ALL THE PCCN EXAM | QUESTIONS &
ANSWERS (VERIFIED) | LATEST
UPDATE | GRADED A+
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.
PR
what is normal Pulmonary artery occlusion pressure (PAOP)?
Correct Answer: 5-12 mmHg
O
The resistance against which the left ventricle must pump to eject its volume is:
FD
Correct Answer: systemic vascular resistance.
O
When the tricuspid valve is open, central venous pressure reflects the filling pressure in
the:
C
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:
1
,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
PR
By blocking the conversion of angiotensin I to angiotensin II, angiotensin-converting
enzyme inhibitors produce:
Correct Answer: b. vasodilation.
O
FD
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
O
medications?
Correct Answer: a. Verapamil, diltiazem, or amlodipine
C
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.
2
,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
PR
the pacing wires
In the postoperative cardiovascular patient, the most frequent cause of a decreased
O
cardiac output is:
FD
Correct Answer: a. reduced preload.
A patient is being monitored by continuous electrocardiogram (ECG) after placement of
O
a transvenous pacemaker. "Loss of capture" is seen on the ECG. Which nursing
C
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.
3
, 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.
PR
Knowing that a patient has hypoxemia and ischemia in his brain, the nurse anticipates
which of the following?
O
Correct Answer: a. Cerebrovascular dilation
FD
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.
O
C
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
4
ANSWERS (VERIFIED) | LATEST
UPDATE | GRADED A+
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.
PR
what is normal Pulmonary artery occlusion pressure (PAOP)?
Correct Answer: 5-12 mmHg
O
The resistance against which the left ventricle must pump to eject its volume is:
FD
Correct Answer: systemic vascular resistance.
O
When the tricuspid valve is open, central venous pressure reflects the filling pressure in
the:
C
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:
1
,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
PR
By blocking the conversion of angiotensin I to angiotensin II, angiotensin-converting
enzyme inhibitors produce:
Correct Answer: b. vasodilation.
O
FD
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
O
medications?
Correct Answer: a. Verapamil, diltiazem, or amlodipine
C
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.
2
,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
PR
the pacing wires
In the postoperative cardiovascular patient, the most frequent cause of a decreased
O
cardiac output is:
FD
Correct Answer: a. reduced preload.
A patient is being monitored by continuous electrocardiogram (ECG) after placement of
O
a transvenous pacemaker. "Loss of capture" is seen on the ECG. Which nursing
C
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.
3
, 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.
PR
Knowing that a patient has hypoxemia and ischemia in his brain, the nurse anticipates
which of the following?
O
Correct Answer: a. Cerebrovascular dilation
FD
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.
O
C
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
4
