient's physical environment is safe and free of objects that
could be used to harm herself
Feedback
The nurse should identify that the most important thing when working with a
patient who is expressing suicidal ideology is patient safety; this begins with the
patient's physical environment and ensuring that there is nothing that the patient
can access that can be
used to harm themselves.
,A telemetry nurse is caring for a 59-year-old male patient who is being
evaluated for non-specific cardiac symptoms. Just after the nurse arrives in
the patient's room to administer the morning medications, the patient loses
consciousness. The cardiac
monitor reveals third-degree AV heart block with ventricular escape beats at 38
beats per minute (bpm). The nurse should:
A. Prepare to initiate transcutaneous pacing
B. Administer atropine 0.5 mg IV
C. Prepare the patient for cardioversion
D. Administer adenosine (Adenocard) 6 mg rapid IV push
A. Prepare to initiate transcutaneous pacing
Feedback
Third-degree heart block with a slow ventricular escape rhythm that is not
sufficient to keep a patient alert should be immediately addressed by
transcutaneous pacing to
provide adequate brain perfusion (and perfusion of other organs). Medications
should be administered per ACLS protocols or as directed by a health care
practitioner.
The nurse is educating a 24 year old patient who has been diagnosed with diabetic
gastroparesis. The nurse teaches the patient that which of the following lifestyle
modifications will be helpful and appropriate?
A. Drink carbonated beverages regularly
B. Eat a diet high in insoluble fiber
C. Eat fewer, larger meals every day
D. Ensure well-controlled blood glucose levels
D. Ensure well-controlled blood glucose levels
Feedback
The nurse should know that ensuring well-controlled blood glucose levels is
one of the most helpful strategies for diabetic gastroparesis. The other three
strategies listed are all contraindicated and can make the condition worse.
,The nurse is providing discharge education to a 47 year old male patient who
was admitted for acute alcohol withdrawal. The patient tells the nurse that his
intent is to
pursue outpatient treatment for alcohol use disorder. Which of the following
teaching points is appropriate for this patient?
A. Alcoholics Anonymous is the only support group that will really help a "true"
alcoholic
B. Eat a diet rich in leafy greens, legumes, citrus, and whole grains
C. It is important to continue to spend time with old friends and social circles to
establish a pattern of familiarity
D. Stop any new therapy or medication right away if the patient does not feel that it
is beneficial
B. Eat a diet rich in leafy greens, legumes, citrus, and whole grains
Feedback
The nurse should recall that patients who chronically abuse alcohol are usually
deficient in folate, and the listed foods are rich in folate and will help the patient
replenish their nutrients.
, A nurse is caring for a patient with a recent history of an ischemic (embolic) stroke.
To evaluate the patient's current status, the nurse uses the National Institutes of
Health
Stroke Scale (NIHSS). This scale evaluates eleven separate items, which include all
of the following EXCEPT:
A. Language skills
B. Hearing response
C. Limb ataxia
D. Horizontal eye movements
B. Hearing response
Feedback
The eleven items evaluated on the NIHSS include level of consciousness,
horizontal eye movement, visual field test, facial palsy, motor arm, motor leg, limb
ataxia, sensory loss, language skills, speech, and extinction/inattention. Hearing
is not directly tested,
although several items require the patient to follow verbal directions. The scale
advises certain point levels for patients who are normally deaf or mute, and
suggests alternate methods of testing certain items on the scale.
A 43-year-old patient is admitted to the intensive care unit (ICU) for management
of acute respiratory failure. Which of the following arterial blood gas readings
MOST
closely correlates with this patient's condition?
A. pH 7.24, pCO2 58, pO2 84 , HCO3 24
B. pH 7. 22, pCO2 70 , pO2 52, HCO3 28
C. pH 7.22, pCO2 45, pO2 90, HCO3 16
D. pH 7.32, pCO2 44, pO2 68, HCO3 20
B. pH 7. 22, pCO2 70 , pO2 52, HCO3 28
Feedback
A patient with acute respiratory failure would be expected to be in uncompensated
respiratory acidosis, best represented by low pH, low oxygen, elevated carbon
dioxide, and normal bicarbonate levels on an arterial blood gas.
Recent Exam Actual Complete Real Exam Questions And
Correct Answers (Verified Answers) Already Graded A+ |
Guaranteed Success!! Newest Exam | Just Released!! 2026-
2027
The nurse has a 32 year old female patient with a diagnosis of major depressive
disorder. The patient tells the nurse that she wishes every night that she could go
to sleep and never wake up. She also tells the nurse that she has been thinking
that it would be easy to take a whole bottle of Tylenol "to end my pain forever."
