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PCCN Exam prep practice Questions and All Correct Answers Updated.

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1. A 49-year-old male was recently admitted with an inferior wall MI resulting from 100% occlusion of the right coronary artery (RCA). The 12-Lead ECG reveals ST elevation in leads II, Ill, and avF. You would expect to see reciprocal changes in which leads? A. I, aVR B. V, V2 C. V, VA D I, aVL - Answer 1. D. I, aVI. The RCA perfuses the inferior wall and the mirror image or reciprocal change will be seen in the high latera wall, which is reflected in leads I, and aVL, on the 12-Lead ECG. Leads V1 and V2 correlate with the septal area, leads V3 and V4 correlate With the anterior area of the heart. The aVR lead does not provide much diagnostic value as all energy is depolarizing away from this lead. You are summoned to the room of a 30-year-old female who is experiencing sustained tonic-clonic convulsions while sitting in a chair. A family member states: "She was just talking to us and suddenly she let out a shriek and started flopping like a fish out of water." What is your initial priority of care? A. Call for help and safely guide the patient to the floor B. Call for help and administer a prescribed antiepileptic C. Call for help and administer a prescribed benzodiazepine D. Call for help and monitor the course of the seizure - Answer A. Call for help and safely guide the patient to the floor Patient Safety is priority A 46-year-old patient presents with pneumonia and sepsis. He was treated with 4 days of antibiotics and IV fluids. He is increasingly short of breath and is now on 100% FiO, via non-re-breather mask. You obtain an ABG with the following results: pH 7.20 / PaCO, 68/ PaO, 102/ HCO, 28. A chest x-ray reveals bilateral pulmonary infiltrates. The patient is likely developing: A. Worsening pneumonia B. Acute Respiratory Distress Syndrome C. Pulmonary embolus D. Atelectasis - Answer B. Acute Respiratory Distress Syndrome

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PCCN Practice Exam #3 Questions
and All Correct Answers Graded A+.
A patient is being treated for hypertensive crisis with Labetalol 10mg IV Q2H PRN and Enalapril
1.25mg IV Q6H. The RN should hold the meds and notify the provider when lab findings show:



A. ↓ potassium



B. ↑ hematocrit



C. ↓ platelets



D. ↑ liver function tests - Answer D



Torsades de Pointes is commonly associated with which of the following electrolyte
disturbances?



A. Hyperkalemia



B. Hypokalemia



C. Hypermagnesemia



D. Hypomagnesemia - Answer D



A patient is admitted to the hospital with abdmominal pain and nausea and was taken to the OR
for an emergent bowel resection. The post-operative course has been complicated by septic
shock and AKI. The patient is placed on intermittent HD. The nurse recognizes which of the
following is a priority to ensure safe patient care while receiving renal replacement therapy?



A. Invasive hemodynamic monitoring to assess fluid volume status hourly



B. Frequent electrolyte monitoring to identify electrolyte shifts



C. Hourly UO monitoring to know when HD should be d/c

, D. Daily weight monitoring to assess fluid status - Answer B



A 52 year old male just underwent a 3 vessel CABG. He has been in NSR and suddenly converts
to a-fib at a rate of 160. His BP suddenly drops to 72/46 (54) and is feeling SOB. You should
anticipate which of the following?



A. Adenosine 6mg rapid IVP



B. Defibrillation with 100 J



C. Synchronized cardioversion with 100 J



D. Diltiazem bolus followed by an infusion - Answer C



Which of the following is an example of advocacy?



A. Standing behind organizational decisions that are formed based on the needs of patients



B. Working with individuals to create synergistic relationships



C. Consistently acting with intention and upholding ethical values and principles



D. Being an honest and trustworthy individual - Answer A



During a patient's admissions to the PCU, the RN notes a hgb level of 9g/dL and hct of 27ml/dL.
Which med should be confirmed with the provider prior to administration?



A. Metoprolol



B. Sulfa-trimethoprim



C. Erythropoietin



D. Furosemide - Answer B (29)

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