PCCN Review Comprehensive
Questions (Frequently Tested) and
Complete Solutions Graded A+
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A nurse is caring for a 71-year-old female patient with end-stage
chronic obstructive pulmonary disease (COPD) who is experiencing
cardiac ischemia with increased shortness of breath. The MOST
appropriate goal of oxygen therapy for this patient would be to:
,A. Limit supplemental oxygen to lower the risk of reducing respiratory
drive
B. Maintain oxygen saturations between 86% and 89%
C. Administer oxygen until oxygen saturations are greater than 95% in
order to relieve ischemia
D. Maintain oxygen saturations between 90% and 92% - Answer: D.
Maintain oxygen saturations between 90% and 92%
Feedback
Maintaining oxygen saturations between 90% and 92% will serve the
purpose of providing enough oxygen to relieve cardiac ischemia while
reducing the risk of respiratory depression in a patient with COPD.
Laboratory studies from a 22-year-old male client with Type I diabetes
mellitus are evaluated during an admission for severe pneumonia.
Which of the following laboratory results should the nurse report to the
physician?
A. Glycosylated hemoglobin (HbA1c), 9.8%
B. Low-density lipoprotein (LDL),
C. 94 mg/dLHematocrit (Hct), 53%
D. Urine specific gravity, 1.250 - Answer: A. Glycosylated hemoglobin
(HbA1c), 9.8%
Feedback
,Glycosylated hemoglobin measures the average blood sugar levels over
a 2 to 3 month time period. Clients with previously diagnosed diabetes
mellitus should aim to keep their HbA1c levels below 7%.CONTENT
AREA: Clinical Judgement: Endocrine/Hematology/Neurology/GI/Renal
The nurse is assessing a 68 year old female patient with a history of
chronic obstructive pulmonary disease (COPD). The patient presents
with complaints of recent confusion, increased fatigue, and syncopal
episodes when walking. The nurse assesses S3 and S4 sounds on
auscultation, jugular vein distention, and +3 pitting edema of the ankles
and feet. Which of the following complications of COPD does the nurse
suspect the patient is most likely experiencing?
A. Acute respiratory distress syndrome (ARDS)
B. Bronchiectasis
C. Heart failure
D. Cor pulmonale - Answer: D. Cor pulmonale
Feedback
The nurse should recognize that a history of COPD together with the
signs and symptoms listed here are suggestive of cor pulmonale. The
patient requires further workup to confirm this diagnosis.
A 42-year-old male with Marfan syndrome and complaint of dizziness is
admitted to the telemetry unit for monitoring. Which of the following
, accompanying symptoms may indicate the need for immediate surgical
attention?
A. Cough with vocal hoarseness
B. Limited rotation of the left shoulder
C.Headache that resolved after breakfast, but has returned
D. Sudden stabbing pain in the right elbow - Answer: A. Cough with
vocal hoarseness
Feedback
Patients diagnosed with Marfan syndrome are at higher risk for aortic
aneurysms. Changes in vocal quality accompanied by a cough or
dysphagia (difficulty swallowing) may indicate that a thoracic aortic
aneurysm is becoming more enlarged.
The nurse is assessing a 74 year old female patient who has presented
with the following symptoms: cool, clammy skin; faint, irregular
peripheral pulses, and +3 pitting edema in her bilateral lower
extremities. Her partner tells the nurse the patient has a history of
heart failure with a recent LVEF of 20%, as well as type 2 diabetes. The
patient's HR is 132, BP is 79/48, and blood glucose is 349. Which of the
following conditions does the nurse suspect?
A. Cardiogenic shock
B. Diabetic ketoacidosis
C. Fluid overload
Questions (Frequently Tested) and
Complete Solutions Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Contact Information
Email:
WhatsApp link: https://wa.me/254704846336
Fast Response | Confidential | Reliable Academic Support
Helping Students Achieve Academic Excellence
A nurse is caring for a 71-year-old female patient with end-stage
chronic obstructive pulmonary disease (COPD) who is experiencing
cardiac ischemia with increased shortness of breath. The MOST
appropriate goal of oxygen therapy for this patient would be to:
,A. Limit supplemental oxygen to lower the risk of reducing respiratory
drive
B. Maintain oxygen saturations between 86% and 89%
C. Administer oxygen until oxygen saturations are greater than 95% in
order to relieve ischemia
D. Maintain oxygen saturations between 90% and 92% - Answer: D.
Maintain oxygen saturations between 90% and 92%
Feedback
Maintaining oxygen saturations between 90% and 92% will serve the
purpose of providing enough oxygen to relieve cardiac ischemia while
reducing the risk of respiratory depression in a patient with COPD.
Laboratory studies from a 22-year-old male client with Type I diabetes
mellitus are evaluated during an admission for severe pneumonia.
Which of the following laboratory results should the nurse report to the
physician?
A. Glycosylated hemoglobin (HbA1c), 9.8%
B. Low-density lipoprotein (LDL),
C. 94 mg/dLHematocrit (Hct), 53%
D. Urine specific gravity, 1.250 - Answer: A. Glycosylated hemoglobin
(HbA1c), 9.8%
Feedback
,Glycosylated hemoglobin measures the average blood sugar levels over
a 2 to 3 month time period. Clients with previously diagnosed diabetes
mellitus should aim to keep their HbA1c levels below 7%.CONTENT
AREA: Clinical Judgement: Endocrine/Hematology/Neurology/GI/Renal
The nurse is assessing a 68 year old female patient with a history of
chronic obstructive pulmonary disease (COPD). The patient presents
with complaints of recent confusion, increased fatigue, and syncopal
episodes when walking. The nurse assesses S3 and S4 sounds on
auscultation, jugular vein distention, and +3 pitting edema of the ankles
and feet. Which of the following complications of COPD does the nurse
suspect the patient is most likely experiencing?
A. Acute respiratory distress syndrome (ARDS)
B. Bronchiectasis
C. Heart failure
D. Cor pulmonale - Answer: D. Cor pulmonale
Feedback
The nurse should recognize that a history of COPD together with the
signs and symptoms listed here are suggestive of cor pulmonale. The
patient requires further workup to confirm this diagnosis.
A 42-year-old male with Marfan syndrome and complaint of dizziness is
admitted to the telemetry unit for monitoring. Which of the following
, accompanying symptoms may indicate the need for immediate surgical
attention?
A. Cough with vocal hoarseness
B. Limited rotation of the left shoulder
C.Headache that resolved after breakfast, but has returned
D. Sudden stabbing pain in the right elbow - Answer: A. Cough with
vocal hoarseness
Feedback
Patients diagnosed with Marfan syndrome are at higher risk for aortic
aneurysms. Changes in vocal quality accompanied by a cough or
dysphagia (difficulty swallowing) may indicate that a thoracic aortic
aneurysm is becoming more enlarged.
The nurse is assessing a 74 year old female patient who has presented
with the following symptoms: cool, clammy skin; faint, irregular
peripheral pulses, and +3 pitting edema in her bilateral lower
extremities. Her partner tells the nurse the patient has a history of
heart failure with a recent LVEF of 20%, as well as type 2 diabetes. The
patient's HR is 132, BP is 79/48, and blood glucose is 349. Which of the
following conditions does the nurse suspect?
A. Cardiogenic shock
B. Diabetic ketoacidosis
C. Fluid overload
