PCCN CARDIAC
PCCN Review - Cardiac
EXAM NEWEST 2025 ACTUAL EXAM COMPLETE
QUESTIONS
Study online atAND CORRECT ANSWERS (VERIFIED ANSWERS)
https://quizlet.com/_3m2fg
|ALREADY GRADED A+||BRAND NEW VERSION!!
1. Calculate the cardiac output for a pt HR X SV=CO
with a HR of 70 and a SV of 65 ml. 70 X 65= 4550
4.6 L/min
2. Calculate the cardiac output for a pt HR X SV=CO
with a HR of 70 and a SV of 65 ml. 70 X 65= 4550
HR X SV=CO 4.6 L/min
3. What % of the cardiac cycle is provided 20%
by the atrial kick?
• 15% Atrial kick is a term that represents the amount
• 20% of the total CO that is supplied via atrial contrac-
• 30% tion.
• 35% If the pt has a condition or dysrhythmia that im-
pairs or eliminates the atrial contraction, the pt
may be compromised.
4. Atrial Kick Atrial kick is a term that represents the amount of
the total CO that is supplied via atrial contraction.
5. A normal value for an EF would be? 65%
• 65%
• 40% The EF should be more than 50%. It represents
• 30% the amount of blood ejected from the left ventri-
• 25% cle compared to the total amount available, ex-
pressed as a %. An EF of 35% or less indicates a
problem with contractility, outflow or filling.
EXA: If the ventricle contains 90ml of blood and
50mls are ejected, the amount would be ex-
pressed as a %, in this case 55%.
6.
, PCCN Review - Cardiac
Study online at https://quizlet.com/_3m2fg
A 67 year old male is admitted with UNSTABLE ANGINA
chest pain after collapsing at home.
He is arguing with his wife that he The change in quality, frequency, and duration
should not be admitted because he indicates UNSTABLE ANGINA and may indicate
"just over did it" while working in the that the pt is at increased risk for an MI. This pt
world. Lee's wife states to you that should be closely monitored for EKG changes and
his chest pain is more frequent, se- rhythm disturbances. Pt/ family teaching should
vere and prolonged than before. You begin on how to identify an MI and basic CPR.
should anticipate what diagnosis?
• Exertional angina
• Unstable angina
• Variant angina
• Stable angina
7. Stroke Volume is comprised of which Contractility, preload and afterload
of the following factors?
• Blood volume, viscosity, impedance
• Cardiac output, HR, compliance
• Contractility, preload, afterload
• Compliance, impedance, HR
8. A reflex tachycardia caused by the BAINBRIDGE REFLEX
stretch of the right atrial receptors is
known as the ____ It is believed that this reflex exists to speed up the
• Herring-Sines law HR if the right side becomes overloaded, thereby
• Renin-angiotensin system helping equalize pressures on both sides
• Starling's law
• Bainbridge reflex
9. Diastole comprises what & of the car- 2/3
diac cycle?
•½ Some people that the heart is virtually static dur-
, PCCN Review - Cardiac
Study online at https://quizlet.com/_3m2fg
• 2/3 ing diastole.
•¼ During this period, the cardiac vessels and cham-
• 1/3 bers fill—a process that takes up 2/3s of the time
necessary to complete the cardiac cycle
10. What is the MAP (mean arterial pres- MAP=2(DBP) + (SBP)/3
sure) for pt: MAP=2(70) + 120/3
BP 120/70 MAP=260/3
HR 80 MAP=86.6
Pts should maintain a MAP of at least 60 to ensure
adequate perfusion to the brain and kidneys.
11. What is the MAP (mean arterial pres- MAP=2(70) + 120/3
sure) for pt: MAP=260/3
BP 120/70 MAP=86.6
HR 80 Pts should maintain a MAP of at least 60 to ensure
MAP=2(DBP) + (SBP)/3 adequate perfusion to the brain and kidneys.
