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Progressive Care Certified Nurse (PCCN) Exam Practice Test 2
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The PCCN (Progressive Care Certified Nurse) certification confirms your knowledge of care for acutely ill adult patients.

PCC exam topics are:

Clinical Judgment:

Cardiovascular
Pulmonary Endocrine/Hematology/Neurology/Gastrointestinal/Renal Musculoskeletal/Multisystem/Psychosocial

80%

27%
17%
20%
16%

Professional Caring and Ethical Practice:

Advocacy/Moral Agency; Caring Practices; Response to Diversity; Facilitation of Learning; Collaboration; Systems Thinking; Clinical Inquiry

 20%
Progressive Care Certified Nurse (PCCN) Exam Practice Test 2
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25 Questions

1. An elderly client is found to be dehydrated. All of the following lab values are to be expected in the initial lab results EXCEPT
2. Which of the following lab values would indicate symptomatic AIDS in the medical chart? (CD4+ T-cell count per deciliter)?
3. Following a CVA a client is noted to understand speech but have difficulty with expressing words to communicate. This is known as
4. An elderly patient with pneumonia is admitted for IV antibiotic treatment. Which of the following observations indicates that the patient may be experiencing sepsis?
5. A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre Syndrome. Which of the following statements is the most applicable when discussing the impairments with Guillain-Barre Syndrome with the patient?
6. A client in a manic state, being interviewed by a nurse, rapidly skips from one topic to the next, and does not directly answer questions. This aspect of mania is called
7. A client is about to have an MRI for evaluation of a possible herniated disc. What should the nurse do prior to the test?
8. Which of the following clients would most likely need surgical treatment for their fracture?
9. A central venous pressure reading of 11cm/H2O of an IV of normal saline is determined by the nurse caring for the patient. The patient has a diagnosis of pericarditis. Which of the following is the most applicable?
10. The nurse is checking laboratory values on a patient who has crackling rales in the lower lobes, 2+ pitting edema, and dyspnea with minimal exertion. Which of the following laboratory values does the nurse expect to be abnormal?
11. Following transfer to a Step-Down Unit from the SICU a post-CABG patient should be closely monitored for
12. The Thompson test is used to assess the functionality of what body part?
13. During treatment of ventricular tachycardia, what medication is given via IV push that frequently results in a brief asystolic episode?
14. Common nursing interventions for a client with acute congestive heart failure would include all of the following EXCEPT
15. On a history form, a nurse notes that a client has had an enucleation of the eye in the past. What does this consist of?
16. Which of the following constitutes a positive PPD (Mantoux) skin test for TB?
17. A client with chronic renal failure on dialysis misses 2 treatments due to transportation issues. The home care nurse should assess the client for which of the following
18. A patient with acute infectious diarrhea has a fever and blood in his stool. His condition does not improve with oral hydration therapy. Which of the following is a risk factor for infection with Clostridium difficile?
19. 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?
20. A client is started on allopurinol (Zyloprim) for gout. What blood test will need to be done to check for the medication’s efficacy?
21. A client is observed tying and untying his shoes dozens of times a day. This client is likely suffering from
22. A patient has a history of cardiac arrhythmia. A nurse has been ordered to give 2 units of blood to this patient. The nurse should take which of the following actions?
23. The nurse is caring for a client after a lung lobectomy. The nurse notes fluctuating water levels in the water-seal chamber of the client's chest tube. What action should the nurse take?
24. A nurse is reviewing a patient’s ECG report. The patient exhibits a flat T wave, depressed ST segment and short QT interval. Which of the following medications can cause all of the above effects?
25. Prior to performing an arterial blood gas (ABG) measurement on a client’s hand; the nurse assesses the blood flow in the hand using what maneuver?

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