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PCCN EXAM TEST BANK ALL PCCN Questions And Correct Detailed Answers
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PCCN EXAM TEST BANK ALL PCCN QuestionsAnd Correct Detailed Answers 2024-2025
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: - ANSWER fluid volume
overload.
what is normal Pulmonary artery occlusion pressure (PAOP)? -
ANSWER 5-12 mmHg
The resistance against which the left ventricle must pump to
eject its volume is: - ANSWER systemic vascular resistance.
When the tricuspid valve is open, central venous pressure
reflects the filling pressure in the: - ANSWER right ventricle.
Tachycardia is dangerous for the patient with ischemic heart
disease because of: - 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: - ANSWER central cyanosis.
Priorities for palpation of the patient with cardiovascular
disease include: - ANSWER estimating edema.
checking capillary refill
,checking for DVT
arterial pulses
By blocking the conversion of angiotensin I to angiotensin II,
angiotensin-converting enzyme inhibitors produce: - 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? - 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: - 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: -
ANSWER c. atrium is being paced.
The possibility of microshock when handling a temporary
pacemaker can be minimized by: - 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: - 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? - 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 - 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. - ANSWER b. 80 mm
Hg
What procedure secures an arteriovenous malformation when
a pt's condition is too unstable for surgery? - 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? - ANSWER
a. Cerebrovascular dilation
The nurse's priority in eye care for the patient in a coma will be:
- 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: -
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? - ANSWER
Sodium
Which of the following conditions occurs when the renal
tubules are unable to reabsorb excess glucose? - 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: - ANSWER metabolic syndrome.
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