What is the MOST appropriate intervention for the nurse to take?
A. Encourage the patient to engage in psychotherapy when she is ready to talk
about her feelings.
B. Ensure that the patient's physical environment is safe and free of objects that
could be used to harm herself
C. Remind the patient to take her scheduled medications
D. Tell the patient to take some time alone to process her thoughts and feelings
B. Ensure that the patient's physical environment is safe and free of objects that
could be used to harm herself
Feedback
The nurse should identify that the most important thing when working with a
patient who is expressing suicidal ideology is patient safety; this begins with the
patient's physical environment and ensuring that there is nothing that the patient
can access that can be
used to harm themselves.
,A telemetry nurse is caring for a 59-year-old male patient who is being
evaluated for non-specific cardiac symptoms. Just after the nurse arrives in
the patient's room to administer the morning medications, the patient loses
consciousness. The cardiac
monitor reveals third-degree AV heart block with ventricular escape beats at 38
beats per minute (bpm). The nurse should:
A. Prepare to initiate transcutaneous pacing
B. Administer atropine 0.5 mg IV
C. Prepare the patient for cardioversion
D. Administer adenosine (Adenocard) 6 mg rapid IV push
A. Prepare to initiate transcutaneous pacing
Feedback
Third-degree heart block with a slow ventricular escape rhythm that is not
sufficient to keep a patient alert should be immediately addressed by
transcutaneous pacing to
provide adequate brain perfusion (and perfusion of other organs). Medications
should be administered per ACLS protocols or as directed by a health care
practitioner.
The nurse is educating a 24 year old patient who has been diagnosed with diabetic
gastroparesis. The nurse teaches the patient that which of the following lifestyle
modifications will be helpful and appropriate?
A. Drink carbonated beverages regularly
B. Eat a diet high in insoluble fiber
C. Eat fewer, larger meals every day
D. Ensure well-controlled blood glucose levels
D. Ensure well-controlled blood glucose levels
Feedback
The nurse should know that ensuring well-controlled blood glucose levels is
one of the most helpful strategies for diabetic gastroparesis. The other three
strategies listed are all contraindicated and can make the condition worse.
,The nurse is providing discharge education to a 47 year old male patient who
was admitted for acute alcohol withdrawal. The patient tells the nurse that his
intent is to
pursue outpatient treatment for alcohol use disorder. Which of the following
teaching points is appropriate for this patient?
A. Alcoholics Anonymous is the only support group that will really help a "true"
alcoholic
B. Eat a diet rich in leafy greens, legumes, citrus, and whole grains
C. It is important to continue to spend time with old friends and social circles to
establish a pattern of familiarity
D. Stop any new therapy or medication right away if the patient does not feel that it
is beneficial
B. Eat a diet rich in leafy greens, legumes, citrus, and whole grains
Feedback
The nurse should recall that patients who chronically abuse alcohol are usually
deficient in folate, and the listed foods are rich in folate and will help the patient
replenish their nutrients.
, A nurse is caring for a patient with a recent history of an ischemic (embolic) stroke.
To evaluate the patient's current status, the nurse uses the National Institutes of
Health
Stroke Scale (NIHSS). This scale evaluates eleven separate items, which include all
of the following EXCEPT:
A. Language skills
B. Hearing response
C. Limb ataxia
D. Horizontal eye movements
B. Hearing response
Feedback
The eleven items evaluated on the NIHSS include level of consciousness,
horizontal eye movement, visual field test, facial palsy, motor arm, motor leg, limb
ataxia, sensory loss, language skills, speech, and extinction/inattention. Hearing
is not directly tested,
although several items require the patient to follow verbal directions. The scale
advises certain point levels for patients who are normally deaf or mute, and
suggests alternate methods of testing certain items on the scale.
A 43-year-old patient is admitted to the intensive care unit (ICU) for management
of acute respiratory failure. Which of the following arterial blood gas readings
MOST
closely correlates with this patient's condition?
A. pH 7.24, pCO2 58, pO2 84 , HCO3 24
B. pH 7. 22, pCO2 70 , pO2 52, HCO3 28
C. pH 7.22, pCO2 45, pO2 90, HCO3 16
D. pH 7.32, pCO2 44, pO2 68, HCO3 20
B. pH 7. 22, pCO2 70 , pO2 52, HCO3 28
Feedback
A patient with acute respiratory failure would be expected to be in uncompensated
respiratory acidosis, best represented by low pH, low oxygen, elevated carbon
dioxide, and normal bicarbonate levels on an arterial blood gas.