12. Calculate CI (cardiac index) CI=CO/BSA
HR 80 CO=HR X SV
BP 110/70 CO=80 X 60
SV 60 CI=4800/2.0
BSA 2.0 m2 CI=2400
Expressed in L/min/m2 CI=2.4 L/min/m2
13. Calculate CI (cardiac index) CI=CO/BSA
HR 80 CO=HR X SV
BP 110/70 CO=80 X 60
SV 60 CI=4800/2.0
BSA 2.0 m2 CI=2400
CI=2.4 L/min/m2
Expressed in L/min/m2
CI=CO/BSA
, PCCN Review - Cardiac
Study online at https://quizlet.com/_3m2fg
14. The resistance against which the right Pulmonary Vascular Resistance
ventricle must work to eject its volume
is known as This pressure represents a mean pressure in the
• Resting heart pressure systemic vasculature. The higher the resistance,
• Systemic vascular pressure the harder the heart has to work against it.
• Central venous pressure
• Pulmonary vascular resistance EXA: Colder temperatures will cause vasoconstric-
tion; the heart then has to pump harder to deliver
blood through the narrowed vasculature.
15. Mr. Ironclaw lives on a nearby Indi- ASK DOC TO CONSIDER AN OTC ANTIPLATELET
an Reservation. He is retired and on a MEDICATION
fixed income with no insurance. He is
being discharged today after an obser- Although he may wish to be compliant with plan
vational stay for Chest Pain. In plan- of care at home, financial limitations may prohibit
ning his discharge care, which of the him from expensive treatments, meds, and sup-
following should be considered FIRST port services.
to increase compliance with plan of
care once home?
• Arrange for Home Health 1X/week
• Ask doc to consider an OTC an-
tiplatelet medication
• Schedule his follow-up appt with the
cardiologist in 3 months
• Suggest a gym membership
16. William was diagnosed with unstable I WILL CALL THE DOC AND ASK FOR A STRESS
angina. He is scheduled for an exercise ECHOCARDIOGRAPHY TEST INSTEAD
stress test. He tells you he has a "bad
hip" and an old knee injury that makes The exercise stress test requires the pt to walk on
it difficult for him to walk or stand for a treadmill or stationary bike for 30-60 minutes.
PCCN Review - Cardiac
EXAM NEWEST 2025 ACTUAL EXAM COMPLETE
QUESTIONS
Study online atAND CORRECT ANSWERS (VERIFIED ANSWERS)
https://quizlet.com/_3m2fg
|ALREADY GRADED A+||BRAND NEW VERSION!!
1. Calculate the cardiac output for a pt HR X SV=CO
with a HR of 70 and a SV of 65 ml. 70 X 65= 4550
4.6 L/min
2. Calculate the cardiac output for a pt HR X SV=CO
with a HR of 70 and a SV of 65 ml. 70 X 65= 4550
HR X SV=CO 4.6 L/min
3. What % of the cardiac cycle is provided 20%
by the atrial kick?
• 15% Atrial kick is a term that represents the amount
• 20% of the total CO that is supplied via atrial contrac-
• 30% tion.
• 35% If the pt has a condition or dysrhythmia that im-
pairs or eliminates the atrial contraction, the pt
may be compromised.
4. Atrial Kick Atrial kick is a term that represents the amount of
the total CO that is supplied via atrial contraction.
5. A normal value for an EF would be? 65%
• 65%
• 40% The EF should be more than 50%. It represents
• 30% the amount of blood ejected from the left ventri-
• 25% cle compared to the total amount available, ex-
pressed as a %. An EF of 35% or less indicates a
problem with contractility, outflow or filling.
EXA: If the ventricle contains 90ml of blood and
50mls are ejected, the amount would be ex-
pressed as a %, in this case 55%.
6.
, PCCN Review - Cardiac
Study online at https://quizlet.com/_3m2fg
A 67 year old male is admitted with UNSTABLE ANGINA
chest pain after collapsing at home.
He is arguing with his wife that he The change in quality, frequency, and duration
should not be admitted because he indicates UNSTABLE ANGINA and may indicate
"just over did it" while working in the that the pt is at increased risk for an MI. This pt
world. Lee's wife states to you that should be closely monitored for EKG changes and
his chest pain is more frequent, se- rhythm disturbances. Pt/ family teaching should
vere and prolonged than before. You begin on how to identify an MI and basic CPR.
should anticipate what diagnosis?
