Free PCCN Practice Test Questions

A 70-year-old patient with a recent hip replacement surgery presents to the hospital with signs of a potential healthcare-acquired infection. The patient reports increasing pain around the surgical site, redness, and fever. Blood cultures have been taken, and a central line was placed 8 days ago. Based on these findings, which of the following interventions is the nurse most likely to anticipate?

A 65-year-old female with chronic kidney disease (CKD) is experiencing significant psychosocial stress related to her recent transition to dialysis treatment. She reports feeling isolated, overwhelmed, and having difficulty coping with her condition. As her primary care nurse, which intervention would be MOST effective in addressing her psychosocial challenges?

A 52-year-old male with a history of hypertension presents to the clinic after experiencing a severe headache, vision changes, and confusion. His blood pressure is recorded at 210/120 mmHg, and he has been noncompliant with his antihypertensive regimen. The physician is considering initiating remote monitoring using a wearable blood pressure device to manage his condition more effectively. Which of the following actions is most appropriate to address the patient's hypertensive crisis while incorporating technology?

A 68-year-old male patient is recovering in the post-anesthesia care unit following a hip replacement surgery. Within the first 24 hours, the patient becomes acutely agitated, exhibits fluctuating levels of consciousness, and seems disoriented to time and place. Considering strategies to manage delirium in postoperative patients, what would be the most appropriate initial intervention?

A 48-year-old male patient is admitted for a complex gastrointestinal surgery involving resection of a large portion of the small intestine. Post-operatively, the patient is at risk for developing short bowel syndrome, which may lead to significant nutritional deficiencies. Which nursing intervention is MOST APPROPRIATE to address potential nutrient malabsorption in this patient?

A 60-year-old male with a history of chronic kidney disease (CKD) presents to the emergency department with fatigue, nausea, and muscle weakness. Laboratory tests reveal the following: potassium 6.2 mEq/L, calcium 8.1 mg/dL, bicarbonate 20 mEq/L. Which immediate intervention should the nurse anticipate to address the patient's electrolyte imbalance?

A 42-year-old female with a history of severe migraine headaches is admitted for evaluation due to frequent episodes of dizziness, headache, and visual disturbances. Neurological exams reveal no new deficits, and an MRI of the brain shows no acute intracranial issues. As part of her advanced care planning, which of the following considerations should be prioritized by the nurse to ensure comprehensive management of her neurological condition and enhance her quality of life?

A 60-year-old patient has recently undergone a successful knee replacement surgery. On the second postoperative day, the nurse is tasked with implementing an early mobility protocol. The patient expresses severe pain when attempting to ambulate. What is the most appropriate initial intervention to facilitate early mobility in this patient?

A 55-year-old male patient is admitted to the hospital with fever, chills, and confusion. He has a history of multiple myeloma and recent chemotherapy. Blood cultures are positive for Escherichia coli. During the multidisciplinary team meeting, the infectious disease specialist recommends changes to the antibiotic regimen. As the nurse coordinating care, which action should you take to ensure effective collaboration in managing this patient's sepsis?

A 50-year-old female is diagnosed with rheumatoid arthritis. She is started on methotrexate therapy to manage her symptoms. During her follow-up visit, she reports experiencing mouth sores and mild diarrhea. Which of the following patient education points should be prioritized to minimize these side effects?