PCCN Actual Exam Questions With 100% Correct
Answers A+ Rated
cardiogenic shock - Correct Answer-Vasosonstrictors (norepinephrine), beta-blockers, and low
molecular weight heparin should be avoided for patients with this condition.
Vasopressin (ADH) - Correct Answer-_______________________ can improve portal
hypertension in upper GI bleed/liver cirrhosis patients.
sepsis - Correct Answer-ARDS is most often part of a systemic inflammatory
process, particularly systemic ____________.
endocarditis - Correct Answer-A patient with a new systolic murmur should be evaluated for
____________________.
true - Correct Answer-True or False: acute ischemic stroke patients need to be as flat as
possible in bed for the first 24 hours.
False - Correct Answer-True or False: A pulmonary embolism patient will have crackles in
the lungs.
supine - Correct Answer-____________ positioning should be avoided in pneumonia patients.
atrial fibrillation - Correct Answer-The dysrhythmia most commonly associated with mitral
stenosis is __________________________.
True - Correct Answer-True or False: Ketosis is a normal response to hypoglycemia for
everyone. The goal of hypoglycemia treatment is to instead reverse neurological deterioration.
,blood pressure - Correct Answer-The major goal for aortic dissection patients is to control
___________________.
fat embolus - Correct Answer-A patient with signs of respiratory distress, a petechial rash, and
a long bone fracture should be evaluated for a ______________________.
complete heart block - Correct Answer-Valvular surgery puts a patient at risk for a
_______________________________. Epicardial pacing wires are best to control this problem.
normal saline - Correct Answer-A sterile swab should always be dipped in ________________
before checking for tunneling in a wound to avoid leaving cotton fibers behind.
ARDS (acute respiratory distress syndrome) - Correct Answer-A patient with refractory
hypoxemia and diffuse crackles should be evaluated for ______________.
depression - Correct Answer-Hyperkalemia can cause ST ________________.
U waves - Correct Answer-Hypokalemia can cause ST depression and prominent
__________________
lactated ringers - Correct Answer-_______________________ should be avoided as fluid
therapy for acute hepatitis patients.
NSAIDs - Correct Answer-____________________ can relieve pain and decrease pericardial
inflammation in those patients who have pericarditis associated with MIs.
dysrhythmias, heart failure - Correct Answer-Aortic valve disease can cause _______________
and _______________. These conditions often persist after surgery.
Lepirudin (Refludan) - Correct Answer-A patient that needs anticoagulation therapy but has a
history of heparin-induced thrombocytopenia should be given _____________________ as
indicated. This drug is a direct thrombin inhibitor.
, 2nd degree AV block type 2 - Correct Answer-A person with an anterior-septal MI should
be evaluated for this dysrhythmia.
papillary muscle rupture - Correct Answer-In an anterior/septal wall MI, changes are noted in
leads V1-V4, with reciprocal changes in II, III, and aVF. Left ventricular failure, heart blocks,
bundle branch blocks, and cardiogenic shock are complications. If a new loud murmur is
auscultated in these patients, the nurse suspects a _________________________________.
decrease - Correct Answer-In DIC patients, PT and PTT will increase while platelets
and fibrinogen levels ________________.
cryoprecipitate - Correct Answer-__________________ should be given to increase fibrinogen
levels in DIC patients.
c (respiratory alkalosis) - Correct Answer-Which ABG imbalance will be seen in a patient with
a pulmonary embolism?
a. metabolic acidosis
b. respiratory acidosis
c. respiratory alkalosis
d. metabolic alkalosis
Caffeinated - Correct Answer-___________________ beverages can increase the effects of
warfarin and should be consumed with caution.
False (the patient should lie on the opposite side with the head of bed 30-45 degrees) - Correct
Answer-True or False: A patient that needs a thoracentesis but cannot sit up should lay flat on
the affected side for the procedure.
dumping syndrome - Correct Answer-A syndrome that can happen after gastric surgery or because
of parenteral feedings. A concentrated solution with high osmolality can draw fluid into
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