All the PCCN Exam Comprehensive
Questions (Frequently Tested) and
Complete Solutions Graded A+
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All the PCCN Exam - Answer: Exam Coverage
Exam coverage for the AACN PCCN Exam includes the comprehensive
clinical knowledge and professional competencies required for
progressive care nursing. It focuses on cardiovascular, pulmonary,
neurological, endocrine, renal, gastrointestinal, hematologic, and
,multisystem disorders, emphasizing the care of acutely ill adult
patients. The exam evaluates understanding of hemodynamic
monitoring, dysrhythmia interpretation, pharmacology, and evidence-
based interventions for complex patient conditions. It also covers
professional caring and ethical practice, including advocacy,
collaboration, systems thinking, and clinical inquiry. Emphasis is placed
on clinical judgment, patient safety, early recognition of complications,
and the application of advanced nursing skills in progressive and step-
down care settings.
what is normal Pulmonary artery occlusion pressure (PAOP)? - Answer:
5-12 mmHg
The nurse observes that the patient's jugular veins distend in the semi-
upright position to more than 5 cm above the sternal angle. This is an
indication of: - Answer: fluid volume overload.
The resistance against which the left ventricle must pump to eject its
volume is: - Answer: systemic vascular resistance.
When the tricuspid valve is open, central venous pressure reflects the
filling pressure in the: - Answer: right ventricle.
,Tachycardia is dangerous for the patient with ischemic heart disease
because of: - Answer: compromised cardiac output.
During initial examination of a critical care patient, the nurse observes
wide and convex nails and bulbous fingertips. This is evidence of: -
Answer: central cyanosis.
Priorities for palpation of the patient with cardiovascular disease
include: - Answer: estimating edema.
checking capillary refill
checking for DVT
arterial pulses
By blocking the conversion of angiotensin I to angiotensin II,
angiotensin-converting enzyme inhibitors produce: - Answer: b.
vasodilation.
The nurse has read that the cardiologist recommends the use of class IV
drugs to depress sinus and atrioventricular node conduction and
terminate supraventricular tachycardias in the patient at this time. The
nurse will anticipate orders for which medications? - Answer: a.
Verapamil, diltiazem, or amlodipine
, The nurse has administered a drug that stimulates β1-adrenergic sites.
Following administration of the drug, the nurse will assess for: -
Answer: a. increased heart rate.
The nurse is observing the patient's electrocardiographic monitor after
insertion of a temporary pacemaker. Seeing a P-wave after the pacing
artifact, the nurse knows that the: - Answer: c. atrium is being paced.
The possibility of microshock when handling a temporary pacemaker
can be minimized by: - Answer: b. insulating the ends of the wires. and
wearing gloves when handling the pacing wires
In the postoperative cardiovascular patient, the most frequent cause of
a decreased cardiac output is: - Answer: a. reduced preload.
A patient is being monitored by continuous electrocardiogram (ECG)
after placement of a transvenous pacemaker. "Loss of capture" is seen
on the ECG. Which nursing intervention may correct this situation? -
Answer: a. Position the patient on the left side. or reposition the leads
In analyzing the ECG strip, the nurse notices a spike before each QRS
complex. The patient's heart rate is 70 beats/min. This phenomenon is
reflective of - Answer: b. pacing artifact; the pacemaker is sensing and
capturing.
Questions (Frequently Tested) and
Complete Solutions Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Contact Information
Email:
WhatsApp link: https://wa.me/254704846336
Fast Response | Confidential | Reliable Academic Support
Helping Students Achieve Academic Excellence
All the PCCN Exam - Answer: Exam Coverage
Exam coverage for the AACN PCCN Exam includes the comprehensive
clinical knowledge and professional competencies required for
progressive care nursing. It focuses on cardiovascular, pulmonary,
neurological, endocrine, renal, gastrointestinal, hematologic, and
,multisystem disorders, emphasizing the care of acutely ill adult
patients. The exam evaluates understanding of hemodynamic
monitoring, dysrhythmia interpretation, pharmacology, and evidence-
based interventions for complex patient conditions. It also covers
professional caring and ethical practice, including advocacy,
collaboration, systems thinking, and clinical inquiry. Emphasis is placed
on clinical judgment, patient safety, early recognition of complications,
and the application of advanced nursing skills in progressive and step-
down care settings.
what is normal Pulmonary artery occlusion pressure (PAOP)? - Answer:
5-12 mmHg
The nurse observes that the patient's jugular veins distend in the semi-
upright position to more than 5 cm above the sternal angle. This is an
indication of: - Answer: fluid volume overload.
The resistance against which the left ventricle must pump to eject its
volume is: - Answer: systemic vascular resistance.
When the tricuspid valve is open, central venous pressure reflects the
filling pressure in the: - Answer: right ventricle.
,Tachycardia is dangerous for the patient with ischemic heart disease
because of: - Answer: compromised cardiac output.
During initial examination of a critical care patient, the nurse observes
wide and convex nails and bulbous fingertips. This is evidence of: -
Answer: central cyanosis.
Priorities for palpation of the patient with cardiovascular disease
include: - Answer: estimating edema.
checking capillary refill
checking for DVT
arterial pulses
By blocking the conversion of angiotensin I to angiotensin II,
angiotensin-converting enzyme inhibitors produce: - Answer: b.
vasodilation.
The nurse has read that the cardiologist recommends the use of class IV
drugs to depress sinus and atrioventricular node conduction and
terminate supraventricular tachycardias in the patient at this time. The
nurse will anticipate orders for which medications? - Answer: a.
Verapamil, diltiazem, or amlodipine
, The nurse has administered a drug that stimulates β1-adrenergic sites.
Following administration of the drug, the nurse will assess for: -
Answer: a. increased heart rate.
The nurse is observing the patient's electrocardiographic monitor after
insertion of a temporary pacemaker. Seeing a P-wave after the pacing
artifact, the nurse knows that the: - Answer: c. atrium is being paced.
The possibility of microshock when handling a temporary pacemaker
can be minimized by: - Answer: b. insulating the ends of the wires. and
wearing gloves when handling the pacing wires
In the postoperative cardiovascular patient, the most frequent cause of
a decreased cardiac output is: - Answer: a. reduced preload.
A patient is being monitored by continuous electrocardiogram (ECG)
after placement of a transvenous pacemaker. "Loss of capture" is seen
on the ECG. Which nursing intervention may correct this situation? -
Answer: a. Position the patient on the left side. or reposition the leads
In analyzing the ECG strip, the nurse notices a spike before each QRS
complex. The patient's heart rate is 70 beats/min. This phenomenon is
reflective of - Answer: b. pacing artifact; the pacemaker is sensing and
capturing.
