All the PCCN Exam questions with all the correct
answers(Latest updated 2023/2024 questions and answers)
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,All the PCCN Exam questions with all the correct
answers(Latest updated 2023/2024 questions and answers)
The nurse observes that the patient's jugular veins distend in the semi-
upright position to more than 5 cm above the sternal angle. This is an
indication of: ✔✔ fluid volume overload.
what is normal Pulmonary artery occlusion pressure (PAOP)? ✔✔ 5-12 mmHg
The resistance against which the left ventricle must pump to eject its volume
is: ✔✔ systemic vascular resistance.
When the tricuspid valve is open, central venous pressure reflects the filling
pressure in the: ✔✔ right ventricle.
Tachycardia is dangerous for the patient with ischemic heart disease because
of: ✔✔ compromised cardiac output.
During initial examination of a critical care patient, the nurse observes wide
and convex nails and bulbous fingertips. This is evidence of: ✔✔ central
cyanosis.
Priorities for palpation of the patient with cardiovascular disease include: ✔✔
estimating edema.
checking capillary
refill checking for
DVT arterial pulses
By blocking the conversion of angiotensin I to angiotensin II, angiotensin-
converting enzyme inhibitors produce: ✔✔ b. vasodilation.
The nurse has read that the cardiologist recommends the use of class IV
drugs to depress sinus and atrioventricular node conduction and terminate
supraventricular tachycardias in the patient at this time. The nurse will
anticipate orders for which medications? ✔✔ a. Verapamil, diltiazem, or
amlodipine
The nurse has administered a drug that stimulates β1-adrenergic sites.
Following administration of the drug, the nurse will assess for: ✔✔ a.
increased heart rate.
The nurse is observing the patient's electrocardiographic monitor after
insertion of a temporary pacemaker. Seeing a P-wave after the pacing
artifact, the nurse knows that the: ✔✔ c. atrium is being paced.
The possibility of microshock when handling a temporary pacemaker can be
minimized by: ✔✔ b. insulating the ends of the wires. and wearing gloves
when handling the pacing wires
,All the PCCN Exam questions with all the correct
answers(Latest updated 2023/2024 questions and answers)
In the postoperative cardiovascular patient, the most frequent cause of a
decreased cardiac output is: ✔✔ a. reduced preload.
A patient is being monitored by continuous electrocardiogram (ECG) after
placement of a transvenous pacemaker. "Loss of capture" is seen on the
ECG. Which nursing intervention may correct this situation? ✔✔ a. Position
the patient on the left side. or reposition the leads
In analyzing the ECG strip, the nurse notices a spike before each QRS
complex. The patient's heart rate is 70 beats/min. This phenomenon is
reflective of ✔✔ b. pacing artifact; the pacemaker is sensing and capturing.
Calculate the cerebral perfusion pressure (CPP) for a patient with a mean
arterial pressure (MAP) = 95 mm Hg and an intracranial pressure (ICP) = 15
mm Hg. ✔✔ b. 80 mm Hg
What procedure secures an arteriovenous malformation when a pt's
condition is too unstable for surgery? ✔✔ embolization that can be done to
secure the lesion without surgery. When the condition is more stable, an
operation might be considered if needed.
Knowing that a patient has hypoxemia and ischemia in his brain, the nurse
anticipates which of the following? ✔✔ a. Cerebrovascular dilation
The nurse's priority in eye care for the patient in a coma will be: ✔✔ c.
keeping the eyes moist to prevent corneal ulceration.
The patient has markedly deep, rapid respirations with a fruity breath odor.
Based on the patient's history, the nurse will: ✔✔ perform a blood glucose
measurement.
The patient with the syndrome of inappropriate antidiuretic hormone (SIADH)
secretion will need to have the imbalance of which electrolyte corrected as
soon as possible? ✔✔ Sodium
Which of the following conditions occurs when the renal tubules are unable to
reabsorb excess glucose? ✔✔ Glycosuria
The patient has a waist measurement of 52 inches. His triglyceride level is
175 mg/dL, his high-density lipoprotein (HDL) cholesterol level is 32 mg/dL,
and his fasting plasma glucose level is 224 mg/dL. His blood pressure
readings are usually approximately 140/90 mm Hg. The nurse recognizes
the characteristics of: ✔✔ metabolic syndrome.
To reverse the hyperglycemic hyperosmolar state, the nurse will first prepare
to administer: ✔✔ fluids
, All the PCCN Exam questions with all the correct
answers(Latest updated 2023/2024 questions and answers)
The nurse is caring for a patient with central diabetes insipidus (DI). The
nurse should anticipate orders for the administration of: ✔✔ vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the
physiological effect is: ✔✔ dilutional hyponatremia, reducing sodium
concentration to critically low levels.
Which assessment findings would indicate fluid volume excess? ✔✔ edema,
auscultation of a third heart sound, crackles in lungs, bounding pulses, AMS,
olguria, HTN
The report of a renal patient's laboratory results shows that the blood urea
nitrogen (BUN) level is less than 25 mg/dL. To fully understand the patient's
renal status, the nurse must consider this value along with: ✔✔ c. creatinine
level.
To determine whether edema in a patient's hands is due to circulatory
compromise or another cause, the nurse might: ✔✔ elevate the patient's
extremities for 1 hour and observe the degree of edema still present.
Hypovolemia causes tachycardia and : ✔✔ hypotension.
To avoid the complications that can result from administering furosemide
(Lasix) to stimulate urinary output, the nurse will carefully monitor: ✔✔ levels
of electrolytes, especially potassium.
Which dialysis method would be most appropriate for the hemodynamically
stable patient in the anuric phase of acute kidney injury (AKI)? ✔✔
Intermittent hemodialysis
What are complications of continuous renal replacement therapy (CRRT)? ✔✔
Air embolism, decreased inflow pressure, electrolyte imbalance
Which electrolytes pose the most potential hazard if not within normal limits
for the person with acute kidney failure? ✔✔ Potassium and calcium
peaked T-waves and a widening of the QRS interval in a pt with AKI are
indicative of:
✔✔ d. hyperkalemia.
A patient presents with the following: HR, 120 beats/min; BP, 80/44 mm Hg;
urine output averaging 20 mL/hr over the last 4 hours; afebrile; moist rales
in the lungs bilaterally; BUN, 84 mg/dL; creatinine, 3.4 mg/dL. What is the
probable cause of this patient's acute kidney injury (AKI)? ✔✔ Left
ventricular failure causing prerenal AKI
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