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PCCN Practice Questions- Latest Q&A Included Solved 2024/2025
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PCCN Practice Questions- Latest Q&A Included Solved 2024/2025
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PCCN PracticeQuestions-
Latest Q&A
Included
Solved
2024/2025
,PCCN
B. tamponade
Any patient with a pericardial effusion should be assessed for cardiac tamponade physiology.
Any accumulation of fluid in the pericardial sac can compress the myocardium, producing
tamponade signs and symptoms. All patients are assessed for thrombocytopenia, low H+H and
endocarditis; they are not the focus of complications with effusions but could be additional signs
of tamponade (low H+H and thrombocytopenia).
Choose matching term
1
A patient is discharged with the diagnosis of severe peripheral vascular disease (PVD). In
addition to medication and a walking regime, if applicable, which of the following is essential
education at time of discharge?
A. nutritional counseling
B. smoking cessation counseling
C. social work consult
D. speech therapy consult
2
When listening to heart sounds, S1 signifies which of the following?
A. the beginning of ventricular systole
B. the beginning of ventricular diastole
,C. the propulsion of blood into a non-compliant ventricle
D. the blood going in the wrong direction
3
Patients with pericardial effusions should be assessed for the development of which of the
following complications:
A. thrombocytopenia
B. tamponade
C. low hemoglobin and hematocrit
D. endocarditis
4
The nursing staff is resisting being assigned to a disruptive, aggressive male patient. An
appropriate resolution would be to:
A. Ask the physician to remove the patient
B. Rotate the patient assignment among the staff members
C. Confront the family, and demand an end to the disruptive behavior
D. Holding a nursing team conference to discuss possible alternatives
Don't know?
Terms in this set (200)
Original
Coronary artery perfusion is dependent upon:
A. diastolic pressure
B. systolic pressure
C. afterload
D. systemic vascular resistance (SVR)
A. diastolic pressure
, Diastolic pressure in the aortic root is higher than left ventricular end-diastolic pressure (LVEDP),
the pressure exerted on the ventricular muscle at the end of diastole when the ventricle is full.
This enables blood to flow from a higher pressure through open arteries to a lower pressure, a
pressure gradient known as coronary artery prefusion pressure. As diastolic pressure drops,
there is a decrease in coronary artery blood flow. Coronary artery perfusion is not affected by
systolic pressure, afterload or SVR, but they all increase the demand of oxygen in the heart.
A post-STEMI (ST elevation myocardial infarction) patient is started on an angiotensin-
converting enzyme (ACE) inhibitor during his hospital stay. Which of the following is the most
common serious side effect that may occur?
A. a nonproductive cough
B. pedal edema
C. swelling of the tongue and face
D. rhinorrhea
C. swelling of the tongue and face
Although all of the answers may occur, swelling og the tongue and face is the most serious and
may require intervention. Patients should be instructed to seek medical attention immediately
for any signs of swelling in the tongue or throat.
Which of the following best describes the fourth heart sound (S4):
A. It occurs after ventricular contraction
B. It is best heard with the diaphragm of the stethoscope
C. It is a normal finding in children
D. It occurs during late diastole when the atria contracts
D. It occurs during late diastole when the atria contracts
The presence of the extra heart sound S4 signifies a poorly compliant (stiff) left ventricle. An S4
is also called an atrial heart sound since it occurs at the end of diastolic filling when the atria
contracts and fully fills the left ventricle. Known as "atrial kick", this filling is important to
cardiac output. The increased end-diastolic volume in the ventricle improves cardiac output.
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