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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 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?
2. A client with a history of hepatic cirrhosis is admitted for suspected spontaneous bacterial peritonitis (SBP). What area should be prepared for a culture?
3. Which of the following areas on a 70-year-old client affected by a herpes zoster (shingles) rash, is likely to need IV antiviral therapy to avoid serious complications?
4. 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?
5. A client is diagnosed with new onset acute renal failure and a critically high potassium level. Until dialysis can be arranged, what medication can be used to decrease the potassium level?
6. At the time of admission, clients with pancreatitis are often classified to determine mortality risk using the Ranson criteria. Which of the following is NOT part of the Ranson criteria staging?
7. A client in the ER with chest pain has been judged to be a possible candidate for therapy with alteplase (tPA). Which of the following in NOT considered a contraindication for the use of this medication?
8. The nurse is caring for a client who requires a nasogastric (NG) tube for feeding. What should the nurse do immediately after inserting an NG tube for enteral feedings?
9. 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?
10. A client is about to have an MRI for evaluation of a possible herniated disc. What should the nurse do prior to the test?
11. As part of treatment for an overdose of acetaminophen (Tylenol), a client is administered acetylcysteine (Mucomyst). What does the client need before starting this treatment?
12. An elderly client is found to be dehydrated. All of the following lab values are to be expected in the initial lab results EXCEPT
13. The nurse is caring for a 44-year-old client diagnosed with hypoparathyroidism. Which electrolyte imbalance is closely associated with hypoparathyroidism?
14. 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?
15. All of the following can cause atrial fibrillation at high doses EXCEPT
16. Following a fall, a client is diagnosed with a non-displaced clavicle fracture. The most likely brace to be used for this is
17. 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?
18. After a successful code resuscitation for asystole a client is intubated and placed on a lidocaine drip. What is the next step in care?
19. A nurse has been ordered to set-up Buck's traction on a patient's lower extremity due to a femur fracture. Which of the following applies to Buck's traction?
20. When assessing a client with glaucoma, a nurse expects which of the following findings?
21. A nurse reviewed the arterial blood gas reading of a 25-year-old male. The nurse should be able to conclude the patient is experiencing which of the following conditions?
· Bicarbonate ion: 25 mEq/l
· PH: 7.48
· PaCO2: 29 mmHg
· PaO2: 54 mmHg
· (FiO2): 0.22
22. A newly diagnosed client with diabetes mellitus asks the nurse what his HbA1c level should be if he is in good control of his condition. The optimum level of HbA1c is less than
23. A female client is being discharged after a mastectomy for breast cancer. She expresses concern about her appearance and desirability to her husband. The nurse should
24. A client is to have a bone marrow biopsy by the hematologist. What is the site that the nurse should prep for this procedure?
25. A client suddenly becomes short of breath. Which position is most beneficial for a client experiencing respiratory difficulty?

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