• Exertional angina
• Unstable angina
• Variant angina
• Stable angina
7. Stroke Volume is comprised of which Contractility, preload and afterload
of the following factors?
• Blood volume, viscosity, impedance
• Cardiac output, HR, compliance
• Contractility, preload, afterload
• Compliance, impedance, HR
8. A reflex tachycardia caused by the BAINBRIDGE REFLEX
stretch of the right atrial receptors is
known as the ____ It is believed that this reflex exists to speed up the
• Herring-Sines law HR if the right side becomes overloaded, thereby
• Renin-angiotensin system helping equalize pressures on both sides
• Starling's law
• Bainbridge reflex
9. Diastole comprises what & of the car- 2/3
diac cycle?
•½ Some people that the heart is virtually static dur-
, PCCN Review - Cardiac
Study online at https://quizlet.com/_3m2fg
• 2/3 ing diastole.
•¼ During this period, the cardiac vessels and cham-
• 1/3 bers fill—a process that takes up 2/3s of the time
necessary to complete the cardiac cycle
10. What is the MAP (mean arterial pres- MAP=2(DBP) + (SBP)/3
sure) for pt: MAP=2(70) + 120/3
BP 120/70 MAP=260/3
HR 80 MAP=86.6
Pts should maintain a MAP of at least 60 to ensure
adequate perfusion to the brain and kidneys.
11. What is the MAP (mean arterial pres- MAP=2(70) + 120/3
sure) for pt: MAP=260/3
BP 120/70 MAP=86.6
HR 80 Pts should maintain a MAP of at least 60 to ensure
MAP=2(DBP) + (SBP)/3 adequate perfusion to the brain and kidneys.
12. Calculate CI (cardiac index) CI=CO/BSA
HR 80 CO=HR X SV
BP 110/70 CO=80 X 60
SV 60 CI=4800/2.0
BSA 2.0 m2 CI=2400
Expressed in L/min/m2 CI=2.4 L/min/m2
13. Calculate CI (cardiac index) CI=CO/BSA
HR 80 CO=HR X SV
BP 110/70 CO=80 X 60
SV 60 CI=4800/2.0
BSA 2.0 m2 CI=2400
CI=2.4 L/min/m2
Expressed in L/min/m2
CI=CO/BSA
, PCCN Review - Cardiac
Study online at https://quizlet.com/_3m2fg
14. The resistance against which the right Pulmonary Vascular Resistance
ventricle must work to eject its volume
is known as This pressure represents a mean pressure in the
• Resting heart pressure systemic vasculature. The higher the resistance,
• Systemic vascular pressure the harder the heart has to work against it.
• Central venous pressure
• Pulmonary vascular resistance EXA: Colder temperatures will cause vasoconstric-
tion; the heart then has to pump harder to deliver
blood through the narrowed vasculature.
15. Mr. Ironclaw lives on a nearby Indi- ASK DOC TO CONSIDER AN OTC ANTIPLATELET
an Reservation. He is retired and on a MEDICATION
fixed income with no insurance. He is
being discharged today after an obser- Although he may wish to be compliant with plan
vational stay for Chest Pain. In plan- of care at home, financial limitations may prohibit
ning his discharge care, which of the him from expensive treatments, meds, and sup-
following should be considered FIRST port services.
to increase compliance with plan of
care once home?
• Arrange for Home Health 1X/week
• Ask doc to consider an OTC an-
tiplatelet medication
• Schedule his follow-up appt with the
cardiologist in 3 months
• Suggest a gym membership
16. William was diagnosed with unstable I WILL CALL THE DOC AND ASK FOR A STRESS
angina. He is scheduled for an exercise ECHOCARDIOGRAPHY TEST INSTEAD
stress test. He tells you he has a "bad
hip" and an old knee injury that makes The exercise stress test requires the pt to walk on
it difficult for him to walk or stand for a treadmill or stationary bike for 30-60 minutes.
