ALL THE PCCN Exam questions with
correct answers 2025
Thevnursevobservesvthatvthevpatient'svjugularvveinsvdistendvinvthevsemi-
uprightvpositionvtovmorevthanv5vcmvabovevthevsternalvangle.vThisvisvanvindicationvof:v-vcorrect-
answersv-fluidvvolumevoverload.
whatvisvnormalvPulmonaryvarteryvocclusionvpressurev(PAOP)?v-vcorrect-answersv-5-12vmmHg
Thevresistancevagainstvwhichvthevleftvventriclevmustvpumpvtovejectvitsvvolumevis:v-vcorrect-
answersv-systemicvvascularvresistance.
Whenvthevtricuspidvvalvevisvopen,vcentralvvenousvpressurevreflectsvthevfillingvpressurevinvthe:v-
vcorrect-answersv-rightvventricle.
Tachycardiavisvdangerousvforvthevpatientvwithvischemicvheartvdiseasevbecausevof:v-vcorrect-
answersv-compromisedvcardiacvoutput.
Duringvinitialvexaminationvofvavcriticalvcarevpatient,vthevnursevobservesvwidevandvconvexvnailsvandv
bulbousvfingertips.vThisvisvevidencevof:v-vcorrect-answersv-centralvcyanosis.
,Prioritiesvforvpalpationvofvthevpatientvwithvcardiovascularvdiseasevinclude:v-vcorrect-answersv-
estimatingvedema.
checkingvcapillaryvrefill
checkingvforvDVT
arterialvpulses
ByvblockingvthevconversionvofvangiotensinvIvtovangiotensinvII,vangiotensin-
convertingvenzymevinhibitorsvproduce:v-vcorrect-answersv-b.vvasodilation.
ThevnursevhasvreadvthatvthevcardiologistvrecommendsvthevusevofvclassvIVvdrugsvtovdepressvsinusvan
dvatrioventricularvnodevconductionvandvterminatevsupraventricularvtachycardiasvinvthevpatientvatv
thisvtime.vThevnursevwillvanticipatevordersvforvwhichvmedications?v-vcorrect-answersv-
a.vVerapamil,vdiltiazem,vorvamlodipine
Thevnursevhasvadministeredvavdrugvthatvstimulatesvβ1-
adrenergicvsites.vFollowingvadministrationvofvthevdrug,vthevnursevwillvassessvfor:v-vcorrect-
answersv-a.vincreasedvheartvrate.
Thevnursevisvobservingvthevpatient'svelectrocardiographicvmonitorvaftervinsertionvofvavtemporaryvp
acemaker.vSeeingvavP-wavevaftervthevpacingvartifact,vthevnursevknowsvthatvthe:v-vcorrect-answersv-
c.vatriumvisvbeingvpaced.
Thevpossibilityvofvmicroshockvwhenvhandlingvavtemporaryvpacemakervcanvbevminimizedvby:v-
vcorrect-answersv-
b.vinsulatingvthevendsvofvthevwires.vandvwearingvglovesvwhenvhandlingvthevpacingvwires
Invthevpostoperativevcardiovascularvpatient,vthevmostvfrequentvcausevofvavdecreasedvcardiacvoutp
utvis:v-vcorrect-answersv-a.vreducedvpreload.
,Avpatientvisvbeingvmonitoredvbyvcontinuousvelectrocardiogramv(ECG)vaftervplacementvofvavtransve
nousvpacemaker.v"Lossvofvcapture"visvseenvonvthevECG.vWhichvnursingvinterventionvmayvcorrectvthi
svsituation?v-vcorrect-answersv-a.vPositionvthevpatientvonvthevleftvside.vorvrepositionvthevleads
InvanalyzingvthevECGvstrip,vthevnursevnoticesvavspikevbeforeveachvQRSvcomplex.vThevpatient'svheart
vratevisv70vbeats/min.vThisvphenomenonvisvreflectivevofv-vcorrect-answersv-
b.vpacingvartifact;vthevpacemakervisvsensingvandvcapturing.
