PCCN Review - Pulmonary REVISED AND
UPDATED FOR 2026/2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
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Terms in this set (168)
,Your patient had an exacerbation of The tube used for breathing prevents the patient
COPD. The rapid response team was from speaking
called and is currently intubating the
patient and preparing him for This is a case where communication is clearly the
transfer to ICU. When the family problem. The family should have been informed by
visits, they are shocked to see the someone that the patient needed assistance with
people working with the patient. No breathing and that they should expect a transfer. It
one had told them the patient had should also have been mentioned how the patient
deteriorated and required intubation. might look in the ICU. In addition, it could have
After the patient is intubated and is been communicated about the patient's inability to
being wheeled past them, family speak.
members try to communicate
verbally with the patient, but he does The other answers are all non-theraputic
not respond except to gesture. The responses. The family is clearly distressed, so a
nurse should tell the family members: simple explaination in best.
-They must leave the area because
they are exciting the patient.
-The tube used for breathing
prevents the patient from speaking
-They must speak with the doctor,
who will explain why the patient
cannot speak
-The patient is very ill and may die.
,Ben was just transferred to the PCU. You sound concerned about leaving the ICU
He had been in ICU for 2 weeks. Ben
was intubated for a time because of Theraputic communication occurs when the
his ARDs. On arrival to your unit, you patient's feelings are validated. This response
note that he is tachycardic and allows for the patient to express the concerns he
restless. Ben states, "I can't be here has about the transfer. The other answers are
now. What if something like this closed and judgmental and do not allow for any
happens to me again?" The nurse's expression of feeling from the patient.
best response would be:
-The nurses in our unit can take care
of you
-We are not very far away at the
nurses' station
-Your insurance will not cover
another day there
-You sound concerned about leaving
the ICU
Ben was just transferred to the PCU. Respiratory alkalosis
He had been in ICU for 2 weeks. Ben
was intubated for a time because of Ben was quite anxious and tachycardic. His RR
his ARDs. On arrival to your unit, you probably was increased because of both anxiety
note that he is tachycardic and and his condition.
restless. A set of blood gases drawn He would blow off CO2.
just prior to his transfer show: His pH is below normal, so it is uncompensated.
The HCO3 is low, indicating alkalosis
pH 7.52, PaCO2 31, HCO3 22, PaO2
87. The interpretation would be:
Uncompensated Respiratory Alkolosis
These results would indicate:
-Respiratory acidosis
-Respiratory alkalosis
-Metabloic acidosis
-Metabolic alkalosis
, Ben was just transferred to the PCU. The O2 saturation would decrease
He had been in ICU for 2 weeks. Ben
was intubated for a time because of At higher altitudes, there is decreased atmospheric
his ARDs. On arrival to your unit, you pressure to force oxygen into the lungs. To
note that he is tachycardic and compensate for the lower pressure, the person
restless. Ben is finally released from must breathe faster. The percentage of oxygen
the hospital. He plans to visit his remains the same, but the partial pressure of the
family in Denver. Part of the patient oxygen decreases. Aterial PaO2 decreases, as does
teaching for Ben should include O2 saturation. The rapid breathing will result in
information on the effects of high hyperventillation, raising the pH and lowering the
altitude on his ability to oxygenate PaCO2 level.
effectively. Which of the following
changes would be expected on his
blood gas results?
-The pH would decrease
-No effect
-The O2 saturation would decrease
-The PaO2 would increase
SaO2 values account for what % of 97-98%
O2 carreid within the bloodstream?
The % of total oxygen carried within the
-2-3% bloodstream attributed to the SaO2 is 97-98%.
-10-24% SaO2 is the arterial saturation of hemoglobin. The
-97-98% % corresponds to the % of hemoglobin on the red
-100% blood cells that carries O2. Typically this % is
documented as normal when within 93-99%.
PaO2 is the % of O2 within the bloodstream that is
free or dissolved in the plasma. This value is
documented in mmHg and is considered normal
when within the range of 80-100 mmHg.
