PCCN CARDIAC EXAM NEWEST 2026 ACTUAL
VERIFIED EXAM COMPLETE 200 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
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Your patient just underwent a percutaneous intervention
for stent placement, after which he was returned to your
tele unit. You note a rash over the patient's trunk and
arms. This is probably due to _____.
-An allergic reaction to contrast dye
-Petechiae from a fat emolism
-A reaction to the indwelling stent
-A rash secondary to a Candida infection - ANSWER-An
allergic reaction to contrast dye.
Iodine dye is used and will cause a rash, itching, swelling
and can also lead to laryngospasm and anaphylaxis in
some patients. It is imperative to determine whether the
patient is allergic to iodine, shellfish, or horses prior to
initiating the procedure.
A sign of necrosis on an EKG would include:
-Acute ST elevation
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-A Right BBB
-A Left BBB
-A Q wave in lead III - ANSWER-Acute ST elevation.
Along with acute ST elevation, another indicator of
necrosis would be an abnormal Q wave. If the Q wave
appears within about 6 hours of a transmural MI, it is an
ominous sign. If the Q wave is more than 0.04 seconds
long, it is a sign of necrosis. In an inferior MI, the Q wave
should not exceed 0.03 seconds or it is indicative of
necrosis.
Holly recieved 4 mg Morphine IV. She is now
unresponsive and her RR and depth are diminished. The
antidote for morphine is:
-Regitine
-Bicarbonate
-Naloxone
-Atropine - ANSWER-Naloxone
The antagonist for morphine and other opiods is Narcan
(naloxone). Generally, the naloxone dose is 0.4 mg IV.
This dose can be repeated about every 3 to 4 minutes for
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a total of 3 times. When you give Narcan, you must always
be alert for the patient to relapse once the dose wears off.
Administering multiple follow-up doses is not uncommon.
Complications associated with ventricular assist devices
(VADs) include:
-Thromboembolism
-Thrombocytopenia
-Dissection of the aorta
-Septicemia - ANSWER-Thromboembolism
Additional complications that are commonly seen with
VADs are infection and bleeding.
Thrombocytopenia, aortic dissection and septicemia are
complications of an intra-aortic balloon pump (IAPB).
Indications for use of a VAD include:
-Dysrhythmias
-As destination therapy
-Prolonged cardiac arrest
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-Extensive organ damage - ANSWER-As destination
therapy
Other indications for use of VAD include use as a bridge to
transplant, treatment of cardiogenic shock, and inability to
wean from cardiopulmonary bypass. Always be aware of
the possibility of device failure.
Prolonged cardiac arrest, especially with neuroligical
damage is a contraindication for use of a VAD. Extensive
organ damage is another contraindication. Dysrhythmias
are not indications for use.
The most common infection in patients with VADs is:
-Septicemia
-Pericarditis
-Pneumonia
-Pericardial effusion - ANSWER-Pneumonia
PNA secondary to immobility is the primary reason for
infection with VADs. There may also exist a need for some
type of ventilatory support. Jst the fact that tubes are
placed into the body is a potential source of infection, but