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PCCN EXAM TEST BANK 2024/2025 WITH 400 QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT ANSWERS) PCCN EXAM PREP TEST BANK (NEW UPDATE 2024)$19.39
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PCCN EXAM TEST BANK 2024/2025 WITH 400
QUESTIONS AND CORRECT DETAILED
ANSWERS (100% CORRECT ANSWERS)
PCCN EXAM PREP TEST BANK (NEW
UPDATE 2024)
1. 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)? -
ANSWER-Left ventricular failure causing prerenal AKI
2. An elderly patient is in a motor vehicle accident and incurs a significant
internal hemorrhage. He is at greatest risk for which category of acute
kidney injury (AKI)? - ANSWER-Prerenal
3. A patient is admitted to the unit with the following laboratory values:
urine specific gravity, 1.010; urine osmolality, 210 mOsm/kg; BUN/Cr
ratio 10:1; urine sodium, 96 mEq/L. The urine output has been 60 mL
since admission 2 hours ago. These values are most consistent with which
of the following types of acute kidney injury (AKI)? - ANSWER-
Intrarenal
4. Percussing the patient's stomach produces a tympanic sound is a sign that:
- ANSWER-the patient's stomach is empty.
5. The nurse is unable to hear bowel sounds in any of the four quadrants of
the patient's abdomen. This may indicate the presence of: - ANSWER-
ban ileus.
6. Auscultation of the abdomen reveals a bruit over the left renal artery. This
is an indication of: - ANSWER-renal hypertension.
,7. The nurse observes that striae on the patient's abdomen are pink and
purple. This may be a sign of: - ANSWER-Cushing's syndrome.
8. During auscultation of the patient's abdomen, the nurse hears frequent
high-pitched, tinkling sounds. This is probably evidence of: - ANSWER-
normal bowel sounds.
9. The nurse has been unable to hear any bowel sounds during examination
of the patient's abdomen. The minimum interval for listening before
concluding that bowel sounds are absent is ____ minute(s). - ANSWER-5
10.During palpation of the patient's abdomen, rebound tenderness indicates:
- ANSWER-inflammation of the peritoneum, such as with appenticitis
and Chrohn's dz
11.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: - ANSWER-fluid volume overload.
12.what is normal Pulmonary artery occlusion pressure (PAOP)? -
ANSWER-5-12 mmHg
13.The resistance against which the left ventricle must pump to eject its
volume is: - ANSWER-systemic vascular resistance.
14.When the tricuspid valve is open, central venous pressure reflects the
filling pressure in the: - ANSWER-right ventricle.
15.Tachycardia is dangerous for the patient with ischemic heart disease
because of: - ANSWER-compromised cardiac output.
,16.During initial examination of a critical care patient, the nurse observes
wide and convex nails and bulbous fingertips. This is evidence of: -
ANSWER-central cyanosis.
17.Priorities for palpation of the patient with cardiovascular disease include:
- ANSWER-estimating edema.
a. checking capillary refill
b. checking for DVT
c. arterial pulses
18.By blocking the conversion of angiotensin I to angiotensin II,
angiotensin-converting enzyme inhibitors produce: - ANSWER-b.
vasodilation.
19.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? - ANSWER-a. Verapamil,
diltiazem, or amlodipine
20.The nurse has administered a drug that stimulates β1-adrenergic sites.
Following administration of the drug, the nurse will assess for: -
ANSWER-a. increased heart rate.
21.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: - ANSWER-c. atrium is being paced.
22.The possibility of microshock when handling a temporary pacemaker can
be minimized by: - ANSWER-b. insulating the ends of the wires. and
wearing gloves when handling the pacing wires
, 23.In the postoperative cardiovascular patient, the most frequent cause of a
decreased cardiac output is: - ANSWER-a. reduced preload.
24.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? -
ANSWER-a. Position the patient on the left side. or reposition the leads
25.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 - ANSWER-b. pacing artifact; the pacemaker is sensing and
capturing.
26.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. - ANSWER-b. 80 mm Hg
27.What procedure secures an arteriovenous malformation when a pt's
condition is too unstable for surgery? - ANSWER-embolization that can
be done to secure the lesion without surgery. When the condition is more
stable, an operation might be considered if needed.
28.Knowing that a patient has hypoxemia and ischemia in his brain, the
nurse anticipates which of the following? - ANSWER-a. Cerebrovascular
dilation
29.The nurse's priority in eye care for the patient in a coma will be: -
ANSWER-c. keeping the eyes moist to prevent corneal ulceration.
30.The patient has markedly deep, rapid respirations with a fruity breath
odor. Based on the patient's history, the nurse will: - ANSWER-perform a
blood glucose measurement.
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