PCCN Exam Secrets Test Prep Team - PCCN Exam Practice Questions: PCCN Practice Tests & Review for the Progressive Care Certified Nurse Exam

Table of Contents

1. Following a chest infection, a patient with type 1diabetes reports fatigue and nausea. Assessment reveals a blood glucose levelof 450 mg/dL. Which of the following pharmacologic interventions are prioritiesfor patient care?

a. administerintravenous (IV) fluids at the prescribed rate to correct sodium levels

b. administerintravenous (IV) fluids based on corrected sodium levels

c. administerprescribed insulin via IV bolus, then continuous drip

d. administer IV fluids based on correctedsodium levels and prescribed insulin.

2. Which of the following are possible complications fromdiabetic ketoacidosis?

a. metabolicacidosis

b. hyperkalemia

c. metabolicalkalosis

d. hyponatremia

3. At discharge, the family of a patient who has had anepisode of diabetes ketoacidosis wants to know how to care for their familymember if they get sick at home. What should the nurse tell them? Select allthat apply.

a. continueto follow prescribed diabetic medications as usual and report a glucose readingof >300 mg/dL or urine ketones to the patients physician

b. if thepatient becomes nauseated, eat small meals and discontinue diabetic medicationsuntil nausea passes

c. if thepatient has vomiting or persistent diarrhea, discontinue diabetic medicationsuntil vomiting stops

d. test blood or glucose every 3 to 4 hours

4. A nurse in the emergency department assesses a patientwith a hand laceration and notices that the patient smells strongly of alcohol.The patient is diabetic, irritable, and pale and reports headache. The nurse iswaiting for laboratory results. What serum glucose level might the nurse expectto find?

a. 80 to110 mg/dL

b. <50mg/dL

c. 50 to60 mg/dL

d. >1000 mg/dL

5. An unconscious patient with hypoglycemia is beingtreated with IV glucose (50 mL of 50% dextrose IV bolus) to correct serumglucose levels of 40 mg/dL. Which of the following is a possible complicationof administering hypertonic dextrose?

a. phlebitis

b. hypokalemia

c. myocardialinfarction

d. cardiac arrest

6. A 27-year-old patient with rheumatoid arthritis isadmitted with anemia. During administration of 200 mL packed red blood cells(PRBCs) over 1 hour, the patient becomes restless. Her pulse is bounding, andher blood pressure is elevated. The most likely explanation is

a. hemolyticreaction to the transfusion.

b. thePRBCs are contaminated with gram-negative organisms.

c. thetransfusion was administered too quickly.

d. allergic response to the transfusion.

7. Complications associated with long-term transfusionsfor sickle cell anemia patients include

a. acutechest syndrome.

b. stroke.

c. alloimmunization.

d. renal dysfunction.

8. Which of the following laboratory results would thenurse expect to find with a patient who has heparin-induced thrombocytopenia(HIT)?

a. 5 to 14days following initiation of heparin therapy, platelet count drops 30% to 50%from the patients baseline

b. 5 to 14days following initiation of heparin therapy, platelet count increases 30% to50% from the patients baseline

c. quicklyfollowing initiation of heparin therapy, red blood cell count levels areincreased

d. quickly following initiation of heparintherapy, red blood cell count levels are decreased

9. A patient with rheumatoid arthritis and acute leukemiais admitted with a cough following a first cycle of chemotherapy. Assessmentreveals hypotension, temperature of 38.4 degrees Celsius, and absoluteneutrophil count of <500 cells/L. The MOST essential nursing actionis