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. A client has a decreased respiratory rate due to an overdose of opiates. The decreased respirations put this client at risk for
2. A client is scheduled to have a treadmill stress ECG test for a cardiac evaluation. Which of the following is NOT considered a contraindication for the testing?
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 client is found to have a complete transection of the spinal cord at L3. Which of the following actions would the client most likely be unable to perform?
5. A client is to have a bone marrow biopsy by the hematologist. What is the site that the nurse should prep for this procedure?
6. After a successful code resuscitation for asystole a client is intubated and placed on a lidocaine drip. What is the next step in care?
7. A nurse admits a client with possible sepsis. What is the safest and most reliable site for obtaining blood cultures?
8. 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
9. Which of the following constitutes a positive PPD (Mantoux) skin test for TB?
10. Prior to performing an IV pyelogram to evaluate for kidney stones, the patient should be asked about
11. A client is admitted with Bell's palsy. To assess the extent of the nerve involvement the nurse asks the client to
12. An elderly client is placed on warfarin (Coumadin) for atrial fibrillation. Which of the levels listed below is a therapeutic INR level for this medication?
13. An elderly client with a history of remote alcohol abuse in the past is admitted for community acquired pneumonia. In addition to usual nursing parameters what other actions are appropriate?
14. Which of the following clients would most likely need surgical treatment for their fracture?
15. After an outpatient surgery for knee arthroscopy, not requiring general anesthesia, a client complains of a dull headache. What is the most likely cause of the headache?
16. A client with community-acquired pneumonia needs antibiotic treatment. The client has a severe penicillin allergy. What would be the best treatment for this client?
17. A 55-year-old male has been an insulin-dependent diabetic for 13 years and now is experiencing proteinuria. Which of the following would you most likely suspect?
18. Following a blood borne pathogen exposure with a needle stick a nurse decides to start post-exposure prophylaxis with antiviral medications. According to CDC guidelines how long should she take these medications?
19. Before the initiation of chemotherapy, a 75-year-old client should be assessed for all of the following areas EXCEPT
20. An inpatient client had a colonoscopy earlier in the day. He cannot remember what the physician told him after his procedure, regarding his results. What is the most likely cause of this?
21. 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?
22. After a terminal diagnosis, a client states that he needs to be discharged because he wants to start work at a homeless shelter. What stage of grief is this client experiencing?
23. Following the intubation of a client with severe COPD, which usual component of mechanical ventilation is not needed?
24. A nurse is evaluating a patient who had a knee replacement earlier that day. Which of the following signs is indicative of a complication of that surgery?
25. The Thompson test is used to assess the functionality of what body part?

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