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LATEST PCCN EXAM QUESTIONS WITH VERIFIED SOLUTIONS
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LATEST PCCN EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST PCCN EXAM QUESTIONS WITH VERIFIED SOLUTIONS
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LATEST PCCN EXAM 2024-2025 QUESTIONSWITH VERIFIED SOLUTIONS
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
ANSWER fluid volume overload.
what is normal Pulmonary artery occlusion pressure (PAOP)? - CORRECT ANSWER
5-12 mmHg
The resistance against which the left ventricle must pump to eject its volume is: -
CORRECT ANSWER systemic vascular resistance.
When the tricuspid valve is open, central venous pressure reflects the filling pressure in
the: - CORRECT ANSWER right ventricle.
Tachycardia is dangerous for the patient with ischemic heart disease because of: -
CORRECT ANSWER compromised cardiac output.
During initial examination of a critical care patient, the nurse observes wide and convex
nails and bulbous fingertips. This is evidence of: - CORRECT ANSWER central
cyanosis.
Priorities for palpation of the patient with cardiovascular disease include: - CORRECT
ANSWER estimating edema.
checking capillary refill
checking for DVT
,LATEST PCCN EXAM 2024-2025 QUESTIONS
WITH VERIFIED SOLUTIONS
arterial pulses
By blocking the conversion of angiotensin I to angiotensin II, angiotensin-converting
enzyme inhibitors produce: - CORRECT ANSWER b. vasodilation.
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 ANSWER a. Verapamil, diltiazem, or amlodipine
The nurse has administered a drug that stimulates β1-adrenergic sites. Following
administration of the drug, the nurse will assess for: - CORRECT ANSWER a.
increased heart rate.
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 ANSWER c. atrium is being paced.
The possibility of microshock when handling a temporary pacemaker can be minimized
by: - CORRECT ANSWER 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 ANSWER a. reduced preload.
,LATEST PCCN EXAM 2024-2025 QUESTIONS
WITH VERIFIED SOLUTIONS
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 ANSWER 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
ANSWER 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 ANSWER b. 80 mm Hg
What procedure secures an arteriovenous malformation when a pt's condition is too
unstable for surgery? - CORRECT ANSWER 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 ANSWER a. Cerebrovascular dilation
The nurse's priority in eye care for the patient in a coma will be: - CORRECT ANSWER
c. keeping the eyes moist to prevent corneal ulceration.
, LATEST PCCN EXAM 2024-2025 QUESTIONS
WITH VERIFIED SOLUTIONS
The patient has markedly deep, rapid respirations with a fruity breath odor. Based on the
patient's history, the nurse will: - CORRECT ANSWER 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 ANSWER Sodium
Which of the following conditions occurs when the renal tubules are unable to reabsorb
excess glucose? - CORRECT ANSWER 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 ANSWER
metabolic syndrome.
To reverse the hyperglycemic hyperosmolar state, the nurse will first prepare to
administer: - CORRECT ANSWER fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The nurse should
anticipate orders for the administration of: - CORRECT ANSWER vasopressin
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