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PCCN EXAM ACTUAL EXAM COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS LATEST JUST RELEASED
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PCCN EXAM ACTUAL EXAM COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS LATEST JUST RELEASED
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Page 1 of 94PCCN EXAM ACTUAL EXAM COMPLETE 400
QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST 2024-2025 JUST
RELEASED
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
, Page 2 of 94
In the postoperative cardiovascular patient, the most frequent cause of a decreased cardiac
output is: - CORRECT ANSWER✔✔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 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
, Page 3 of 94
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.
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 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.
, Page 4 of 94
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
arterial pulses
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