CNA PRACTICE TEST 2026 HEADMASTER (2026)
COMPREHENSIVE QUESTIONS AND VERIFIED |COMPLETE
SOLUTIONS |A+ GRADED |100% CORRECT!!
All the PCCN Exam
Exam Coverage
Exam coverage for the AACN PCCN Exam includes the comprehensive clinical
knowledge and professional competencies required for progressive care nursing. It
focuses on cardiovascular, pulmonary, neurological, endocrine, renal, gastrointestinal,
hematologic, and multisystem disorders, emphasizing the care of acutely ill adult
patients. The exam evaluates understanding of hemodynamic monitoring, dysrhythmia
interpretation, pharmacology, and evidence-based interventions for complex patient
conditions. It also covers professional caring and ethical practice, including advocacy,
collaboration, systems thinking, and clinical inquiry. Emphasis is placed on clinical
judgment, patient safety, early recognition of complications, and the application of
advanced nursing skills in progressive and step-down care settings.
what is normal Pulmonary artery occlusion pressure (PAOP)?
5-12 mmHg
The nurse observes that the patient's jugular veins distend in the semi-upright position
to more than 5 cm above the sternal angle. This is an indication of:
fluid volume overload.
,The resistance against which the left ventricle must pump to eject its volume is:
systemic vascular resistance.
When the tricuspid valve is open, central venous pressure reflects the filling pressure in
the:
right ventricle.
Tachycardia is dangerous for the patient with ischemic heart disease because of:
compromised cardiac output.
During initial examination of a critical care patient, the nurse observes wide and convex
nails and bulbous fingertips. This is evidence of:
central cyanosis.
Priorities for palpation of the patient with cardiovascular disease include:
estimating edema.
checking capillary refill
checking for DVT
arterial pulses
By blocking the conversion of angiotensin I to angiotensin II, angiotensin-converting
enzyme inhibitors produce:
b. vasodilation.
,The nurse has read that the cardiologist recommends the use of class IV drugs to
depress sinus and atrioventricular node conduction and terminate supraventricular
tachycardias in the patient at this time. The nurse will anticipate orders for which
medications?
a. Verapamil, diltiazem, or amlodipine
The nurse has administered a drug that stimulates β1-adrenergic sites. Following
administration of the drug, the nurse will assess for:
a. increased heart rate.
The nurse is observing the patient's electrocardiographic monitor after insertion of a
temporary pacemaker. Seeing a P-wave after the pacing artifact, the nurse knows that
the:
c. atrium is being paced.
The possibility of microshock when handling a temporary pacemaker can be minimized
by:
b. insulating the ends of the wires. and wearing gloves when handling the pacing wires
In the postoperative cardiovascular patient, the most frequent cause of a decreased
cardiac output is:
a. reduced preload.
, A patient is being monitored by continuous electrocardiogram (ECG) after placement of
a transvenous pacemaker. "Loss of capture" is seen on the ECG. Which nursing
intervention may correct this situation?
a. Position the patient on the left side. or reposition the leads
In analyzing the ECG strip, the nurse notices a spike before each QRS complex. The
patient's heart rate is 70 beats/min. This phenomenon is reflective of
b. pacing artifact; the pacemaker is sensing and capturing.
Calculate the cerebral perfusion pressure (CPP) for a patient with a mean arterial
pressure (MAP) = 95 mm Hg and an intracranial pressure (ICP) = 15 mm Hg.
b. 80 mm Hg
What procedure secures an arteriovenous malformation when a pt's condition is too
unstable for surgery?
embolization that can be done to secure the lesion without surgery. When the condition
is more stable, an operation might be considered if needed.
Knowing that a patient has hypoxemia and ischemia in his brain, the nurse anticipates
which of the following?
a. Cerebrovascular dilation
The Nurse's Priority In Eye Care For The Patient In A Coma Will Be:
C. Keeping The Eyes Moist To Prevent Corneal Ulceration.
COMPREHENSIVE QUESTIONS AND VERIFIED |COMPLETE
SOLUTIONS |A+ GRADED |100% CORRECT!!
