PCCN 2025 Exam Review Questions
with Correct Verified Answers
(Rationales). Latest Edition 2025-2026.
Graded A
2 Classification of NSTEMI – ANS 2 Classifications: ST depression/ T-wave
inversion.
NSTE - Negative Troponin -> Unstable Angina (precursor to MI, blood flow
restored) - Outpt stress testing.
NSTEMI - Positive Troponin - > AC use, Heart Cath within 48 hrs, CABG
( IF L. MAIN VESSEL OR > 3 VESSEL)
Afterload - ANSThe resistance (pressure) the ventricles need to overcome.
High - Vasoconstriction (pul htn)
Low - Vasodilation ( sepsis)
Cardiac Blood Flow - ANS1. Superior/Inferior Vena Cava
2. Right Atrium
3. Tricuspid Valve
4. RIght Ventricle
5. Pulmonic Valve
6. Pulmonic Artery - > Lungs
7. Pulmonic Veins
1
, 8. Left Atrium
9. Mitral Valve
10. Left Ventricle
11. Aortic Valve
12. Aorta
Causes of Mitral Valve Regurgitation - ANSinfective endocarditis,
Cardiomyopathy, ruptured chordae tendineae from an MI, mitral valve
prolapse
Chest Pain / Symptom Assessment - PQRST - ANSProvocation
Quality
Region/radiation
Severity
Timing
Classification of Acute Coronary Syndrome - ANS1. NSTEMI
2. STEMI
Diabetes Insipidus (Sip) - ANSantidiuretic hormone is not secreted
adequately, or the kidney is resistant to its effect
Diabetes insipidus labs - ANS1. hypernatremia
2. elevated BUN/Cr
3. increased serum osmo >295
4. decreased urine osmo < 200
5. decreased urine specific gravity < 1.005
2
with Correct Verified Answers
(Rationales). Latest Edition 2025-2026.
Graded A
2 Classification of NSTEMI – ANS 2 Classifications: ST depression/ T-wave
inversion.
NSTE - Negative Troponin -> Unstable Angina (precursor to MI, blood flow
restored) - Outpt stress testing.
NSTEMI - Positive Troponin - > AC use, Heart Cath within 48 hrs, CABG
( IF L. MAIN VESSEL OR > 3 VESSEL)
Afterload - ANSThe resistance (pressure) the ventricles need to overcome.
High - Vasoconstriction (pul htn)
Low - Vasodilation ( sepsis)
Cardiac Blood Flow - ANS1. Superior/Inferior Vena Cava
2. Right Atrium
3. Tricuspid Valve
4. RIght Ventricle
5. Pulmonic Valve
6. Pulmonic Artery - > Lungs
7. Pulmonic Veins
1
, 8. Left Atrium
9. Mitral Valve
10. Left Ventricle
11. Aortic Valve
12. Aorta
Causes of Mitral Valve Regurgitation - ANSinfective endocarditis,
Cardiomyopathy, ruptured chordae tendineae from an MI, mitral valve
prolapse
Chest Pain / Symptom Assessment - PQRST - ANSProvocation
Quality
Region/radiation
Severity
Timing
Classification of Acute Coronary Syndrome - ANS1. NSTEMI
2. STEMI
Diabetes Insipidus (Sip) - ANSantidiuretic hormone is not secreted
adequately, or the kidney is resistant to its effect
Diabetes insipidus labs - ANS1. hypernatremia
2. elevated BUN/Cr
3. increased serum osmo >295
4. decreased urine osmo < 200
5. decreased urine specific gravity < 1.005
2
