PCCN Actual Final Exam Questions & Answers, All Answers Explained, Rated 100%-A

PCCN FINAL EXAM AND PRACTICE EXAM |
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NEWEST ACTUAL EXAM COMPLETE QUESTM M M M




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Which two meds should never be used together? -
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✔✔✔ CorrectAnswer > Ace Inhibitors and ARBs (-sartan drugs)
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ARBs are given if you can't use an ACE inhibitor ( esp if pt has cough
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and angioedema from ACE I
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Will sepsis increase or decrease preload? -
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M✔✔✔ Correct Answer >Decrease preload d/t blood in peripheral a
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reas of the body being unable to get to heart
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How does Entresto (Sacubitril /Valsartan compound) work with patie
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nt's with HF -
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M✔✔✔ Correct Answer > Prevents break down of BNP, which helps
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you diurese. (Neprilysin and RAAS inhibition)
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Causes of decreases of preload -
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✔✔✔ Correct Answer > 1. Hypovolemia
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2. Arrhythmia
3. Loss of atrial kick
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,4. Venous vasodilation M




What can decrease contractility -
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✔✔✔ Correct Answer > 1. Parasympathetic stimulation
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2. Negative ionotropic therapies ( beta blockers & ca channel blockers )
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3. Hyperkalemia, acidosis M




4. Acidosis


When are ARBS contraindicated -
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✔✔✔ Correct Answer > if pt has bilateral renal artery stenosis
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In ACUTE HF situations with HTN , DO NOT GIVE WHICH MEDICATION?
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- ✔✔✔ Correct Answer > Beta Blockers!
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What are popular aquaretic drugs and how do they work for HF pt -
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✔✔✔ Correct Answer > 1. Conivaptan (Vapirsol) -> IV V2 antagonist
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2. Tolvaptan (Samsca) -> PO V2 antagonist
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Mgets rid of pure water and keeps sodium intact , pt will be extremely t
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hirsty


Digoxin is mainly given to what type of patients -
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✔✔✔ CorrectAnswer > HF with concomitant atrial fibrilation
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, -it's a positive ionotrope & slows AV conduction
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-monitor for hypokalemia and hypercalcemia
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Chest pain assessment -
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✔✔✔ Correct Answer > P : pain, placement, provocation
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Q : quality (sharp, stabbing, pressure), quantity
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R : Radiation, relief
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S : Severity, systems (nausea, sweaty, dizziness)
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T : Timing ( when it started, how long did it last, what makes it better
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or worse )
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this is the amount of blood leaving the heart in over a minute -
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M✔✔✔Correct Answer > Cardiac output
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this is the amount volume that leaves the heart with each beat (
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mL/beat) - ✔✔✔ Correct Answer > Stroke volume
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Stroke volume consists of which 3 things - ✔✔✔ Correct Answer >
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Preload Afterload Contractility
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This the volume of blood in the ventricle at the end of diastole -
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M✔✔✔Correct Answer > preload (the stretch of the ventricle)
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