PCCN CARDIAC EXAM NEWEST 2024
ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
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The resistance against which the right ventricle must work to
eject its volume is known as
• Resting heart pressure
• Systemic vascular pressure
• Central venous pressure
• Pulmonary vascular resistance - CORRECT ANSWER-
Pulmonary Vascular Resistance
Rationale; This pressure represents a mean pressure in the
systemic vasculature. The higher the resistance, the harder the
heart has to work against it.
EXA: Colder temperatures will cause vasoconstriction; the heart
then has to pump harder to deliver blood through the narrowed
vasculature.
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Mr. Ironclaw lives on a nearby Indian Reservation. He is retired
and on a fixed income with no insurance. He is being discharged
today after an observational stay for Chest Pain. In planning his
discharge care, which of the following should be considered
FIRST to increase compliance with plan of care once home?
• Arrange for Home Health 1X/week
• Ask doc to consider an OTC antiplatelet medication
• Schedule his follow-up appt with the cardiologist in 3 months
• Suggest a gym membership - CORRECT ANSWER-ASK
DOC TO CONSIDER AN OTC ANTIPLATELET
MEDICATION
Rationale; Although he may wish to be compliant with plan of
care at home, financial limitations may prohibit him from
expensive treatments, meds, and support services.
William was diagnosed with unstable angina. He is scheduled
for an exercise stress test. He tells you he has a "bad hip" and an
old knee injury that makes it difficult for him to walk or stand
for more than 20 minutes. You tell him:
• You only need to walk for 10 minutes
• You can ride a bike for 20 minutes instead
• I will call the doc and ask for the Weight-life test instead
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• I will call the doc and ask for a stress echocardiography test
instead - CORRECT ANSWER-I WILL CALL THE DOC AND
ASK FOR A STRESS ECHOCARDIOGRAPHY TEST
INSTEAD
Rationale; The exercise stress test requires the pt to walk on a
treadmill or stationary bike for 30-60 minutes.
The Stress Echocardiography test uses Dobutamine to stress the
cardiac tissues without requiring the pt to walk or ride.
The Weight lift test does not exist.
Approximately what % of coronary artery blockage is needed to
cause angina?
• 45%
• 60%
• 75%
• 90% - CORRECT ANSWER-75%
Rationale; Anginal pain usually occurs when approximately
75% of the artery's diameter becomes occluded. Pain is usually
more pronounced with exertion or emotional distress, when O2
demand by cardiac tissue cannot be met by O2 supply via the
occluded arteries. The severity of the pain may be compounded
with vasospams that further restrict blood flow through the
coronary arteries.
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A heart murmur associated with acute valvular regurg would be?
• S3
• S2
• S1
• S4 - CORRECT ANSWER-S4
Rationale; S1 and S2 are normal heart sounds
S3 is associated with fluid status
S4 is associated with compliance.
Which is the best lead to monitor a RBBB?
• Lead II
Lead I
• Lead V1
• Lead V6 - CORRECT ANSWER-Lead V1
Tall, peaked T waves on an EKG may be indicative of?
• Hypocalcemia
• A non-STEMI
• Hyperkalemia
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