all the pccn exam questions complete questions and answers 20222023reviewed questions and answersgraded a aacn
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ALL THE PCCN EXAM QUESTIONS COMPLETE
QUESTIONS AND ANSWERS 2022/2023
1.The nurse observes that the patient's jugular veins distend in the semi-upright position to more than 5
cm above the sternal angle. This is an indication of:
(correct answers)fluid volume overload.
2.what is normal Pulmonary artery occlusion pressure (PAOP)?
(correct answers)5-12 mmHg
3.The resistance against which the left ventricle must pump to eject its volume is:
(correct answers)systemic vascular resistance.
4.When the tricuspid valve is open, central venous pressure reflects the filling pressure in the:
(correct answers)right ventricle.
5.Tachycardia is dangerous for the patient with ischemic heart disease because of:
(correct answers)compromised cardiac output.
6.During initial examination of a critical care patient, the nurse observes wide and convex nails and
bulbous fingertips. This is evidence of:
(correct answers)central cyanosis.
7.Priorities for palpation of the patient with cardiovascular disease include:
(correct answers)estimating edema.
checking capillary refill
checking for DVT
arterial pulses
8.By blocking the conversion of angiotensin I to angiotensin II, angiotensin-converting enzyme inhibitors
produce:
(correct answers)b. vasodilation.
,9.The nurse has read that the cardiologist recommends the use of class IV drugs to depress sinus and
atrioventricular node conduction and terminate supraventricular tachycardias in the patient at this time.
The nurse will anticipate orders for which medications?
(correct answers)a. Verapamil, diltiazem, or amlodipine
10.The nurse has administered a drug that stimulates β1-adrenergic sites. Following administration of
the drug, the nurse will assess for:
(correct answers)a. increased heart rate.
11.The nurse is observing the patient's electrocardiographic monitor after insertion of a temporary
pacemaker. Seeing a P-wave after the pacing artifact, the nurse knows that the:
(correct answers)c. atrium is being paced.
12.The possibility of microshock when handling a temporary pacemaker can be minimized by: (correct
answers)b. insulating the ends of the wires. and wearing gloves when handling the pacing wires
In the postoperative cardiovascular patient, the most frequent cause of a decreased cardiac output is:
(correct answers)a. reduced preload.
A patient is being monitored by continuous electrocardiogram (ECG) after placement of a transvenous
pacemaker. "Loss of capture" is seen on the ECG. Which nursing intervention may correct this situation?
(correct answers)a. Position the patient on the left side. or reposition the leads
In analyzing the ECG strip, the nurse notices a spike before each QRS complex. The patient's heart rate is
70 beats/min. This phenomenon is reflective of
(correct answers)b. pacing artifact; the pacemaker is sensing and capturing.
Calculate the cerebral perfusion pressure (CPP) for a patient with a mean arterial pressure (MAP) = 95
mm Hg and an intracranial pressure (ICP) = 15 mm Hg.
(correct answers)b. 80 mm Hg
What procedure secures an arteriovenous malformation when a pt's condition is too unstable for
surgery?
(correct answers)embolization that can be done to secure the lesion without surgery. When the
condition is more stable, an operation might be considered if needed.
Knowing that a patient has hypoxemia and ischemia in his brain, the nurse anticipates which of the
following?
(correct answers)a. Cerebrovascular dilation
The nurse's priority in eye care for the patient in a coma will be:
,(correct answers)c. keeping the eyes moist to prevent corneal ulceration.
The patient has markedly deep, rapid respirations with a fruity breath odor. Based on the patient's
history, the nurse will:
(correct answers)perform a blood glucose measurement.
The patient with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion will need to
have the imbalance of which electrolyte corrected as soon as possible?
(correct answers)Sodium
Which of the following conditions occurs when the renal tubules are unable to reabsorb excess glucose?
(correct answers)Glycosuria
The patient has a waist measurement of 52 inches. His triglyceride level is 175 mg/dL, his high-density
lipoprotein (HDL) cholesterol level is 32 mg/dL, and his fasting plasma glucose level is 224 mg/dL. His
blood pressure readings are usually approximately 140/90 mm Hg. The nurse recognizes the
characteristics of:
(correct answers)metabolic syndrome.
To reverse the hyperglycemic hyperosmolar state, the nurse will first prepare to administer:
(correct answers)fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The nurse should anticipate orders
for the administration of:
(correct answers)vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the physiological effect is:
(correct answers)dilutional hyponatremia, reducing sodium concentration to critically low levels.
Which assessment findings would indicate fluid volume excess?
(correct answers)edema, auscultation of a third heart sound, crackles in lungs, bounding pulses, AMS,
olguria, HTN
The report of a renal patient's laboratory results shows that the blood urea nitrogen (BUN) level is less
than 25 mg/dL. To fully understand the patient's renal status, the nurse must consider this value along
with:
(correct answers)c. creatinine level.
To determine whether edema in a patient's hands is due to circulatory compromise or another cause,
the nurse might:
, (correct answers)elevate the patient's extremities for 1 hour and observe the degree of edema still
present.
Hypovolemia causes tachycardia and : (correct answers)hypotension.
To avoid the complications that can result from administering furosemide (Lasix) to stimulate urinary
output, the nurse will carefully monitor: (correct answers)levels of electrolytes, especially potassium.
Which dialysis method would be most appropriate for the hemodynamically stable patient in the anuric
phase of acute kidney injury (AKI)? (correct answers)Intermittent hemodialysis
What are complications of continuous renal replacement therapy (CRRT)? (correct answers)Air
embolism, decreased inflow pressure, electrolyte imbalance
Which electrolytes pose the most potential hazard if not within normal limits for the person with acute
kidney failure? (correct answers)Potassium and calcium
peaked T-waves and a widening of the QRS interval in a pt with AKI are indicative of: (correct answers)d.
hyperkalemia.
A patient presents with the following: HR, 120 beats/min; BP, 80/44 mm Hg; urine output averaging 20
mL/hr over the last 4 hours; afebrile; moist rales in the lungs bilaterally; BUN, 84 mg/dL; creatinine, 3.4
mg/dL. What is the probable cause of this patient's acute kidney injury (AKI)? (correct answers)Left
ventricular failure causing prerenal AKI
An elderly patient is in a motor vehicle accident and incurs a significant internal hemorrhage. He is at
greatest risk for which category of acute kidney injury (AKI)? (correct answers)Prerenal
A patient is admitted to the unit with the following laboratory values: urine specific gravity, 1.010; urine
osmolality, 210 mOsm/kg; BUN/Cr ratio 10:1; urine sodium, 96 mEq/L. The urine output has been 60 mL
since admission 2 hours ago. These values are most consistent with which of the following types of
acute kidney injury (AKI)? (correct answers)Intrarenal
Percussing the patient's stomach produces a tympanic sound is a sign that: (correct answers)the
patient's stomach is empty.
The nurse is unable to hear bowel sounds in any of the four quadrants of the patient's abdomen. This
may indicate the presence of: (correct answers)ban ileus.
Auscultation of the abdomen reveals a bruit over the left renal artery. This is an indication of: (correct
answers)renal hypertension.
The nurse observes that striae on the patient's abdomen are pink and purple. This may be a sign of:
(correct answers)Cushing's syndrome.
During auscultation of the patient's abdomen, the nurse hears frequent high-pitched, tinkling sounds.
This is probably evidence of: (correct answers)normal bowel sounds.
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