PCCN : AACN Progressive Critical Care Nursing 2025 Exam

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Nursing
PCCN
AACN Progressive Critical Care Nursing
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Question: 83
What would be identified on the arterial blood gas results as a reflection of acute
respiratory distress syndrome?
A. Low PaO2 levels
B. High PaO2 levels
C. Decreased PaCO2
D. Increased HcO3
Answer: A
The result of the arterial blood gas that would reflect the presence of acute
respiratory distress syndrome would be a low PaO2 level. The paCO2 will
initially decrease but increase as the patient becomes more fatigued.
Question: 84
What characteristics would the nurse most likely assess in a patient with reduced
Renal Reserve (early stages of renal disease)?
A. Elevated BUN (blood, urea, nitrogen) lab value.
B. Mild anemia and hypertension
C. Terminal uremia
D. Nocturia
Answer: A
In the beginning stages of renal disease, known as reduced renal reserve, the
characteristics that the nurse would assess is a Glomerular Filtration Rate that is
reduced to 50% of what it normally is. The BUN (blood, urea, nitrogen lab value)
will be slightly elevated- but there will be minimal, if any, clinical symptoms.
Question: 85
In end stage renal disease, what lab value should be monitored in relation to
bleeding?
A. Hemoglobin
B. Hematocrit
C. Platelet
D. Prothrombin time
Answer: C
The lab value that should be monitored in relation to bleeding is the level of
platelets in the patient's blood. The patient with end stage renal disease is at risk
for platelet dysfunction, putting them at risk for bleeding.
Question: 86
One of the qualities of an expert nurse is her ability to collaborate with the
interdisciplinary team as well as patients and their families. All of the following
are qualities of an "expert"• in collaboration except for:
A. Serves as a role model and teacher
B. Facilitates team meetings
C. Involved in patient outcomes
D. Is open to assistance
Answer: D
The qualities of a nurse with "expert"• collaborative qualities would have the
qualities of serving as a role model and teacher, facilitating meetings and
involvement in patient outcomes. While they are always ready to learn, the expert
collaborator is the teacher, not the one who needs assistance.
Question: 87
A female client with diabetes mellitus II comes to the facility complaining of
weakness and dizziness. Initial assessment reveals a heart rate of 105 beats per
minute, cold extremities, and pallor. The client reported that she had her insulin
shot about 2 hours ago. Which of the following actions of the nurse is the least
appropriate?
A. Check the client's blood glucose
B. Offer ½ can of orange juice
C. Prepare insulin
D. Offer about 4 Lifesavers
Answer: C
Based on the findings, the client is experiencing hypoglycemia. Insulin must not
be administered because it can further decrease the client's blood sugar levels. The
nurse should offer foods that contain about 10 to 15 grams of glucose, such as ½
can of juice, 4 Lifesavers, and 4 teaspoons of sugar.
Question: 88
A man presented in surgical OPD with steady pain in left lower quadrant, change
in bowel habits, Tenesmus and Dysuria. He also complains of recurrent urinary
infections from fistulae. What necessary investigations would you like to do?
A. CT scan abdomen
B. Barium meal
C. Barium follow through
D. All of the above
Answer: D
All of the above investigations are necessary for diagnosing the condition called
Diverticulosis in a patient presenting with steady pain in left lower quadrant,
change in bowel habits, Tenesmus and Dysuria and recurrent urinary infections
from fistulae. Barium will show diverticula if present and CT scan will help
identify Diverticulitis.
Question: 89
89. A woman presented to surgical emergency with fever, nausea, vomiting and
diffuse abdominal pain. On examination, there was rebound tenderness and
rigidity. Patient gives history of recent abdominal surgery. What is the likely
diagnosis?
A. Appendicitis
B. Cholecystitis
C. Peritonitis
D. Pancreatitis
Answer: C
The most likely diagnosis is peritonitis, due to the diffuse abdominal pain, fever,
nausea and vomiting.

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