pccn cardiac exam newest 2025 actual exam complete
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238 Multiple choice questions
Term 1 of 238
An aortic aneurysm that extends more than _____ cm will require surgical repair.
3 cm
5 cm
7 cm
9 cm
Term 2 of 238
You are teaching Anne about her Coumadin (warfarin) therapy. Part of your teaching must include
foods to avoid while on this medication. Which of the following should be avoided?
Broccoli, soy bean oil, spinach
Olive oil, peanut butter, kale
Avocado, broccoli, peas
Broccoli, green beans, spinach
Term 3 of 238
Your patient requires emergent programming of her ICD. How many joules above the
defibrillation threshold should the ICD to set?
10 joules
20 joules
30 joules
40 joules
,Term 4 of 238
Mona was flying cross country and ate the snack provided by the airline. After about 5 minutes,
she began to wheeze and her respirations became labored. A doctor onboard administered
epinephrine, and the symptoms abated. The doctor did not explain the reason for the reaction to
Mona.
Two days later, Mona was sharing some of her snack mix with her nephew when she began to
wheeze again. She became severely tachypneic and was transported to the ER. She required
treatment with spinephrine and steroids. She was stabilized and sent to the PCU. Mona is 8
months pregnant. She is currently exhibiting the following signs and symptoms:
EKG ST at 128 without ectopy
Manual cuff pressure 88/58
Skin, cool, pale
Capillary refill 4 seconds
RR 30, breath sounds: LLL crackles
Temp 99.4'F (oral)
Mentation: Awake, restless
Mona is probably developing:
Anaphylactic shock
Cardiogenic shock
Hypovolemic shock
Distributive shock
,Term 5 of 238
Calculate CI (cardiac index)
HR 80
BP 110/70
SV 60
BSA 2.0 m2
Expressed in L/min/m2
Dilated cardiomyopathy
Peripartum cardiomyopathy develops during the first 3 to 4 months after completion of
pregnancy. Sometimes the cause is myocarditis.
2/3
Some people that the heart is virtually static during diastole.
During this period, the cardiac vessels and chambers fill—a process that takes up 2/3s of
the time necessary to complete the cardiac cycle
Time
The vertical lines on the EKG graph paper represent time. When conduction defects occur,
the tracings are wider because it takes more time to travel the same distance.
CI=CO/BSA
CO=HR X SV
CO=80 X 60
CI=4800/2.0
CI=2400
CI=2.4 L/min/m2
, Term 6 of 238
Pete was working on his roof yesterday when he slipped and fell, impaling his leg on a piece of
rebar. The rebar was removed and he is now being cared for in the PCU. Today, you note the
following parameters and symptoms:
EKG: ST at 120 without ectopy
Manual cuff BP 90/64
Skin warm, dry
Capillary refill 2 seconds
RR 22, breath sounds: clear
O2 3 L/min via NC
Temp 100.8'F
Mentation: alert, oriented X4
Pete is probably developing:
A pericardial tamponade
Left heart failure
Distributive shock
Septic shock
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