Pass Your PCCN Exam at the First Try with 100% Real Exam Questions
New AACN PCCN Dumps & Questions Updated on 2024
NEW QUESTION # 191
While checking the abducens nerve of the candidate, the nurse will ask the candidate to follow the finger from?
- A. 1 o'clock position to 11 o'clock position, clockwise
- B. 11 o'clock to 1 o'clock position
- C. 2 o'clock to 6 o'clock position
- D. 3 o'clock to 12 o'clock position
Answer: A
Explanation:
Explanation: While checking the abducens nerve, the nurse will ask the candidate to follow the finger from the 1 o'clock to 11 o'clock position, in a clockwise direction.
NEW QUESTION # 192
The nurse is caring for an elderly client who is prescribed with oral pain medications. The nurse would particularly monitor the signs of adverse reactions of the drugs for the following reasons except:
- A. Decreased drug clearance by the kidneys
- B. Increased number of nephrons
- C. Decreased number of nerve cells
- D. Decreased blood flow to the brain
Answer: B
Explanation:
Explanation: In the elderly, the number of cells in the kidneys, or nephrons, decreases and less blood flows through them. The other options are not correct.
NEW QUESTION # 193
Which of the following statements is true related to sinus dysrhythmia?
- A. It occurs as a normal response to emotion and exercise
- B. It may occur as a response to vagal stimulation, or be a normal finding in athletes or during sleep
- C. Digitalis is the treatment of choice
- D. It frequently occurs as a normal phenomenon and is often associated with the phases of respiration
Answer: D
Explanation:
Correct answer: It frequently occurs as a normal phenomenon and is often associated with the phases of respiration Sinus dysrhythmia frequently occurs, especially in younger people, as a normal phenomenon; it is commonly associated with the phases of respiration and occurs when the sinus node discharges irregularly.
Sinus tachycardia, not sinus dysrhythmia, occurs as a normal response to emotion and exercise. Digital toxicity may cause the condition and is not the treatment of choice. Sinus bradycardia, rather than sinus dysrhythmia, can be a normal finding during sleep or in athletes and may be a response to vagal stimulation, such as vomiting, ocular pressure, or carotid sinus massage.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 43-44.
NEW QUESTION # 194
It is generally not acceptable to override an autonomous patient's decisions without their consent. In instances of paternalism, what principle overrides autonomy?
- A. Fidelity
- B. Veracity
- C. Beneficence
- D. Justice
Answer: C
Explanation:
Correct answer: Beneficence
It is generally not acceptable to override an autonomous patient's decisions without their consent.
However, in cases of paternalism, beneficence overrides autonomy. In these cases, interventions are selected by health care providers which they believe will result in the best outcomes without consent from the patient. These decisions are made very carefully.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 194-196.
NEW QUESTION # 195
All of the following statements are true related to endotracheal suctioning except:
- A. One indication of the need for suctioning is increased inspiratory pressure on the ventilator
- B. It is sometimes required on a routine schedule
- C. Hyperoxygenation with 100% oxygen for a minimum of 30 seconds is provided prior to each suctioning episode
- D. Inserting the suction catheter into the trachea can stimulate the vagus nerve leading to bradycardia or asystole
Answer: B
Explanation:
Correct answer: It is sometimes required on a routine schedule
Endotracheal suctioning is determined by a number of clinical signs and symptoms. It is only done when there is a clinical indication and never on a routine schedule.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 112.
NEW QUESTION # 196
A nurse is assigned to monitor a client who had a thoracentesis of the left lung 1 hour ago. The nurse would maintain the client in which position?
- A. Left-sided lying position
- B. Semi-Fowler's position
- C. Right-side lying position
- D. Supine position
Answer: C
Explanation:
Explanation: After the procedure, the nurse should maintain the client on the unaffected side.
Thoracentesis is done in the left lung, so the client has to be maintained in the right side-lying position.
The other options are not correct.
NEW QUESTION # 197
The loss of the Frank-Starling response occurs in which of the following?
- A. The late stages of dementia
- B. Acute gastrointestinal bleeding
- C. Liver failure
- D. Heart failure
Answer: D
Explanation:
Correct answer: Heart failure
The loss of the Frank-Starling response occurs in heart failure.
