PCCN Exam NEWEST ACTUAL EXAM
PCCN EXAM NEWEST ACTUAL EXAM COMPLETE 300 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A 62 year old patient is admitting to your nursing unit with dyspnea, orthopnea,
pulmonary crackles, third heart sounds, and a systolic blowing murmur between
S1 and S2. The patient is being scheduled for a valve replacement. Which valve
anomaly would most likely result in these symptoms?
A. aortic regurgitation
B. aortic stenosis
C. mitral regurgitation
D. mitral stenosis - Correct Answer-C. Mitral regurgitation
A patient with dyspnea, orthopnea, and pulmonary cackles would be
experiencing any one of the four valve anomalies. The presence of a systolic
blowing murmur between S1 and S2 is specific to mitral regurgitation. The mitral
valve will allow fluid to pulsate backwards through the valve during ventricular
systole causing this heart sound
Repair is the preferred option for treatment of which incompetent heart valve?
A. aortic
B. mitral
C. pulmonic
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, PCCN Exam NEWEST ACTUAL EXAM
D. tricuspid - Correct Answer-B. Mitral
Repair of the mitral valve is preferred over replacement whether the disease is
stenosis or regurgitation. The advantages of mitral valvuloplasty include no
lifelong anticoagulation, fewer thromboembolic complications, and no concerns
of prosthetic degradation
When assessing a patient for peripheral vascular disease, the nurse assesses for all
of the following except:
A. Parlor
B. Pallor
C. Paresthesia
D. Paralysis - Correct Answer-A. Parlor
The assessment of peripheral vascular circulation includes the 6 Ps: Polar, pallor,
parathesia, pulselessness, pain, and paralysis.
Parlor is a type of room in a house
Which form of heart block is always an emergency and may require pacing?
A. 1st degree AV block
B. 2nd degree AV block type 2
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, PCCN Exam NEWEST ACTUAL EXAM
C. 3rd degree AV block
d. Wenckebach AV block - Correct Answer-C. 3rd Degree AV block
A third degree or complete heart block is a medical emergency. There are two
independent pacemakers in the heart that are not communicating. The patient
will require immediate pacing
Dual-chambered pacing does which of the following?
A. delivers a pacing impulse if the heart rate goes below the pacing lower limit
B. is fixed rate pacing
C. Sequentially delivers an impulse to both atria
D. sequentially delivers an impulse to the atrium and ventricle - Correct Answer-D.
Sequentially delivers an impulse to the atrium and ventricle
Dual chamber pacing sequentially delivers an impulse to the atrium and
ventricular to enhance better timing, stroke volume, and cardiac output
An aneurysm that has split laters of the vessel wall as a result of an expanding
hematoma is known as a:
A. dissecting aneurysm
B. false aneurysm
C. Fusiform aneurysm
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, PCCN Exam NEWEST ACTUAL EXAM
D. True bulging aneurysm - Correct Answer-A. Dissecting aneurysm
A dissecting aneurysm has split layers of the vessel wall because of an
expanding hematoma. It causes severe, tearing chest pain
A patient has a history of rheumatic heart disease and a valve replacement 3 years
ago. The patient presents with a temperature of 101.2 F by mouth, general
malaise, and night sweats. There is also a heart murmur. Based on this assessment
the patient may be experiencing:
A. endocarditis
B. myocarditis
C. pericarditis
D. pericardial effusion - Correct Answer-A. Endocarditis
Based on the assessment and the patient's history of rheumatic heart disease
and a prosthetic valve replacement, the patient may have developed
endocarditis. Upon further assessment, you may also identify splinter
hemorrhages or Osler's nodes as additional symptoms
There are _____ layer of the heart.
A. 6 layers
B. 5 layers
C. 4 layers
D. 3 layers - Correct Answer-B. 5 layers
4|Page
PCCN EXAM NEWEST ACTUAL EXAM COMPLETE 300 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A 62 year old patient is admitting to your nursing unit with dyspnea, orthopnea,
pulmonary crackles, third heart sounds, and a systolic blowing murmur between
S1 and S2. The patient is being scheduled for a valve replacement. Which valve
anomaly would most likely result in these symptoms?
A. aortic regurgitation
B. aortic stenosis
C. mitral regurgitation
D. mitral stenosis - Correct Answer-C. Mitral regurgitation
A patient with dyspnea, orthopnea, and pulmonary cackles would be
experiencing any one of the four valve anomalies. The presence of a systolic
blowing murmur between S1 and S2 is specific to mitral regurgitation. The mitral
valve will allow fluid to pulsate backwards through the valve during ventricular
systole causing this heart sound
Repair is the preferred option for treatment of which incompetent heart valve?
A. aortic
B. mitral
C. pulmonic
1|Page
, PCCN Exam NEWEST ACTUAL EXAM
D. tricuspid - Correct Answer-B. Mitral
Repair of the mitral valve is preferred over replacement whether the disease is
stenosis or regurgitation. The advantages of mitral valvuloplasty include no
lifelong anticoagulation, fewer thromboembolic complications, and no concerns
of prosthetic degradation
When assessing a patient for peripheral vascular disease, the nurse assesses for all
of the following except:
A. Parlor
B. Pallor
C. Paresthesia
D. Paralysis - Correct Answer-A. Parlor
The assessment of peripheral vascular circulation includes the 6 Ps: Polar, pallor,
parathesia, pulselessness, pain, and paralysis.
Parlor is a type of room in a house
Which form of heart block is always an emergency and may require pacing?
A. 1st degree AV block
B. 2nd degree AV block type 2
2|Page
, PCCN Exam NEWEST ACTUAL EXAM
C. 3rd degree AV block
d. Wenckebach AV block - Correct Answer-C. 3rd Degree AV block
A third degree or complete heart block is a medical emergency. There are two
independent pacemakers in the heart that are not communicating. The patient
will require immediate pacing
Dual-chambered pacing does which of the following?
A. delivers a pacing impulse if the heart rate goes below the pacing lower limit
B. is fixed rate pacing
C. Sequentially delivers an impulse to both atria
D. sequentially delivers an impulse to the atrium and ventricle - Correct Answer-D.
Sequentially delivers an impulse to the atrium and ventricle
Dual chamber pacing sequentially delivers an impulse to the atrium and
ventricular to enhance better timing, stroke volume, and cardiac output
An aneurysm that has split laters of the vessel wall as a result of an expanding
hematoma is known as a:
A. dissecting aneurysm
B. false aneurysm
C. Fusiform aneurysm
3|Page
, PCCN Exam NEWEST ACTUAL EXAM
D. True bulging aneurysm - Correct Answer-A. Dissecting aneurysm
A dissecting aneurysm has split layers of the vessel wall because of an
expanding hematoma. It causes severe, tearing chest pain
A patient has a history of rheumatic heart disease and a valve replacement 3 years
ago. The patient presents with a temperature of 101.2 F by mouth, general
malaise, and night sweats. There is also a heart murmur. Based on this assessment
the patient may be experiencing:
A. endocarditis
B. myocarditis
C. pericarditis
D. pericardial effusion - Correct Answer-A. Endocarditis
Based on the assessment and the patient's history of rheumatic heart disease
and a prosthetic valve replacement, the patient may have developed
endocarditis. Upon further assessment, you may also identify splinter
hemorrhages or Osler's nodes as additional symptoms
There are _____ layer of the heart.
A. 6 layers
B. 5 layers
C. 4 layers
D. 3 layers - Correct Answer-B. 5 layers
4|Page
