1
adult CCRN/PCCN certification practice test
One day following posterior spinal fusion
surgery a 35 year old female suddenly
exhibits restlessness, labored breathing
and acute chest pain. Her heart rate is
122/min., she is afebrile, and exhibits
slightly diminished breath sounds on the
right side.
B. A pulmonary embolus
The findings described above should
lead the nurse to suspect that the patient
has developed:
A. A spontaneous pneumothorax
B. A pulmonary embolus
C. Aspiration pneumonia
D. A pleural effusion
One day following posterior spinal fusion
surgery a 35 year old female suddenly
exhibits restlessness, labored breathing
and acute chest pain. Her heart rate is
122/min., she is afebrile, and exhibits
slightly diminished breath sounds on the
right side.
A. Pulmonary radioisotope scan
Which of the following will most likely
confirm the patient's diagnosis?
A. Pulmonary radioisotope scan
B. Echocardiogram
C. Cardiac enzyme studies
D. Chest x-ray and arterial blood gases
The nursing staff does not wish to be
assigned a difficult patient who contin-
ues to demonstrate disorderly behavior.
D. Alternate the patient assignment
Which of the following is an acceptable
among the nursing staff.
solution?
A. Request the family control the pa-
,2
adult CCRN/PCCN certification practice test
tient's behavior.
B. Transfer the patient
C. The patient assignment should be de-
cided by the Charge Nurse.
D. Alternate the patient assignment
among the nursing staff.
A patient who is 72 hours postoperative
repair of a bowel obstruction suddenly
demonstrates shortness of breath and
his respiratory rate increases from 22 to
45/min. His SpO2 went from 95% to 88%
acutely. An arterial blood gas sample ob-
tained while the patient is receiving oxy-
gen via a nasal cannula at 6L/min reveals
the following results:
pH 7.40
pCO2 27
pO2 50
A chest x-ray is obtained and a
A. Acute respiratory distress syndrome
"ground-glass-like appearance" is re-
ported. Auscultation of the lungs reveals
diffuse crackles that were not present
previously.
The findings described above should
lead the nurse to believe that the patient
has:
A. Acute respiratory distress syndrome
B. A pulmonary embolus
C. A spontaneous pneumothorax
D. Aspiration pneumonia
A patient who is 72 hours postoperative
repair of a bowel obstruction suddenly
demonstrates shortness of breath and
his respiratory rate increases from 22 to
45/min. His SpO2 went from 95% to 88%
acutely. An arterial blood gas sample ob-
, 3
adult CCRN/PCCN certification practice test
tained while the patient is receiving oxy-
gen via a nasal cannula at 6L/min reveals
the following results:
pH 7.40
pCO2 27
pO2 50
A chest x-ray is obtained and a
"ground-glass-like appearance" is re-
ported. Auscultation of the lungs reveals
diffuse crackles that were not present
previously. C. Uncompensated respiratory acidosis
On admission, your patient's arterial
blood gas on room air is: pH 7.23,
PaCO2 55, PaO2 90, HCO3 30. The cor-
rect arterial blood gas interpretation is:
A. Uncompensated metabolic acidosis
B. Uncompensated respiratory alkalosis
C. Uncompensated respiratory acidosis
D. Uncompensated metabolic alkalosis
A patient who is 72 hours postoperative
repair of a bowel obstruction suddenly
demonstrates shortness of breath and
his respiratory rate increases from 22 to
45/min. His SpO2 went from 95% to 88%
acutely. An arterial blood gas sample ob-
tained while the patient is receiving oxy-
gen via a nasal cannula at 6L/min reveals
the following results:
pH 7.40 C. Shifting it to the left
pCO2 27
pO2 50
A chest x-ray is obtained and a
"ground-glass-like appearance" is re-
ported. Auscultation of the lungs reveals
diffuse crackles that were not present
previously.
adult CCRN/PCCN certification practice test
One day following posterior spinal fusion
surgery a 35 year old female suddenly
exhibits restlessness, labored breathing
and acute chest pain. Her heart rate is
122/min., she is afebrile, and exhibits
slightly diminished breath sounds on the
right side.
B. A pulmonary embolus
The findings described above should
lead the nurse to suspect that the patient
has developed:
A. A spontaneous pneumothorax
B. A pulmonary embolus
C. Aspiration pneumonia
D. A pleural effusion
One day following posterior spinal fusion
surgery a 35 year old female suddenly
exhibits restlessness, labored breathing
and acute chest pain. Her heart rate is
122/min., she is afebrile, and exhibits
slightly diminished breath sounds on the
right side.
A. Pulmonary radioisotope scan
Which of the following will most likely
confirm the patient's diagnosis?
A. Pulmonary radioisotope scan
B. Echocardiogram
C. Cardiac enzyme studies
D. Chest x-ray and arterial blood gases
The nursing staff does not wish to be
assigned a difficult patient who contin-
ues to demonstrate disorderly behavior.
D. Alternate the patient assignment
Which of the following is an acceptable
among the nursing staff.
solution?
A. Request the family control the pa-
,2
adult CCRN/PCCN certification practice test
tient's behavior.
B. Transfer the patient
C. The patient assignment should be de-
cided by the Charge Nurse.
D. Alternate the patient assignment
among the nursing staff.
A patient who is 72 hours postoperative
repair of a bowel obstruction suddenly
demonstrates shortness of breath and
his respiratory rate increases from 22 to
45/min. His SpO2 went from 95% to 88%
acutely. An arterial blood gas sample ob-
tained while the patient is receiving oxy-
gen via a nasal cannula at 6L/min reveals
the following results:
pH 7.40
pCO2 27
pO2 50
A chest x-ray is obtained and a
A. Acute respiratory distress syndrome
"ground-glass-like appearance" is re-
ported. Auscultation of the lungs reveals
diffuse crackles that were not present
previously.
The findings described above should
lead the nurse to believe that the patient
has:
A. Acute respiratory distress syndrome
B. A pulmonary embolus
C. A spontaneous pneumothorax
D. Aspiration pneumonia
A patient who is 72 hours postoperative
repair of a bowel obstruction suddenly
demonstrates shortness of breath and
his respiratory rate increases from 22 to
45/min. His SpO2 went from 95% to 88%
acutely. An arterial blood gas sample ob-
, 3
adult CCRN/PCCN certification practice test
tained while the patient is receiving oxy-
gen via a nasal cannula at 6L/min reveals
the following results:
pH 7.40
pCO2 27
pO2 50
A chest x-ray is obtained and a
"ground-glass-like appearance" is re-
ported. Auscultation of the lungs reveals
diffuse crackles that were not present
previously. C. Uncompensated respiratory acidosis
On admission, your patient's arterial
blood gas on room air is: pH 7.23,
PaCO2 55, PaO2 90, HCO3 30. The cor-
rect arterial blood gas interpretation is:
A. Uncompensated metabolic acidosis
B. Uncompensated respiratory alkalosis
C. Uncompensated respiratory acidosis
D. Uncompensated metabolic alkalosis
A patient who is 72 hours postoperative
repair of a bowel obstruction suddenly
demonstrates shortness of breath and
his respiratory rate increases from 22 to
45/min. His SpO2 went from 95% to 88%
acutely. An arterial blood gas sample ob-
tained while the patient is receiving oxy-
gen via a nasal cannula at 6L/min reveals
the following results:
pH 7.40 C. Shifting it to the left
pCO2 27
pO2 50
A chest x-ray is obtained and a
"ground-glass-like appearance" is re-
ported. Auscultation of the lungs reveals
diffuse crackles that were not present
previously.
