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PCCN Exam Questions And 100% Correct Answers
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PCCN Exam Questions And 100% CorrectAnswers
The nurse notices that the patient's jugular veins distend in the semi-upright position to
more than 5 cm above the sternal angle. This is a sign of: - Answer fluid volume
overload.
what is normal Pulmonary artery occlusion pressure (PAOP)? - Answer 5-12 mmHg
The resistance against which the left ventricle must pump to eject its volume is: -
Answer systemic vascular resistance.
Central venous pressure reflects the filling pressure in the right ventricle when the
tricuspid valve is open.
-Answer right ventricle.
The most significant danger for the patient with ischemic heart disease who
experiences tachycardia will be related to: -Answer compromised cardiac output.
During initial examination of a critical care patient, the nurse observes wide and convex
nails with bulbous fingertips. This is evidence of: -Answer central cyanosis.
Priorities for palpation of the patient with cardiovascular disease include: - Answer
estimating edema.
checking capillary refill
checking for DVT
arterial pulses
,Angiotensin-converting enzyme inhibitors block the conversion of angiotensin I to
angiotensin II, producing: - Answer 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. Which medications will the nurse anticipate
ordering? Answera. Verapamil, diltiazem, or amlodipine
The nurse has given a medication that stimulates β1-adrenergic sites. After giving this
medication the nurse will look for: - Answer a. increased heart rate.
The nurse is watching the electrocardiographic monitor of the patient after a temporary
pacemaker has been inserted. A P-wave is noted by the nurse after the pacing artifact
and means that the: - Answer c. atrium is being paced.
The risk of microshock when manipulating a temporary pacemaker can be minimized
by: - Response b. insulating the ends of the wires with insulation. and also wearing
gloves when handling the pacing wires
For the postoperative cardiovascular client, the most frequent cause of decreased
cardiac output is: - Response a. preload reduction.
A patient is receiving continuous electrocardiogram monitoring after the insertion of a
transvenous pacemaker. The patient's electrocardiogram demonstrates "loss of
capture." Which is a nursing intervention that may resolve this problem? Answer a.
Place the patient in left-side-lying position. or reposition the leads
The nurse is analyzing the ECG strip and identifies that preceding each QRS complex is
a spike. The heart rate of the client is 70 beats/min. This phenomenon is reflective of
Answer b. pacing artifact; the pacemaker is sensing and capturing.
Calculate the CPP for a patient with a MAP of 95 mm Hg and an ICP of 15 mm Hg.
-Answer b. 80 mm Hg
,What procedure locks down an arteriovenous malformation if a pt's condition is too
unstable for surgery? - Answer embolization that can be done to lock down the lesion
without surgery. If the condition is more stable, then surgery might be an option if
necessary.
The nurse identifies that a patient has hypoxemia and ischemia in his brain. For this, the
nurse expects which of the following? - Answer a. Cerebrovascular dilation
The nurse's priority in eye care for the patient in coma will be: - Answer c. keeping the
eyes moist to prevent corneal ulceration.
The patient has markedly deep, rapid respirations with a fruity breath odor. Based on
patient's history, the nurse will: - Answer perform a blood glucose measurement.
The patient with the syndrome of inappropriate antidiuretic hormone secretion will need
the derangement of which electrolyte to be corrected as soon as possible? Answer
Sodium Glycosuria results from a failure of the renal tubules to reabsorb excess
glucose. Answer
The patient's waist measures 52 inches. His triglyceride level is 175 mg/dL, his HDL
cholesterol level is 32 mg/dL, and his fasting plasma glucose level is 224 mg/dL. His
blood pressure readings are generally around 140/90 mm Hg. The nurse recognizes the
characteristics of: - Answer metabolic syndrome.
In treating the hyperglycemic hyperosmolar state, the nurse will first plan for the
administration of: - Answer fluids
The nurse is caring for a patient who has central diabetes insipidus (DI). The nurse can
anticipate orders to administer: - Answer vasopressin
In SIADH, the physiological effect of this syndrome is the occurrence of: - Answer
dilutional hyponatremia, which is a reduction in sodium concentration to critically low
, levels.
What would the following assessment findings indicate fluid volume excess? - Answer
edema, auscultation of a third heart sound, crackles in lungs, bounding pulses, AMS,
oliguria, HTN
A renal patient's laboratory report shows a blood urea nitrogen (BUN) level of less than
25 mg/dL. The nurse should interpret this value in relationship to which one of the
following in order to better comprehend this patient's renal status? - Answer c.
creatinine level.
To distinguish whether a patient's edema of the hands is due to circulatory compromise
or another cause, the nurse can: - Answer elevate the patient's extremities for 1 hour
and note the degree of edema remaining.
Hypovolemia results in tachycardia and : - Answer hypotension.
To avoid the complications that may result from the administration of furosemide (Lasix)
to stimulate renal output for a patient, the nurse will monitor closely: - Answer levels of
electrolytes, especially potassium.
Which dialysis method would be most appropriate for the hemodynamically stable
patient in the anuric phase of AKI? - Answer Intermittent hemodialysis
What are complications of CRRT? - Answer 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? - Answer Potassium and calcium
peaked T-waves and a widening of the QRS interval in a pt with AKI are indicative of: -
Answer d. hyperkalemia.
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