Progressive Care Certified Nursing (PCCN) Free Practice Test

Question 1

Violent behavior, hallucinations, rhabdomyolysis, and hypertensive crisis are signs and symptoms of an overdose of:

A. Phencyclidine

B. Barbiturates

C. Cocaine

D. LSD

Correct Answer: A

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Question 2

All of the following statements related to peritoneal dialysis are true except:

A. In peritoneal dialysis, diffusion and convection occur across the peritoneal membrane

B. During peritoneal dialysis, dialysate flows into the peritoneal cavity by gravity

C. Peritoneal dialysis is contraindicated in patients with respiratory distress

D. With an optimally functioning catheter, it takes approximately one hour for 2L of fluid to infuse

Correct Answer: D

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Question 3

This medication is commonly given to manage an acute hypertensive episode. It is a beta-receptor agonist (beta-blocker) particularly indicated in patients with suspected myocardial infarction or angin a. To administer, a 5 mg bolus is given over 5 minutes and repeated three times. IV drip may then be started. What is the medication?

A. Nicardipine

B. Nitroprusside

C. Labetalol

D. Enalapril

Correct Answer: C

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Question 4

The specific antidote for cyanide poisoning is:

A. Sodium bicarbonate

B. Flumazenil

C. Digibind

D. Kelocyanor

Correct Answer: D

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Question 5

Of the following precipitating events of acute respiratory failure in patients with chronic obstructive pulmonary disease (COPD), which are related to decreased lung capacity for gas exchange?

A. Pulmonary embolus and heart failure

B. Atelectasis and bronchospasm

C. Pleural effusions and pneumonia

D. Pulmonary embolism and airway edema

Correct Answer: A

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Question 6

The longer-acting synthetic analog of somatostatin which produces the same results as vasopressin in the control of acute variceal bleeding, but with significantly fewer adverse effects is:

A. Ibutilide

B. Propranolol

C. Octreotide

D. Pantoprazole

Correct Answer: C

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Question 7

Which of the following, located in the heart, has two main divisions which carry the electrical impulse into the left ventricle?

A. Bundle of His

B. Purkinje fiber bundle

C. Right bundle branch

D. Left bundle branch

Correct Answer: D

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Question 8

The nurse would expect to find the following test results in a patient just admitted with a diagnosis of heart failure:

A. Brain natriuretic peptide: Elevated, Creatinine: Elevated, Serum sodium: Decreased

B. Brain natriuretic peptide: Decreased, Serum sodium: Decreased, Serum potassium: Decreased

C. Brain natriuretic peptide: Decreased, Serum potassium: Elevated, Complete Blood Count: Low RBC count

D. Brain natriuretic peptide: Elevated, Serum sodium: Elevated, Albumin: Decreased

Correct Answer: A

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Question 9

Which of the following statements is true related to cerebral blood flow?

A. Increased blood pressure results in vasodilation of cerebral vessels

B. A buildup of lactic acid in the bloodstream causes constriction of cerebral vessels

C. An increase in the pressure of arterial carbon dioxide results in constriction of the cerebral vessels

D. Vasodilation of cerebral vessels occurs in response to decreased blood pressure

Correct Answer: D

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Question 10

Chest radiography provides visualization of the heart and lungs, making this an essential tool in respiratory assessment. Which of the following statements is correct related to chest radiography?

A. Healthy lungs appear mostly white on chest films

B. On a normal chest x-ray, the diaphragm appears gray and dome-shaped with the left dome 1 to 3 cm higher than the right dome

C. During an x-ray, only a few electromagnetic rays are absorbed by air; all rays are absorbed by bone or metal

D. The skeletal thorax normally appears black on chest films

Correct Answer: C

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Question 11

Regarding pneumonia and cross-contamination, which of the following statements is true?

A. It is not necessary to wear gloves when handling the respiratory secretions of a patient who has been afebrile for the past 48 hours

B. Hand washing is not necessary after contact with a respiratory device that is used by a patient when gloves are worn

C. The use of large-volume room-air humidifiers that create aerosols (nebulizers) is acceptable if they can be sterilized at least daily and filled only with sterile water

D. The appropriate use of gloves is the most effective strategy for decreasing the risk of cross- contamination via the hands of hospital personnel

Correct Answer: C

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Question 12

Clinical signs and symptoms specific to left-sided heart failure include which of the following?

A. Hepatic congestion, pulsus alternans, pansystolic murmur at the lower left sternal border

B. Dyspnea, jugular vein distension, nausea and vomiting

C. Poor appetite, pulmonary edema, pansystolic murmur at the lower left sternal border

D. Atrial fibrillation, pulmonary edema, pulsus alternans

Correct Answer: D

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Question 13

Which ethical principle is defined as fairness?

A. Privacy and confidentiality

B. Justice

C. Fidelity

D. Beneficence

Correct Answer: B

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Question 14

Acute respiratory failure (ARF) can occur as a result of many abnormalities but, regardless of the specific underlying condition, the etiology of ARF in adults can be categorized into four main components:
impaired ventilation, impaired gas exchange, airway obstruction, and ventilation-perfusion abnormalities. Which of the following conditions causes airway obstruction?

A. Spinal cord injury at C4 or higher

B. Pulmonary embolism

C. Asthma

D. Phrenic nerve damage

Correct Answer: C

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Question 15

A patient is tested for aphasia with the following results:
* Naming: Unable
* Fluency: Unable
* Comprehension: Intact
* Repetition: Unable
Which type of aphasia does this patient most likely have?

A. None of these

B. Transcortical motor aphasia

C. Broca's aphasia

D. Transcortical sensory aphasia

E. Wernicke's aphasia

Correct Answer: C

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AACN Progressive Care Certified Nursing (PCCN) Free Practice Test