In phase II of heart failure, as overstretching of the ventricle occurs, the Frank-Starling response is lost, resulting in left ventricular decompensation and myocardial hypertrophy. In response to the loss of this adaptive response, the left ventricle dilates and hypertrophies.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 229.
NEW QUESTION # 198
In situations of acute or chronic rejection, the cardiac transplant patient may be "pulsed" with steroids.
These doses are typically:
- A. 1000 mg IV twice daily for one week
- B. 500 to 1000 mg IV daily for 3 days
- C. 50 to 100 mg IV daily for 3 days
- D. 50 to 100 mg po daily for one month
Answer: B
Explanation:
Correct answer: 500 to 1000 mg IV daily for 3 days
In situations of acute or chronic rejection, the cardiac transplant patient may be "pulsed" with steroids.
These doses are typically 500 to 1000 mg IV daily for three days. During this time, other steroids are discontinued.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 488.
NEW QUESTION # 199
A 50-year-old man is suspected to have paralytic ileus. All of the following symptoms are of paralytic ileus except:
- A. Large number of bowel sounds in abdomen
- B. Abdominal distention
- C. Constipation and lack of flatulence
- D. Nausea and vomiting
Answer: A
Explanation:
Explanation: All of the above symptoms are of paralytic ileus except large number of bowel sounds in abdomen. The lack of bowel sounds is characteristic of paralytic ileus. Paralytic ileus is obstruction of the intestine due to paralysis of the intestinal muscles. The paralysis does not need to be complete to cause ileus, but the intestinal muscles must be so inactive that it prevents the passage of food and leads to a functional blockage of the intestine.
NEW QUESTION # 200
Planning in the process of ethical analysis includes:
- A. Identification of what harm or good occurred as a result of the action
- B. Anticipating objections
- C. Choosing a plan and acting
- D. Identification of the risks and benefits likely to arise from each action
Answer: D
Explanation:
Correct answer: Identification of the risks and benefits likely to arise from each action Planning in the process of ethical analysis includes identification of the risks and benefits likely to arise from each action.
Choosing a plan and acting and anticipating objections are parts of implementation; identifying what occurred as a result of the action is part of evaluation.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 199.
NEW QUESTION # 201
Which of the following statements is true related to nurses and the ethical problems they face?
- A. When faced with ethical problems, nurses are more likely to reach a resolution if a consistent process is applied
- B. Due to the risk of breaching patient trust, a nurse should never seek the support of colleagues in solving an ethical dilemma
- C. A structured approach to ethical analysis increases the risk of overlooking relevant information
- D. A seasoned nurse rarely finds that obligations to oneself, the patient, other members of the health care team, or the institution are in conflict
Answer: A
Explanation:
Correct answer: When faced with ethical problems, nurses are more likely to reach a resolution if a consistent process is applied Nurses often find that obligations to oneself, patients, other members of the health care team, or the institution are in conflict; these situations can be very troubling, and the support of colleagues is essential in resolving these situations. An approach to these problems which is structured decreases the risk of overlooking relevant information and invites thoughtful reflection. As an individual, a nurse may practice the skill of ethical analysis, but including others in addressing the situation is a more robust process. The support of colleagues is, at times, essential to solving ethical dilemmas.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 198-199.
NEW QUESTION # 202
Caution must be taken not to diurese a heart failure patient too fast, as rapid loss of fluid can lead to:
- A. Disseminated intravascular coagulation
- B. Pulsus alternans
- C. Stimulation of the Frank-Starling response
- D. Activation of the renin-angiotensin system
Answer: D
Explanation:
Correct answer: Activation of the renin-angiotensin system
In the management of fluid volume overload, caution must be taken not to diurese the patient too quickly, as the rapid loss of fluids can lead to activation of the renin-angiotensin system.
Diuretics should be initiated according to the severity of the patient's signs and symptoms. More severe symptoms require IV therapy in addition to loop diuretics; loop diuretics may adequately manage less severe symptoms. If there is inadequate response to loop diuretics, thiazide diuretics may be added later.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 233.