UPDATED FOR 2026/2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
Save
Terms in this set (168)
,Your patient had an exacerbation of The tube used for breathing prevents the patient
COPD. The rapid response team was from speaking
called and is currently intubating the
patient and preparing him for This is a case where communication is clearly the
transfer to ICU. When the family problem. The family should have been informed by
visits, they are shocked to see the someone that the patient needed assistance with
people working with the patient. No breathing and that they should expect a transfer. It
one had told them the patient had should also have been mentioned how the patient
deteriorated and required intubation. might look in the ICU. In addition, it could have
After the patient is intubated and is been communicated about the patient's inability to
being wheeled past them, family speak.
members try to communicate
verbally with the patient, but he does The other answers are all non-theraputic
not respond except to gesture. The responses. The family is clearly distressed, so a
nurse should tell the family members: simple explaination in best.
-They must leave the area because
they are exciting the patient.
-The tube used for breathing
prevents the patient from speaking
-They must speak with the doctor,
who will explain why the patient
cannot speak
-The patient is very ill and may die.
,Ben was just transferred to the PCU. You sound concerned about leaving the ICU
He had been in ICU for 2 weeks. Ben
was intubated for a time because of Theraputic communication occurs when the
his ARDs. On arrival to your unit, you patient's feelings are validated. This response
note that he is tachycardic and allows for the patient to express the concerns he
restless. Ben states, "I can't be here has about the transfer. The other answers are
now. What if something like this closed and judgmental and do not allow for any
happens to me again?" The nurse's expression of feeling from the patient.
best response would be:
-The nurses in our unit can take care
of you
-We are not very far away at the
nurses' station
-Your insurance will not cover
another day there
-You sound concerned about leaving
the ICU
Ben was just transferred to the PCU. Respiratory alkalosis
He had been in ICU for 2 weeks. Ben
was intubated for a time because of Ben was quite anxious and tachycardic. His RR
his ARDs. On arrival to your unit, you probably was increased because of both anxiety
note that he is tachycardic and and his condition.
restless. A set of blood gases drawn He would blow off CO2.
just prior to his transfer show: His pH is below normal, so it is uncompensated.
The HCO3 is low, indicating alkalosis
pH 7.52, PaCO2 31, HCO3 22, PaO2
87. The interpretation would be:
Uncompensated Respiratory Alkolosis
These results would indicate:
-Respiratory acidosis
-Respiratory alkalosis
-Metabloic acidosis
-Metabolic alkalosis
, Ben was just transferred to the PCU. The O2 saturation would decrease
He had been in ICU for 2 weeks. Ben
was intubated for a time because of At higher altitudes, there is decreased atmospheric
his ARDs. On arrival to your unit, you pressure to force oxygen into the lungs. To
note that he is tachycardic and compensate for the lower pressure, the person
restless. Ben is finally released from must breathe faster. The percentage of oxygen
the hospital. He plans to visit his remains the same, but the partial pressure of the
family in Denver. Part of the patient oxygen decreases. Aterial PaO2 decreases, as does
teaching for Ben should include O2 saturation. The rapid breathing will result in
information on the effects of high hyperventillation, raising the pH and lowering the
altitude on his ability to oxygenate PaCO2 level.
effectively. Which of the following
changes would be expected on his
blood gas results?
-The pH would decrease
-No effect
-The O2 saturation would decrease
-The PaO2 would increase
SaO2 values account for what % of 97-98%
O2 carreid within the bloodstream?
The % of total oxygen carried within the
-2-3% bloodstream attributed to the SaO2 is 97-98%.
-10-24% SaO2 is the arterial saturation of hemoglobin. The
-97-98% % corresponds to the % of hemoglobin on the red
-100% blood cells that carries O2. Typically this % is
documented as normal when within 93-99%.
PaO2 is the % of O2 within the bloodstream that is
free or dissolved in the plasma. This value is
documented in mmHg and is considered normal
when within the range of 80-100 mmHg.
