PCCN Questions 2018

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pccn exam review questions

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PCCN Certification Questions

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Q:1-A young man presents with chest discomfort, dyspnea, fatigue, pressure in epigastrium and palpitations. He had a history of viral flu a few days back. Moreover, the ECG showed non-specific changes and the lab culture had a growth of influenza virus. What is the diagnosis?
Mark one answer:

Pulmonary edema

Q:2-A middle-aged woman came to the emergency department with worsening dyspnea, pressure in head and increased respiratory rate. She was known to have pulmonary edema secondary to heart failure. On examination, there was tachycardia, tachypnea, and hypertension. ABGs were carried out which showed pH < 7.35, paCO2>42 mm of HG, and H2CO3 was also high. What is the likely diagnosis?
Mark one answer:

Respiratory alkalosis
Metabolic acidosis
Respiratory acidosis
Metabolic alkalosis

Q:3-The stages of COPD can be assessed by all of the following except:
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Functional dyspnea
Body mass index
Chest x-ray

Q:4-A patient being managed in the pulmonology ward for COPD should get all the medications except:
Mark one answer:

Supplemental oxygen therapy

Q:5-A nurse cares for a 45-year-old woman with cerebral aneurysm. The nurse must understand that the cerebral aneurysm occurs most commonly in
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Posterior cerebral artery
Anterior cerebral artery
External carotid artery
Internal carotid artery

Q:6-After having a fight, a young man presented to the trauma center with a lacerated wound in the right chest. Patient was in severe respiratory distress. Examination showed there was tachycardia and tachypnea. Moreover, breath sounds were absent in right chest. Chest x-ray showed mediastinal shift to left. What is the most likely diagnosis?
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Tension pneumothorax
Spontaneous pneumothorax

Q:7-A patient presented to medical OPD with all the signs and symptoms of heart failure. His echocardiography showed increased right ventricle workload, right ventricle hypertrophy, displaced interventricular septum and tricuspid regurgitation. What is the most important test to confirm the diagnosis in this regard?
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Chest x-ray
Echocardiography (already done)
Right-sided cardiac catheterization

Q:8-All of the following may be the cause of primary pulmonary hypertension except:
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Pulmonary emboli
Sickle cell disease
Raynaud's disease

Q:9-What is seen in the Chest x-ray of a patient suffering from Pneumonia?
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Diffuse patches
Solitary nodule

Q:10-All the statements are true about SARS (severe acute respiratory syndrome) except:
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Temp> 38 degree centigrade, headaches, general malaise
Dry cough and dyspnea
Decreased white cell and platelet count in blood tests
Frequent nausea and vomiting

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