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*NURSING > QUESTIONS & ANSWERS > PCCN Exam Questions Compilation (All)

PCCN Exam Questions Compilation

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PCCN Exam Questions Compilation 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: - ✔✔fluid volume overload. what is normal Pulmonary artery occlusion pressure (PAOP)? - ✔✔5-12 mmHg The resistance against which the left ventricle must pump to eject its volume is: - ✔✔systemic vascular resistance. When the tricuspid valve is open, central venous pressure reflects the filling pressure in the: - ✔✔right ventricle. Tachycardia is dangerous for the patient with ischemic heart disease because of: - ✔✔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: - ✔✔central cyanosis. Priorities for palpation of the patient with cardiovascular disease include: - ✔✔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: - ✔✔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? - ✔✔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: - ✔✔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: - ✔✔c. atrium is being paced. The possibility of microshock when handling a temporary pacemaker can be minimized by: - ✔✔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: - ✔✔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? - ✔✔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 - ✔✔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. - ✔✔b. 80 mm Hg What procedure secures an arteriovenous malformation when a pt's condition is too unstable for surgery? - ✔✔embolization that can be done to secure the lesion without surgery. When the condition is more stable, an operation might be considered if need

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