CCTC CERTIFICATION REVIEW 2026 FULL
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
⩥ a. Answer: A nurse is providing teaching for a client who is 2 days
post-op following a heart transplant. Which of the following statements
should the nurse include in the teaching?a. "you may no longer be able
to feel chest pain."b. "your level of activity tolerance will not change."c.
"after 6 months, you will no longer need to restrict your sodium
intake."d. "you will be able to stop taking immunosuppressants after 12
months."
⩥ a. Answer: A nurse is assess a client in the emergency room who has a
bradydysrhythmia. Which of the following findings should the nurse
expect?A. confusionB. friction rubC. hypertensionD. dry skin
⩥ d. Answer: A nurse in the emergency department is caring for a client
who had an anterior MI. The client's history reveals she is 1 week post-
op open cholecystectomy. The nurse should recognize that which of the
following interventions is contraindicated?A. administering IV morphine
sulfateB. administering oxygen at 2 :/min via nasal cannulaC. helping
the client to the bedside commodeD. assisting with thrombolytic therapy
⩥ D. Answer: A nurse is caring for a client who has endocarditis. Which
of the following findings should the nurse recognize as a potential
,complication?A. ventricular depolarizationB. Guillain-Barre syndromC.
myelodysplastic syndromeD. Valvular disease
⩥ C. Answer: A nurse is caring for a client who presents to the ER with
a BP of 254/138 mmHg. The nurse recognizes that the client is in a
hypertensive crisis. Which of the following actions should the nurse take
first?A. obtain blood samples for laboratory testingB. Tell the client to
report vision changesC. Place the head of the bed at 45 degreesD.
initiate an IV
⩥ a. Answer: a nurse is caring for a client who has HF and is
experiencing AF. The nurse should plan to monitor for and report which
of the following findings to the provider immediately?a. slurred speechb.
irregular pulsec. dependent edemad. persistent fatigue
⩥ b. Answer: A nurse is assessing a client who has left-sided HF. Which
of the following manifestations should the nurse expect to find?a. inc
abdominal girthb. weak peripheral pulsesc. jugular vein distentiond.
dependent edema
⩥ b. Answer: a nurse is caring for a client who is being treated for HF
and has prescriptions for digoxin and furosemide. The nurse should plan
to monitor for which of the following as an adverse effect of these
medications?a. SOBb. lightheadednessc. dry coughd. metallic taste
,⩥ c. Answer: a nurse is monitoring a client following coronary artery
bypass graft surgery. Which of the following findings can indicate
cardiac tamponade?a. sternal instabilityb. inc WBC countc. BP 140/82
mmHg on inspiration and 154/90 mmHg on expirationd. sinus rhythm
with occasional premature atrial contraction and HR 88/min
⩥ d. Answer: A nurse is preparing a client for coroncary angiography.
The nurse should report which of the following findings to the provider
prior to the procedure?a. hemoglobin 14.4 g/dLb. history of peripheral
arterial diseasec. urine output 200 mL/4 hrd. previous allergic reaction to
shellfish
⩥ a. Answer: A nurse is caring for a client following insertion of a
permanent pacemaker. Which of the following client statements
indicates a potential complication of the insertion procedure?a. "I can't
get rid of these hiccups."b. "I feel dizzy when i stand."c. "My incision
site stings."d. "I have a headache."
⩥ b. Answer: A nurse is providing discharge teaching for a client who
has a prescription for the transdermal nitroglycerin patch. Which of the
following instructions should the nurse include in the teaching?a. apply
the new patch to the same site as the previous patchb. place the patch on
an area of skin away from skin folds and jointsc. keep the patch on 24 hr
per dayd. replace the patch at the onset of angina
⩥ c. Answer: A nurse is caring for a client in the first hour following an
aortic aneurysm repair. Which of the following findings can indicate
, shock and should be reported to the provider?a. serosanguinous drainage
on dressingb. severe pain with coughingc. urine output of 20 mL/hrd.
increase in temp from 36.C (98.2F)- 37.5C (99.5F)
⩥ d. Answer: A nurse caring for a client following an abdominal aortic
aneurysm resection. Which of the following is the priority assessment
for this client?a. neck vein distentionb. bowel soundsc. peripheral
edemad. urine output
⩥ b. Answer: A nurse is watching a client's ECG monitor and notes that
the client's rhythm has changed from a normal sinus rhythm to
supraventricular tachycardia. The client is conscious with a HR of 200-
210 bpm and has a faint radial pulse. The nurse should anticipate
assisting with which of the following interventions?a. delivery of
precordial thumpb. vagal stimulationc. administration of atropine IVd.
defibrillation
⩥ a. Answer: A nurse is providing discharge teaching for a client who
has HF. The nurse should instruct the client to report which of the
following findings immediately to the provider?a. weight gain of 2 lb in
24 hrb. inc of 10 mmHg in systolic BPc. dyspnea with exertiond.
dizziness when rising quickly
⩥ c. Answer: A nurse is admitting a client who has a leg ulcer and a
history of DM. The nurse should use which of the following focused
assessments to help differentiate between an arterial ulcer and a venous
stasis ulcer?a. explore the clients family history of peripheral vascular
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
⩥ a. Answer: A nurse is providing teaching for a client who is 2 days
post-op following a heart transplant. Which of the following statements
should the nurse include in the teaching?a. "you may no longer be able
to feel chest pain."b. "your level of activity tolerance will not change."c.
