PCCN EXAM NEWEST ACTUAL EXAM
PCCN EXAM NEWEST ACTUAL EXAM COMPLETE 300 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
What procedure secures an arteriovenous malformation when a pt's condition is
too unstable for surgery? - Correct Answer-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? - Correct Answer-a. Cerebrovascular dilation
The nurse's priority in eye care for the patient in a coma will be: - Correct Answer-
c. keeping the eyes moist to prevent corneal ulceration.
The patient has markedly deep, rapid respirations with a fruity breath odor. Based
on the patient's history, the nurse will: - Correct Answer-perform a blood glucose
measurement.
The patient with the syndrome of inappropriate antidiuretic hormone (SIADH)
secretion will need to have the imbalance of which electrolyte corrected as soon
as possible? - Correct Answer-Sodium
Which of the following conditions occurs when the renal tubules are unable to
reabsorb excess glucose? - Correct Answer-Glycosuria
1|Page
, PCCN EXAM NEWEST ACTUAL EXAM
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: -
Correct Answer-metabolic syndrome.
To reverse the hyperglycemic hyperosmolar state, the nurse will first prepare to
administer: - Correct Answer-fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The nurse
should anticipate orders for the administration of: - Correct Answer-vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the physiological
effect is: - Correct Answer-dilutional hyponatremia, reducing sodium
concentration to critically low levels.
Which assessment findings would indicate fluid volume excess? - Correct 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: - Correct Answer-c.
creatinine level.
2|Page
, PCCN EXAM NEWEST ACTUAL EXAM
To determine whether edema in a patient's hands is due to circulatory
compromise or another cause, the nurse might: - Correct Answer-elevate the
patient's extremities for 1 hour and observe the degree of edema still present.
Hypovolemia causes tachycardia and : - Correct Answer-hypotension.
To avoid the complications that can result from administering furosemide (Lasix)
to stimulate urinary output, the nurse will carefully monitor: - Correct 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)? - Correct Answer-
Intermittent hemodialysis
What are complications of continuous renal replacement therapy (CRRT)? -
Correct 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? - Correct Answer-Potassium and calcium
peaked T-waves and a widening of the QRS interval in a pt with AKI are indicative
of: - Correct 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
3|Page
, PCCN EXAM NEWEST ACTUAL EXAM
this patient's acute kidney injury (AKI)? - Correct 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)?
- Correct 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)? - Correct Answer-Intrarenal
Percussing the patient's stomach produces a tympanic sound is a sign that: -
Correct 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: - Correct Answer-ban ileus.
Auscultation of the abdomen reveals a bruit over the left renal artery. This is an
indication of: - Correct Answer-renal hypertension.
The nurse observes that striae on the patient's abdomen are pink and purple. This
may be a sign of: - Correct Answer-Cushing's syndrome.
4|Page
PCCN EXAM NEWEST ACTUAL EXAM COMPLETE 300 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
What procedure secures an arteriovenous malformation when a pt's condition is
too unstable for surgery? - Correct Answer-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? - Correct Answer-a. Cerebrovascular dilation
The nurse's priority in eye care for the patient in a coma will be: - Correct Answer-
c. keeping the eyes moist to prevent corneal ulceration.
The patient has markedly deep, rapid respirations with a fruity breath odor. Based
on the patient's history, the nurse will: - Correct Answer-perform a blood glucose
measurement.
The patient with the syndrome of inappropriate antidiuretic hormone (SIADH)
secretion will need to have the imbalance of which electrolyte corrected as soon
as possible? - Correct Answer-Sodium
Which of the following conditions occurs when the renal tubules are unable to
reabsorb excess glucose? - Correct Answer-Glycosuria
1|Page
, PCCN EXAM NEWEST ACTUAL EXAM
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: -
Correct Answer-metabolic syndrome.
To reverse the hyperglycemic hyperosmolar state, the nurse will first prepare to
administer: - Correct Answer-fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The nurse
should anticipate orders for the administration of: - Correct Answer-vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the physiological
effect is: - Correct Answer-dilutional hyponatremia, reducing sodium
concentration to critically low levels.
Which assessment findings would indicate fluid volume excess? - Correct 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: - Correct Answer-c.
creatinine level.
2|Page
, PCCN EXAM NEWEST ACTUAL EXAM
To determine whether edema in a patient's hands is due to circulatory
compromise or another cause, the nurse might: - Correct Answer-elevate the
patient's extremities for 1 hour and observe the degree of edema still present.
Hypovolemia causes tachycardia and : - Correct Answer-hypotension.
To avoid the complications that can result from administering furosemide (Lasix)
to stimulate urinary output, the nurse will carefully monitor: - Correct 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)? - Correct Answer-
Intermittent hemodialysis
What are complications of continuous renal replacement therapy (CRRT)? -
Correct 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? - Correct Answer-Potassium and calcium
peaked T-waves and a widening of the QRS interval in a pt with AKI are indicative
of: - Correct 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
3|Page
, PCCN EXAM NEWEST ACTUAL EXAM
this patient's acute kidney injury (AKI)? - Correct 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)?
- Correct 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)? - Correct Answer-Intrarenal
Percussing the patient's stomach produces a tympanic sound is a sign that: -
Correct 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: - Correct Answer-ban ileus.
Auscultation of the abdomen reveals a bruit over the left renal artery. This is an
indication of: - Correct Answer-renal hypertension.
The nurse observes that striae on the patient's abdomen are pink and purple. This
may be a sign of: - Correct Answer-Cushing's syndrome.
4|Page