Calculatevthevcerebralvperfusionvpressurev(CPP)vforvavpatientvwithvavmeanvarterialvpressurev(MAP)v
=v95vmmvHgvandvanvintracranialvpressurev(ICP)v=v15vmmvHg.v-vcorrect-answersv-b.v80vmmvHg
Whatvprocedurevsecuresvanvarteriovenousvmalformationvwhenvavpt'svconditionvisvtoovunstablevfor
vsurgery?v-vcorrect-answersv-
embolizationvthatvcanvbevdonevtovsecurevthevlesionvwithoutvsurgery.vWhenvthevconditionvisvmorevs
table,vanvoperationvmightvbevconsideredvifvneeded.
Knowingvthatvavpatientvhasvhypoxemiavandvischemiavinvhisvbrain,vthevnursevanticipatesvwhichvofvth
evfollowing?v-vcorrect-answersv-a.vCerebrovascularvdilation
Thevnurse'svpriorityvinveyevcarevforvthevpatientvinvavcomavwillvbe:v-vcorrect-answersv-
c.vkeepingvtheveyesvmoistvtovpreventvcornealvulceration.
Thevpatientvhasvmarkedlyvdeep,vrapidvrespirationsvwithvavfruityvbreathvodor.vBasedvonvthevpatient'
svhistory,vthevnursevwill:v-vcorrect-answersv-performvavbloodvglucosevmeasurement.
Thevpatientvwithvthevsyndromevofvinappropriatevantidiureticvhormonev(SIADH)vsecretionvwillvneed
vtovhavevthevimbalancevofvwhichvelectrolytevcorrectedvasvsoonvasvpossible?v-vcorrect-answersv-
Sodium
, Whichvofvthevfollowingvconditionsvoccursvwhenvthevrenalvtubulesvarevunablevtovreabsorbvexcessvgl
ucose?v-vcorrect-answersv-Glycosuria
Thevpatientvhasvavwaistvmeasurementvofv52vinches.vHisvtriglyceridevlevelvisv175vmg/dL,vhisvhigh-
densityvlipoproteinv(HDL)vcholesterolvlevelvisv32vmg/dL,vandvhisvfastingvplasmavglucosevlevelvisv224v
mg/dL.vHisvbloodvpressurevreadingsvarevusuallyvapproximatelyv140/90vmmvHg.vThevnursevrecogniz
esvthevcharacteristicsvof:v-vcorrect-answersv-metabolicvsyndrome.
Tovreversevthevhyperglycemicvhyperosmolarvstate,vthevnursevwillvfirstvpreparevtovadminister:v-
vcorrect-answersv-fluids
Thevnursevisvcaringvforvavpatientvwithvcentralvdiabetesvinsipidusv(DI).vThevnursevshouldvanticipatevo
rdersvforvthevadministrationvof:v-vcorrect-answersv-vasopressin
Invthevsyndromevofvinappropriatevantidiureticvhormonev(SIADH),vthevphysiologicalveffectvis:v-
vcorrect-answersv-dilutionalvhyponatremia,vreducingvsodiumvconcentrationvtovcriticallyvlowvlevels.
Whichvassessmentvfindingsvwouldvindicatevfluidvvolumevexcess?v-vcorrect-answersv-
edema,vauscultationvofvavthirdvheartvsound,vcracklesvinvlungs,vboundingvpulses,vAMS,volguria,vHTN
Thevreportvofvavrenalvpatient'svlaboratoryvresultsvshowsvthatvthevbloodvureavnitrogenv(BUN)vlevelvi
svlessvthanv25vmg/dL.vTovfullyvunderstandvthevpatient'svrenalvstatus,vthevnursevmustvconsidervthisvv
aluevalongvwith:v-vcorrect-answersv-c.vcreatininevlevel.
Tovdeterminevwhethervedemavinvavpatient'svhandsvisvduevtovcirculatoryvcompromisevorvanothervca
use,vthevnursevmight:v-vcorrect-answersv-
elevatevthevpatient'svextremitiesvforv1vhourvandvobservevthevdegreevofvedemavstillvpresent.
