PCCN PRACTICE EXAM Questions
with 100% Correct Answers Latest
Versions 2025 GRADED A+
Which of the following conditions occurs when the renal tubules are
unable to reabsorb excess glucose? - Precise Answer ✔✔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: - Precise Answer ✔✔metabolic
syndrome.
To reverse the hyperglycemic hyperosmolar state, the nurse will first
prepare to administer: - Precise Answer ✔✔fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The
nurse should anticipate orders for the administration of: - Precise
Answer ✔✔vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the
physiological effect is: - Precise Answer ✔✔dilutional hyponatremia,
reducing sodium concentration to critically low levels.
,Which assessment findings would indicate fluid volume excess? -
Precise Answer ✔✔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: -
Precise Answer ✔✔c. creatinine level.
To determine whether edema in a patient's hands is due to circulatory
compromise or another cause, the nurse might: - Precise Answer
✔✔elevate the patient's extremities for 1 hour and observe the degree of
edema still present.
Hypovolemia causes tachycardia and : - Precise Answer
✔✔hypotension.
To avoid the complications that can result from administering
furosemide (Lasix) to stimulate urinary output, the nurse will carefully
monitor: - Precise Answer ✔✔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)? - Precise Answer ✔✔Intermittent hemodialysis
,What are complications of continuous renal replacement therapy
(CRRT)? - Precise Answer ✔✔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? - Precise Answer
✔✔Potassium and calcium
peaked T-waves and a widening of the QRS interval in a pt with AKI are
indicative of: - Precise Answer ✔✔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)? - Precise Answer ✔✔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)? - Precise Answer ✔✔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)? - Precise
Answer ✔✔Intrarenal
Percussing the patient's stomach produces a tympanic sound is a sign
that: - Precise Answer ✔✔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: - Precise
Answer ✔✔ban ileus.
Auscultation of the abdomen reveals a bruit over the left renal artery.
This is an indication of: - Precise Answer ✔✔renal hypertension.
The nurse observes that striae on the patient's abdomen are pink and
purple. This may be a sign of: - Precise Answer ✔✔Cushing's syndrome.
During auscultation of the patient's abdomen, the nurse hears frequent
high-pitched, tinkling sounds. This is probably evidence of: - Precise
Answer ✔✔normal bowel sounds.
The nurse has been unable to hear any bowel sounds during examination
of the patient's abdomen. The minimum interval for listening before
concluding that bowel sounds are absent is ____ minute(s). - Precise
Answer ✔✔5
with 100% Correct Answers Latest
Versions 2025 GRADED A+
Which of the following conditions occurs when the renal tubules are
unable to reabsorb excess glucose? - Precise Answer ✔✔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: - Precise Answer ✔✔metabolic
syndrome.
To reverse the hyperglycemic hyperosmolar state, the nurse will first
prepare to administer: - Precise Answer ✔✔fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The
nurse should anticipate orders for the administration of: - Precise
Answer ✔✔vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the
physiological effect is: - Precise Answer ✔✔dilutional hyponatremia,
reducing sodium concentration to critically low levels.
,Which assessment findings would indicate fluid volume excess? -
Precise Answer ✔✔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: -
Precise Answer ✔✔c. creatinine level.
To determine whether edema in a patient's hands is due to circulatory
compromise or another cause, the nurse might: - Precise Answer
✔✔elevate the patient's extremities for 1 hour and observe the degree of
edema still present.
Hypovolemia causes tachycardia and : - Precise Answer
✔✔hypotension.
To avoid the complications that can result from administering
furosemide (Lasix) to stimulate urinary output, the nurse will carefully
monitor: - Precise Answer ✔✔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)? - Precise Answer ✔✔Intermittent hemodialysis
,What are complications of continuous renal replacement therapy
(CRRT)? - Precise Answer ✔✔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? - Precise Answer
✔✔Potassium and calcium
peaked T-waves and a widening of the QRS interval in a pt with AKI are
indicative of: - Precise Answer ✔✔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)? - Precise Answer ✔✔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)? - Precise Answer ✔✔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)? - Precise
Answer ✔✔Intrarenal
Percussing the patient's stomach produces a tympanic sound is a sign
that: - Precise Answer ✔✔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: - Precise
Answer ✔✔ban ileus.
Auscultation of the abdomen reveals a bruit over the left renal artery.
This is an indication of: - Precise Answer ✔✔renal hypertension.
The nurse observes that striae on the patient's abdomen are pink and
purple. This may be a sign of: - Precise Answer ✔✔Cushing's syndrome.
During auscultation of the patient's abdomen, the nurse hears frequent
high-pitched, tinkling sounds. This is probably evidence of: - Precise
Answer ✔✔normal bowel sounds.
The nurse has been unable to hear any bowel sounds during examination
of the patient's abdomen. The minimum interval for listening before
concluding that bowel sounds are absent is ____ minute(s). - Precise
Answer ✔✔5