"after 6 months, you will no longer need to restrict your sodium
intake."d. "you will be able to stop taking immunosuppressants after 12
months."
⩥ a. Answer: A nurse is assess a client in the emergency room who has a
bradydysrhythmia. Which of the following findings should the nurse
expect?A. confusionB. friction rubC. hypertensionD. dry skin
⩥ d. Answer: A nurse in the emergency department is caring for a client
who had an anterior MI. The client's history reveals she is 1 week post-
op open cholecystectomy. The nurse should recognize that which of the
following interventions is contraindicated?A. administering IV morphine
sulfateB. administering oxygen at 2 :/min via nasal cannulaC. helping
the client to the bedside commodeD. assisting with thrombolytic therapy
⩥ D. Answer: A nurse is caring for a client who has endocarditis. Which
of the following findings should the nurse recognize as a potential
,complication?A. ventricular depolarizationB. Guillain-Barre syndromC.
myelodysplastic syndromeD. Valvular disease
⩥ C. Answer: A nurse is caring for a client who presents to the ER with
a BP of 254/138 mmHg. The nurse recognizes that the client is in a
hypertensive crisis. Which of the following actions should the nurse take
first?A. obtain blood samples for laboratory testingB. Tell the client to
report vision changesC. Place the head of the bed at 45 degreesD.
initiate an IV
⩥ a. Answer: a nurse is caring for a client who has HF and is
experiencing AF. The nurse should plan to monitor for and report which
of the following findings to the provider immediately?a. slurred speechb.
irregular pulsec. dependent edemad. persistent fatigue
⩥ b. Answer: A nurse is assessing a client who has left-sided HF. Which
of the following manifestations should the nurse expect to find?a. inc
abdominal girthb. weak peripheral pulsesc. jugular vein distentiond.
dependent edema
⩥ b. Answer: a nurse is caring for a client who is being treated for HF
and has prescriptions for digoxin and furosemide. The nurse should plan
to monitor for which of the following as an adverse effect of these
medications?a. SOBb. lightheadednessc. dry coughd. metallic taste
,⩥ c. Answer: a nurse is monitoring a client following coronary artery
bypass graft surgery. Which of the following findings can indicate
cardiac tamponade?a. sternal instabilityb. inc WBC countc. BP 140/82
mmHg on inspiration and 154/90 mmHg on expirationd. sinus rhythm
with occasional premature atrial contraction and HR 88/min
⩥ d. Answer: A nurse is preparing a client for coroncary angiography.
The nurse should report which of the following findings to the provider
prior to the procedure?a. hemoglobin 14.4 g/dLb. history of peripheral
arterial diseasec. urine output 200 mL/4 hrd. previous allergic reaction to
shellfish
⩥ a. Answer: A nurse is caring for a client following insertion of a
permanent pacemaker. Which of the following client statements
indicates a potential complication of the insertion procedure?a. "I can't
get rid of these hiccups."b. "I feel dizzy when i stand."c. "My incision
site stings."d. "I have a headache."
⩥ b. Answer: A nurse is providing discharge teaching for a client who
has a prescription for the transdermal nitroglycerin patch. Which of the
following instructions should the nurse include in the teaching?a. apply
the new patch to the same site as the previous patchb. place the patch on
an area of skin away from skin folds and jointsc. keep the patch on 24 hr
per dayd. replace the patch at the onset of angina
⩥ c. Answer: A nurse is caring for a client in the first hour following an
aortic aneurysm repair. Which of the following findings can indicate
, shock and should be reported to the provider?a. serosanguinous drainage
on dressingb. severe pain with coughingc. urine output of 20 mL/hrd.
increase in temp from 36.C (98.2F)- 37.5C (99.5F)
⩥ d. Answer: A nurse caring for a client following an abdominal aortic
aneurysm resection. Which of the following is the priority assessment
for this client?a. neck vein distentionb. bowel soundsc. peripheral
edemad. urine output
⩥ b. Answer: A nurse is watching a client's ECG monitor and notes that
the client's rhythm has changed from a normal sinus rhythm to
supraventricular tachycardia. The client is conscious with a HR of 200-
210 bpm and has a faint radial pulse. The nurse should anticipate
assisting with which of the following interventions?a. delivery of
precordial thumpb. vagal stimulationc. administration of atropine IVd.
defibrillation
⩥ a. Answer: A nurse is providing discharge teaching for a client who
has HF. The nurse should instruct the client to report which of the
following findings immediately to the provider?a. weight gain of 2 lb in
24 hrb. inc of 10 mmHg in systolic BPc. dyspnea with exertiond.
dizziness when rising quickly
⩥ c. Answer: A nurse is admitting a client who has a leg ulcer and a
history of DM. The nurse should use which of the following focused
assessments to help differentiate between an arterial ulcer and a venous
stasis ulcer?a. explore the clients family history of peripheral vascular