Hypovolemiavcausesvtachycardiavandv:v-vcorrect-answersv-hypotension.
correct answers 2025
Thevnursevobservesvthatvthevpatient'svjugularvveinsvdistendvinvthevsemi-
uprightvpositionvtovmorevthanv5vcmvabovevthevsternalvangle.vThisvisvanvindicationvof:v-vcorrect-
answersv-fluidvvolumevoverload.
whatvisvnormalvPulmonaryvarteryvocclusionvpressurev(PAOP)?v-vcorrect-answersv-5-12vmmHg
Thevresistancevagainstvwhichvthevleftvventriclevmustvpumpvtovejectvitsvvolumevis:v-vcorrect-
answersv-systemicvvascularvresistance.
Whenvthevtricuspidvvalvevisvopen,vcentralvvenousvpressurevreflectsvthevfillingvpressurevinvthe:v-
vcorrect-answersv-rightvventricle.
Tachycardiavisvdangerousvforvthevpatientvwithvischemicvheartvdiseasevbecausevof:v-vcorrect-
answersv-compromisedvcardiacvoutput.
Duringvinitialvexaminationvofvavcriticalvcarevpatient,vthevnursevobservesvwidevandvconvexvnailsvandv
bulbousvfingertips.vThisvisvevidencevof:v-vcorrect-answersv-centralvcyanosis.
,Prioritiesvforvpalpationvofvthevpatientvwithvcardiovascularvdiseasevinclude:v-vcorrect-answersv-
estimatingvedema.
checkingvcapillaryvrefill
checkingvforvDVT
arterialvpulses
ByvblockingvthevconversionvofvangiotensinvIvtovangiotensinvII,vangiotensin-
convertingvenzymevinhibitorsvproduce:v-vcorrect-answersv-b.vvasodilation.
ThevnursevhasvreadvthatvthevcardiologistvrecommendsvthevusevofvclassvIVvdrugsvtovdepressvsinusvan
dvatrioventricularvnodevconductionvandvterminatevsupraventricularvtachycardiasvinvthevpatientvatv
thisvtime.vThevnursevwillvanticipatevordersvforvwhichvmedications?v-vcorrect-answersv-
a.vVerapamil,vdiltiazem,vorvamlodipine
Thevnursevhasvadministeredvavdrugvthatvstimulatesvβ1-
adrenergicvsites.vFollowingvadministrationvofvthevdrug,vthevnursevwillvassessvfor:v-vcorrect-
answersv-a.vincreasedvheartvrate.
Thevnursevisvobservingvthevpatient'svelectrocardiographicvmonitorvaftervinsertionvofvavtemporaryvp
acemaker.vSeeingvavP-wavevaftervthevpacingvartifact,vthevnursevknowsvthatvthe:v-vcorrect-answersv-
c.vatriumvisvbeingvpaced.
Thevpossibilityvofvmicroshockvwhenvhandlingvavtemporaryvpacemakervcanvbevminimizedvby:v-
vcorrect-answersv-
b.vinsulatingvthevendsvofvthevwires.vandvwearingvglovesvwhenvhandlingvthevpacingvwires
Invthevpostoperativevcardiovascularvpatient,vthevmostvfrequentvcausevofvavdecreasedvcardiacvoutp
utvis:v-vcorrect-answersv-a.vreducedvpreload.
,Avpatientvisvbeingvmonitoredvbyvcontinuousvelectrocardiogramv(ECG)vaftervplacementvofvavtransve
nousvpacemaker.v"Lossvofvcapture"visvseenvonvthevECG.vWhichvnursingvinterventionvmayvcorrectvthi
svsituation?v-vcorrect-answersv-a.vPositionvthevpatientvonvthevleftvside.vorvrepositionvthevleads
InvanalyzingvthevECGvstrip,vthevnursevnoticesvavspikevbeforeveachvQRSvcomplex.vThevpatient'svheart
vratevisv70vbeats/min.vThisvphenomenonvisvreflectivevofv-vcorrect-answersv-
b.vpacingvartifact;vthevpacemakervisvsensingvandvcapturing.