NEW QUESTION # 203
When the amount of acid production in the body increases, and there is no change in the amount of base production, the pH:
- A. Decreases
- B. Increases
- C. Cannot be determined by any blood test
- D. Stays the same
Answer: A
Explanation:
Correct answer: Decreases
When the amount of acid production in the body increases, and there is no change in the amount of base production, the pH decreases.
If the base production increases along with the acid production, then no change in pH would occur.
Blood gas analysis is used to determine acid-base analysis.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 101.
NEW QUESTION # 204
The intent of the informed consent process is based on which bioethical principle?
- A. Fidelity
- B. Privacy
- C. Justice
- D. Autonomy
Answer: D
Explanation:
Correct answer: Autonomy
From an ethical standpoint, informed consent is a process whereby members of the health care team honor the patient's autonomy and that of the family. Autonomy is the ethical principle which affirms the right of an individual to make choices based on his or her personal values and beliefs.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 195, 200.
NEW QUESTION # 205
A 60 years old known diabetic for last 15 years presented in medical OPD with weight loss, muscle cramping, headaches and general malaise. He also had anemia which was not responding to typical anti anemic. His BUN and creatinine was also raised when investigated. What is he suffering from most likely?
- A. Nephritic syndrome
- B. Acute renal failure
- C. End Stage Renal disease
- D. Nephritic syndrome
Answer: C
Explanation:
Explanation: The patient is suffering from end stage renal disease as diabetes is one of the commonest causes of end stage renal disease. Moreover high BUN and creatinine are confirming the damage to the kidneys. Anemia is also there due to decreased erythropoietin production from damaged kidneys.
NEW QUESTION # 206
In a positive-pressure ventilator, which mode of ventilation ensures that a predetermined number of breaths at a selected Vt are delivered each minute, and any additional breaths initiated by the patient, while allowed, are not delivered by the ventilator?
- A. Control ventilation
- B. Synchronized intermittent mandatory ventilation
- C. Assist-control ventilation
- D. Spontaneous ventilation
Answer: B
Explanation:
Correct answer: Synchronized intermittent mandatory ventilation
The synchronized intermittent mandatory ventilation (SIMV) mode of ventilation ensures that a predetermined number of breaths at a selected Vt are delivered each minute. Any additional breaths initiated by the patient are allowed but these breaths are not delivered by the ventilator.
The patient is allowed to spontaneously breathe at the depth and rate desired until it is time for the next mandatory breath. Mandatory breaths are synchronized with the patient's inspiratory effort, if present, to optimize patient-ventilator synchrony.
Additional breaths initiated by the patient are not delivered by the ventilator. This is in contrast to the assist-control mode where these breaths are delivered by the ventilator.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 121.
NEW QUESTION # 207
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 potassium: Elevated, Complete Blood Count: Low RBC count
- C. Brain natriuretic peptide: Decreased, Serum sodium: Decreased, Serum potassium: Decreased
- D. Brain natriuretic peptide: Elevated, Serum sodium: Elevated, Albumin: Decreased
Answer: A
Explanation:
Correct answer: Brain natriuretic peptide: Elevated, Creatinine: Elevated, Serum sodium: Decreased Increased brain natriuretic peptide levels in the serum are used as markers of severity in heart failure.
Increases in arginine vasopressin availability lead to an inability to excrete free water and hypo- osmolarity. Decreased renal perfusion stimulates the renin-angiotensin-aldosterone system.
Reference:
Burns, Suzanne
M. AACN Essentials of Progressive Care Nursing, Fourth Edition. Pg 229-230, 232.
NEW QUESTION # 208
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AACN PCCN certification exam is designed for nurses who work in progressive care units (PCUs) or similar settings, and who have a desire to validate their knowledge and skills in caring for acutely ill patients. PCCN exam was created by the American Association of Critical-Care Nurses (AACN), which is a professional organization that advocates for the advancement of critical care nursing. The PCCN certification exam is one of several certification exams offered by the AACN, and it is specifically tailored to assess the competencies of nurses who work in PCUs, intermediate care units (IMUs), step-down units, telemetry units, and emergency departments.
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