PCCN EXAM QUESTIONS AND ANSWERS
epoetin alfa - answer- anemia related to chronic kidney disease should be treated with
______________________.
folic acid, Vitamin B12 - answer- Name two treatments for megaloblastic anemia.
infection - answer- Glucose control (via insulin drip) in the post-CABG patient decreases
the risk of ___________________.
acidosis - answer- In acute oliguric kidney injury, hyperkalemia leads to
____________________.
right - answer- Obstructive-sleep apnea patients are at risk for ________-sided heart
failure.
hydration - answer- Acute pancreatitis patients need aggressive
_________________________ as their first line treatment.
right - answer- The best way to diagnose pulmonary hypertension and get heart
pressure measurements is ________-sided heart catheterization.
False (hypoglycemia can cause stroke-like signs and symptoms) - answer- True or
False: hyperglycemia can cause stroke-like signs and symptoms.
benzodiazepines - answer- The goal of alcohol withdrawal management is adequate
sedation with _____________________.
heparin - answer- If atrial fibrillation lasts more than 24 hours, the patient should get a
____________ drip at therapeutic levels
beta blockers - answer- Rate control for atrial fibrillation can be achieved with a
cardizem drip. _______________ are also an alternative for rate control.
transesophageal echocardiogram - answer- A
___________________________________________ should be done before
attempting to cardiovert a patient with atrial fibrillation.
15-20 - answer- The ischemic stroke patient should have their blood pressure lowered
____-____% within the first day. A too-low BP can result in neurological worsening.
beta blockers - answer- Cardiac surgery patients can be on _______________ pre- and
post-operatively to control atrial fibrillation.
, preload - answer- Nitroglycerin is contraindicated in right ventricular infarction because
it decreases ____________________.
seizures - answer- Both hypernatremia and hyponatremia can cause
_____________________.
Sepsis - answer- DIC is common in ____________ because coagulation is impaired.
jaundice - answer- _________________ is common in DIC patients because stress and
hypotension can cause hepatocellular injury.
true - answer- True or False: Sputum cultures are not recommended for COPD
exacerbation.
False (Antibiotics are not recommended. Short-acting beta agonists are first line
therapy.) - answer- True or False: Antibiotics are recommended for COPD
exacerbation.
False (afterload and preload are increased with cardiogenic shock; afterload needs to
be decreased and vasoconstrictors are contraindicated) - answer- True or False: The
goal of treatment for cardiogenic shock is to increase afterload with vasoconstrictors like
norepinephrine (levophed).
cardiogenic shock - answer- Vasosonstrictors (norepinephrine), beta-blockers, and low
molecular weight heparin should be avoided for patients with this condition.
Vasopressin (ADH) - answer- _______________________ can improve portal
hypertension in upper GI bleed/liver cirrhosis patients.
sepsis - answer- ARDS is most often part of a systemic inflammatory process,
particularly systemic ____________.
endocarditis - answer- A patient with a new systolic murmur should be evaluated for
____________________.
true - answer- True or False: acute ischemic stroke patients need to be as flat as
possible in bed for the first 24 hours.
False - answer- True or False: A pulmonary embolism patient will have crackles in the
lungs.
supine - answer- ____________ positioning should be avoided in pneumonia patients.
atrial fibrillation - answer- The dysrhythmia most commonly associated with mitral
stenosis is __________________________.
epoetin alfa - answer- anemia related to chronic kidney disease should be treated with
______________________.
folic acid, Vitamin B12 - answer- Name two treatments for megaloblastic anemia.
infection - answer- Glucose control (via insulin drip) in the post-CABG patient decreases
the risk of ___________________.
acidosis - answer- In acute oliguric kidney injury, hyperkalemia leads to
____________________.
right - answer- Obstructive-sleep apnea patients are at risk for ________-sided heart
failure.
hydration - answer- Acute pancreatitis patients need aggressive
_________________________ as their first line treatment.
right - answer- The best way to diagnose pulmonary hypertension and get heart
pressure measurements is ________-sided heart catheterization.
False (hypoglycemia can cause stroke-like signs and symptoms) - answer- True or
False: hyperglycemia can cause stroke-like signs and symptoms.
benzodiazepines - answer- The goal of alcohol withdrawal management is adequate
sedation with _____________________.
heparin - answer- If atrial fibrillation lasts more than 24 hours, the patient should get a
____________ drip at therapeutic levels
beta blockers - answer- Rate control for atrial fibrillation can be achieved with a
cardizem drip. _______________ are also an alternative for rate control.
transesophageal echocardiogram - answer- A
___________________________________________ should be done before
attempting to cardiovert a patient with atrial fibrillation.
15-20 - answer- The ischemic stroke patient should have their blood pressure lowered
____-____% within the first day. A too-low BP can result in neurological worsening.
beta blockers - answer- Cardiac surgery patients can be on _______________ pre- and
post-operatively to control atrial fibrillation.
, preload - answer- Nitroglycerin is contraindicated in right ventricular infarction because
it decreases ____________________.
seizures - answer- Both hypernatremia and hyponatremia can cause
_____________________.
Sepsis - answer- DIC is common in ____________ because coagulation is impaired.
jaundice - answer- _________________ is common in DIC patients because stress and
hypotension can cause hepatocellular injury.
true - answer- True or False: Sputum cultures are not recommended for COPD
exacerbation.
False (Antibiotics are not recommended. Short-acting beta agonists are first line
therapy.) - answer- True or False: Antibiotics are recommended for COPD
exacerbation.
False (afterload and preload are increased with cardiogenic shock; afterload needs to
be decreased and vasoconstrictors are contraindicated) - answer- True or False: The
goal of treatment for cardiogenic shock is to increase afterload with vasoconstrictors like
norepinephrine (levophed).
cardiogenic shock - answer- Vasosonstrictors (norepinephrine), beta-blockers, and low
molecular weight heparin should be avoided for patients with this condition.
Vasopressin (ADH) - answer- _______________________ can improve portal
hypertension in upper GI bleed/liver cirrhosis patients.
sepsis - answer- ARDS is most often part of a systemic inflammatory process,
particularly systemic ____________.
endocarditis - answer- A patient with a new systolic murmur should be evaluated for
____________________.
true - answer- True or False: acute ischemic stroke patients need to be as flat as
possible in bed for the first 24 hours.
False - answer- True or False: A pulmonary embolism patient will have crackles in the
lungs.
supine - answer- ____________ positioning should be avoided in pneumonia patients.
atrial fibrillation - answer- The dysrhythmia most commonly associated with mitral
stenosis is __________________________.