Calculatevthevcerebralvperfusionvpressurev(CPP)vforvavpatientvwithvavmeanvarterialvpressurev(MAP)v
=v95vmmvHgvandvanvintracranialvpressurev(ICP)v=v15vmmvHg.v-vcorrect-answersv-b.v80vmmvHg
Whatvprocedurevsecuresvanvarteriovenousvmalformationvwhenvavpt'svconditionvisvtoovunstablevfor
vsurgery?v-vcorrect-answersv-
embolizationvthatvcanvbevdonevtovsecurevthevlesionvwithoutvsurgery.vWhenvthevconditionvisvmorevs
table,vanvoperationvmightvbevconsideredvifvneeded.
Knowingvthatvavpatientvhasvhypoxemiavandvischemiavinvhisvbrain,vthevnursevanticipatesvwhichvofvth
evfollowing?v-vcorrect-answersv-a.vCerebrovascularvdilation
Thevnurse'svpriorityvinveyevcarevforvthevpatientvinvavcomavwillvbe:v-vcorrect-answersv-
c.vkeepingvtheveyesvmoistvtovpreventvcornealvulceration.
Thevpatientvhasvmarkedlyvdeep,vrapidvrespirationsvwithvavfruityvbreathvodor.vBasedvonvthevpatient'
svhistory,vthevnursevwill:v-vcorrect-answersv-performvavbloodvglucosevmeasurement.
Thevpatientvwithvthevsyndromevofvinappropriatevantidiureticvhormonev(SIADH)vsecretionvwillvneed
vtovhavevthevimbalancevofvwhichvelectrolytevcorrectedvasvsoonvasvpossible?v-vcorrect-answersv-
Sodium
, Whichvofvthevfollowingvconditionsvoccursvwhenvthevrenalvtubulesvarevunablevtovreabsorbvexcessvgl
ucose?v-vcorrect-answersv-Glycosuria
Thevpatientvhasvavwaistvmeasurementvofv52vinches.vHisvtriglyceridevlevelvisv175vmg/dL,vhisvhigh-
densityvlipoproteinv(HDL)vcholesterolvlevelvisv32vmg/dL,vandvhisvfastingvplasmavglucosevlevelvisv224v
mg/dL.vHisvbloodvpressurevreadingsvarevusuallyvapproximatelyv140/90vmmvHg.vThevnursevrecogniz
esvthevcharacteristicsvof:v-vcorrect-answersv-metabolicvsyndrome.
Tovreversevthevhyperglycemicvhyperosmolarvstate,vthevnursevwillvfirstvpreparevtovadminister:v-
vcorrect-answersv-fluids
Thevnursevisvcaringvforvavpatientvwithvcentralvdiabetesvinsipidusv(DI).vThevnursevshouldvanticipatevo
rdersvforvthevadministrationvof:v-vcorrect-answersv-vasopressin
Invthevsyndromevofvinappropriatevantidiureticvhormonev(SIADH),vthevphysiologicalveffectvis:v-
vcorrect-answersv-dilutionalvhyponatremia,vreducingvsodiumvconcentrationvtovcriticallyvlowvlevels.
Whichvassessmentvfindingsvwouldvindicatevfluidvvolumevexcess?v-vcorrect-answersv-
edema,vauscultationvofvavthirdvheartvsound,vcracklesvinvlungs,vboundingvpulses,vAMS,volguria,vHTN
Thevreportvofvavrenalvpatient'svlaboratoryvresultsvshowsvthatvthevbloodvureavnitrogenv(BUN)vlevelvi
svlessvthanv25vmg/dL.vTovfullyvunderstandvthevpatient'svrenalvstatus,vthevnursevmustvconsidervthisvv
aluevalongvwith:v-vcorrect-answersv-c.vcreatininevlevel.
Tovdeterminevwhethervedemavinvavpatient'svhandsvisvduevtovcirculatoryvcompromisevorvanothervca
use,vthevnursevmight:v-vcorrect-answersv-
elevatevthevpatient'svextremitiesvforv1vhourvandvobservevthevdegreevofvedemavstillvpresent.
Hypovolemiavcausesvtachycardiavandv:v-vcorrect-answersv-hypotension.
