PCCN Practice Test 2
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The Progressive Care Certified Nurse (PCCN) exam is administered by the American Association of Critical-Care Nurses (AACN), which is the largest specialty nursing organization in the world. The PCCN examination tests applicants' knowledge of caring for acutely ill adult patients.

PCCN is a specialty certification for nurses who provide direct care to acutely ill adult patients regardless of their physical location. Nurses interested in this certification may work in areas such as intermediate care, direct observation, stepdown, telemetry, transitional care or emergency departments.

PCCN Practice Test 2
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25 Questions

1. The nurse is assessing a client with chronic bronchospasm, which is treated with oral theophylline. Which of the following serum theophylline levels requires immediate nursing action?
2. A nurse is caring for a patient who has experienced burns to the right lower extremity. According to the Rule of Nines which of the following percentages most accurately describes the severity of the injury?
3. A nurse gave medications to the wrong client. She stated the client responded to the name called. What is the nurse's appropriate documentation?
4. A depressed client in the mental health unit gives a visitor a 'list of things to give away.' This prompts the nurse to change his treatment plan by
5. The nurse is caring for a client following an appendectomy. The client reports nausea and complains of surgical site pain at a 6 on a 0 to 10 scale. The client's employer is present in the room and states he is paying for the insurance and wants to know what pain medication has been prescribed by the physician. Which of the following is the appropriate nurse response?
6. A client was admitted 3 days earlier with a suspected brain tumor. During assessment, the nurse notes clear drainage from the nose. Which action by the nurse may help to determine whether the drainage is cerebrospinal fluid (CSF)?
7. The nurse is preparing to administer an I.M. injection in a client with a spinal cord injury that has resulted in paraplegia. Which of the following muscles is best site for the injection in this case?
8. Following a CVA a client is noted to understand speech but have difficulty with expressing words to communicate. This is known as
9. Following transfer to a Step-Down Unit from the SICU a post-CABG patient should be closely monitored for
10. Which of the following is NOT considered one of the five rights of medication administration?
11. During treatment of ventricular tachycardia, what medication is given via IV push that frequently results in a brief asystolic episode?
12. Following a fall with a non-displaced rib fracture, an elderly client is instructed on the use of an incentive spirometer. The use of this aids in the prevention of
13. A nurse is taking the health history of an 85-year-old client. Which of the following physical findings is consistent with normal aging?
14. A client with anemia is receiving an IV infusion of packed red blood cells. The client reports that they are feeling anxious and short of breath even though the respiratory rate is 20. What should the nurse do in this situation?
15. The nurse is caring for a client with heart failure. Which of the following statements by the client suggests that the client has left-sided heart failure?
16. A client with renal failure has an arterio-venous shunt inserted for future dialysis. How does the nurse assess the shunt post-operatively for patency?
17. When assessing a client with glaucoma, a nurse expects which of the following findings?
18. In assessing a client with acute right-sided heart failure, which would be the most likely physical exam finding?
19. A client is to have a diagnostic thoracentesis. What part of the client's body should the nurse prep for the procedure?
20. A client is admitted to the medical-surgical floor with a diagnosis of acute pancreatitis. His blood pressure is 136/76 mm Hg, pulse 96 beats/minute, respirations 22 breaths/minute, temperature 99°F (38.3°C), and he has been experiencing severe vomiting for 24 hours. His past medical history reveals hyperlipidemia and alcohol abuse. The physician prescribes a nasogastric (NG) tube for the client. Which of the following is the primary purpose for insertion of the NG tube?
21. A patient has recently been prescribed Albuterol. Which of the following changes are not associated with Albuterol?
22. A nurse assesses an anxious client with a prolonged respiratory rate of 28. What acid-base disorder should be considered and tested for?
23. The nurse is caring for a client with cirrhosis of the liver. The client has developed ascites and requires a paracentesis. Which of the following symptoms is associated with ascites and should be relieved by the paracentesis?
24. A diabetic client is counseled on the optimum blood pressure for their condition in order to minimize the risk of coronary artery disease. Normal for a diabetic is considered.
25. In outpatient diabetic management, what is the best measure of a client's glycemic control?

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