All the PCCN Exam
Exam Coverage
Exam coverage for the AACN PCCN Exam includes the comprehensive clinical
knowledge and professional competencies required for progressive care nursing. It
focuses on cardiovascular, pulmonary, neurological, endocrine, renal, gastrointestinal,
hematologic, and multisystem disorders, emphasizing the care of acutely ill adult
patients. The exam evaluates understanding of hemodynamic monitoring, dysrhythmia
interpretation, pharmacology, and evidence-based interventions for complex patient
conditions. It also covers professional caring and ethical practice, including advocacy,
collaboration, systems thinking, and clinical inquiry. Emphasis is placed on clinical
judgment, patient safety, early recognition of complications, and the application of
advanced nursing skills in progressive and step-down care settings.
what is normal Pulmonary artery occlusion pressure (PAOP)?
5-12 mmHg
The nurse observes that the patient's jugular veins distend in the semi-upright position
to more than 5 cm above the sternal angle. This is an indication of:
fluid volume overload.
,The resistance against which the left ventricle must pump to eject its volume is:
systemic vascular resistance.
When the tricuspid valve is open, central venous pressure reflects the filling pressure in
the:
right ventricle.
Tachycardia is dangerous for the patient with ischemic heart disease because of:
compromised cardiac output.
During initial examination of a critical care patient, the nurse observes wide and convex
nails and bulbous fingertips. This is evidence of:
central cyanosis.
Priorities for palpation of the patient with cardiovascular disease include:
estimating edema.
checking capillary refill
checking for DVT
arterial pulses
By blocking the conversion of angiotensin I to angiotensin II, angiotensin-converting
enzyme inhibitors produce:
b. vasodilation.
,The nurse has read that the cardiologist recommends the use of class IV drugs to
depress sinus and atrioventricular node conduction and terminate supraventricular
tachycardias in the patient at this time. The nurse will anticipate orders for which
medications?
a. Verapamil, diltiazem, or amlodipine
The nurse has administered a drug that stimulates β1-adrenergic sites. Following
administration of the drug, the nurse will assess for:
a. increased heart rate.
The nurse is observing the patient's electrocardiographic monitor after insertion of a
temporary pacemaker. Seeing a P-wave after the pacing artifact, the nurse knows that
the:
c. atrium is being paced.
The possibility of microshock when handling a temporary pacemaker can be minimized
by:
b. insulating the ends of the wires. and wearing gloves when handling the pacing wires
In the postoperative cardiovascular patient, the most frequent cause of a decreased
cardiac output is:
a. reduced preload.
, A patient is being monitored by continuous electrocardiogram (ECG) after placement of
a transvenous pacemaker. "Loss of capture" is seen on the ECG. Which nursing
intervention may correct this situation?
a. Position the patient on the left side. or reposition the leads
In analyzing the ECG strip, the nurse notices a spike before each QRS complex. The
patient's heart rate is 70 beats/min. This phenomenon is reflective of
b. pacing artifact; the pacemaker is sensing and capturing.
Calculate the cerebral perfusion pressure (CPP) for a patient with a mean arterial
pressure (MAP) = 95 mm Hg and an intracranial pressure (ICP) = 15 mm Hg.
b. 80 mm Hg
What procedure secures an arteriovenous malformation when a pt's condition is too
unstable for surgery?
embolization that can be done to secure the lesion without surgery. When the condition
is more stable, an operation might be considered if needed.
Knowing that a patient has hypoxemia and ischemia in his brain, the nurse anticipates
which of the following?
a. Cerebrovascular dilation
The Nurse's Priority In Eye Care For The Patient In A Coma Will Be:
C. Keeping The Eyes Moist To Prevent Corneal Ulceration.
