2024 PCCN ACTUAL EXAM WITH REAL QUESTIONS AND WELL ELABORATED ANSWERS (100 CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION GUARANTEED SUCCESS

THE PCCN EXAM (ACTUAL 2024-
P P P P



2025) QUESTIONS WITH ANSWERS P P P



Which electrolytes pose the most potential hazard if not within
P P P P P P P P P P



normal limits for the person with acute kidney failure?
P P P P P P P P



- <<<Answers>>>Potassium and calcium
P P P




peaked T- P



waves and a widening of the QRS interval in a pt with AKI are i
P P P P P P P P P P P P P P



ndicative of: - <<<Answers>>>d. hyperkalemia.
P P P P




A patient presents with the following: HR, 120 beats/min; BP, 8
P P P P P P P P P P



0/44 mm Hg; urine output averaging 20 mL/hr over the last 4 hou
P P P P P P P P P P P P



rs; afebrile; moist rales in the lungs bilaterally; BUN, 84 mg/dL;
P P P P P P P P P P P



creatinine, 3.4 mg/dL. What is the probable cause of this patient'
P P P P P P P P P P



s acute kidney injury (AKI)? -
P P P P P



<<<Answers>>>Left ventricular failure causing prerenal AKI P P P P P




To determine whether edema in a patient's hands is due to circula
P P P P P P P P P P P



tory compromise or another cause, the nurse might: -
P P P P P P P P



<<<Answers>>>elevate the patient's extremities for 1 hour and P P P P P P P



Pobserve the degree of edema still present.
P P P P P P




Hypovolemia causes tachycardia and : - P P P P P



<<<Answers>>>hypotension.


To avoid the complications that can result from administering fu
P P P P P P P P P



rosemide (Lasix) to stimulate urinary output, the nurse will caref
P P P P P P P P P



ully monitor: - P P



<<<Answers>>>levels of electrolytes, especially potassium.
P P P P P

, THE PCCN EXAM (ACTUAL 2024- P P P P



2025) QUESTIONS WITH ANSWERS P P P



Which dialysis method would be most appropriate for the hemo
P P P P P P P P P



dynamically stable patient in the anuric phase of acute kidney inj
P P P P P P P P P P



ury (AKI)? - <<<Answers>>>Intermittent hemodialysis
P P P P




What are complications of continuous renal replacement therap
P P P P P P P



y (CRRT)? -
P P



<<<Answers>>>Air embolism, decreased inflow pressure, elec
P P P P P P



trolyte imbalance P




What type of formula would be most appropriate for a patient wit
P P P P P P P P P P P



h acute pancreatitis? - <<<Answers>>>Low fat
P P P P P




A person with a body mass index (BMI) of 32 would be consider
P P P P P P P P P P P P



ed: - <<<Answers>>>obese
P P




Diet therapy for a hypertensive person 1 day after a myocardial
P P P P P P P P P P P



infarction would include all the following except:
P P P P P P



- <<<Answers>>>a fluid-restricted diet.
P P P




Kwashiorkor malnutrition results in: - P P P P



<<<Answers>>>low levels of serum proteins, low lymphocyte
P P P P P P P P



count, and hair loss. P P P




Significant laboratory and clinical findings in the nutritional asse
P P P P P P P P



ssment of patient with cardiovascular disease include: -
P P P P P P P



<<<Answers>>>b. elevated low- P P



density lipoprotein (LDL) cholesterol and decreased subcutaneo
P P P P P P



us fat. P

, THE PCCN EXAM (ACTUAL 2024- P P P P



2025) QUESTIONS WITH ANSWERS P P P




Serum proteins serve the function of: -
P P P P P P



<<<Answers>>>maintaining osmotic pressure. P P




A patient on mechanical ventilation is receiving total parenteral
P P P P P P P P



nutrition (TPN). Why is appropriate caloric intake important? -
P P P P P P P P P



<<<Answers>>>Excessive calorie intake can cause an increas
P P P P P P P



e in PaCO2.
P P




How does AKI cause acidosis? -
P P P P P



<<<Answers>>>Decreased urine output impairs potassium exc
P P P P P P



retion. The resulting hyperkalemia causes a shift in H+, the accu
P P P P P P P P P P



mulation results in acidosis P P P




A patient with severe abdominal pain for the last week presents
P P P P P P P P P P P



with elevated amylase, lipase, and a rigid abdomen. What do yo
P P P P P P P P P P



u suspect? - <<<Answers>>>pancreatitis
P P P




How is acute pancreatitis treated? -
P P P P P



<<<Answers>>>hydration, electrolyte balance, nutrition and pa P P P P P



in control
P




What procedure measures heart pressure and diagnoses pulmon
P P P P P P P



ary hypertension? - <<<Answers>>>right-
P P P



sided heart catheterization; provides measurements of right atriu
P P P P P P P



m, right ventricle, pulmonary artery, and pulmonary artery occlu
P P P P P P P P



sive pressure P

, THE PCCN EXAM (ACTUAL 2024-P P P P



2025) QUESTIONS WITH ANSWERS P P P



Why does lowering fever improve prognosis in stroke pts? -
P P P P P P P P P



<<<Answers>>>Increased metabolic demands, enhanced P P P P



neurotransmitter release, and increased free radicals may i P P P P P P P



ncrease stroke mortality. P P




What is a contraindication to administer nitroglycerin to a pt wit
P P P P P P P P P P



h a right ventricular infarction? -
P P P P P



<<<Answers>>>nitroglycerin reduces preload, and pts with a R P P P P P P P



VI are preload dependent
P P P




What are six risk factors for delirium? -
P P P P P P P



<<<Answers>>>cognitive impairment, sleep deprivation, dehy P P P P



dration, immobility, hearing impairment, vision impairment
P P P P P




What does a pericardial friction rub sound like? -
P P P P P P P P



<<<Answers>>>grating sound with s1 and s2 Nor P P P P P P




mal PR interval - <<<Answers>>>0.12-
P P P P




0.20 normal QRS - <<<Answers>>>0.04-0.10
P P P P




complications of an intra-aortic balloon pump (IAPB). - P P P P P P P



<<<Answers>>>Thrombocytopenia, aortic dissection and septi P P P P



cemia