AACN PCCN Practice Test EXAM GRADED A NEW UPDATED
SOLUTION
who is at risk for MDRO infection - ANS IS patients with severe disease,
including compromised host defenses from underlying medical conditions, recent
surgery, or indwelling medical devices (ex: foleys or ET tubes)
what are classic signs of cardiac tamponade? - ANS IS hypotension, narrowing
pulse pressure, tachycardia with weak, thready pulse, and tachypnea
what arrhythmia is mitral valve insufficiency associated with? - ANS IS afib
what defines oliguira? - ANS IS less than 500 ml of output per day
what does renal failure result in? - ANS IS acidosis
what type of HF are patients with OSA at risk for? - ANS IS right-sided HF
what is one of the hallmark features of pancreatitis? - ANS IS dehydration
what is treatment for pancreatitis? - ANS IS hydration, maintenance of
electrolyte balance, nutritional support
what is unstable angina characterized by? - ANS IS new onset pain or increase in
frequency/duration of pain. pain generally lasts 15-30 minutes. may be
experienced at low exertion or rest and pain tends not to respond to SL nitro.
symptoms may be accompanied by diaphoresis or dyspnea.
what is stable angina characterized by? - ANS IS pain on exertion or stress that is
relieved by rest or SL Nitro. pain generally does not increase in severity over
time
what characterizes an acute MI? - ANS IS constant, severe pain and may be
accompanied by nausea, weakness, fatigue, anxiety. not relieved with rest,
duration exceeds 30 minutes.
what are characteristics of dissection aortic aneurysm? - ANS IS pain is severe
and unrelenting, commonly experienced in chest/abdomen and radiates to the
back. pain does not improve spontaneously.
, what procedure is most appropriate for obtaining heart pressure measurements
and diagnosing pulmonary HTN? - ANS IS right sided heart cath
what is the best noninvasive test for pulmonary HTN? - ANS IS transthoracic
echocardiogram
what is a reasonable goal for the first day Blood Pressure in a stroke patient? -
ANS IS lower by 15-20% in the first day
what may improve the prognosis of patients with stroke? - ANS IS lowering body
temp
what are the causes of afib in post-cardiac surgery patients? - ANS IS advanced
age, pre-existing medical or cardiac conditions, electrolyte abnormalities,
conduction disturbances that wil likely resolve, and pre-existing atrial or valve
conditions that contribute to the development of this arrythmia
what is a life threatening condition that most commonly occurs with renal
dysfunction? - ANS IS hyperkalemia
what medication is contraindicated in RV infarct? - ANS IS nitro bc it will reduce
preload, and patients with RV infarct are preload dependent
what are the manifestations of hepatic encephalopathy? - ANS IS changes in
mental state, behavior, personality, decreased self-care ability, deterioration of
handwriting, or loss of other small movements, and asterixis ("liver flaps")
what are the manifestations of cerebral edema? - ANS IS decreased LOC,
bradycardia, HTN, bradypnea, posturing, unequal pupils, decreased pupillary
reaction to light
what are impending delirium tremens manifested by? - ANS IS tremors,
irritability, n/v, hallucinations (auditory, visual, or olfactory), confusion,
delusions, and severe agitation
what is impending azotemia manifested by? - ANS IS tachycardia, hypotension,
and signs of dehydration
what is hyponatremia associated with? - ANS IS SIADH
SOLUTION
who is at risk for MDRO infection - ANS IS patients with severe disease,
including compromised host defenses from underlying medical conditions, recent
surgery, or indwelling medical devices (ex: foleys or ET tubes)
what are classic signs of cardiac tamponade? - ANS IS hypotension, narrowing
pulse pressure, tachycardia with weak, thready pulse, and tachypnea
what arrhythmia is mitral valve insufficiency associated with? - ANS IS afib
what defines oliguira? - ANS IS less than 500 ml of output per day
what does renal failure result in? - ANS IS acidosis
what type of HF are patients with OSA at risk for? - ANS IS right-sided HF
what is one of the hallmark features of pancreatitis? - ANS IS dehydration
what is treatment for pancreatitis? - ANS IS hydration, maintenance of
electrolyte balance, nutritional support
what is unstable angina characterized by? - ANS IS new onset pain or increase in
frequency/duration of pain. pain generally lasts 15-30 minutes. may be
experienced at low exertion or rest and pain tends not to respond to SL nitro.
symptoms may be accompanied by diaphoresis or dyspnea.
what is stable angina characterized by? - ANS IS pain on exertion or stress that is
relieved by rest or SL Nitro. pain generally does not increase in severity over
time
what characterizes an acute MI? - ANS IS constant, severe pain and may be
accompanied by nausea, weakness, fatigue, anxiety. not relieved with rest,
duration exceeds 30 minutes.
what are characteristics of dissection aortic aneurysm? - ANS IS pain is severe
and unrelenting, commonly experienced in chest/abdomen and radiates to the
back. pain does not improve spontaneously.
, what procedure is most appropriate for obtaining heart pressure measurements
and diagnosing pulmonary HTN? - ANS IS right sided heart cath
what is the best noninvasive test for pulmonary HTN? - ANS IS transthoracic
echocardiogram
what is a reasonable goal for the first day Blood Pressure in a stroke patient? -
ANS IS lower by 15-20% in the first day
what may improve the prognosis of patients with stroke? - ANS IS lowering body
temp
what are the causes of afib in post-cardiac surgery patients? - ANS IS advanced
age, pre-existing medical or cardiac conditions, electrolyte abnormalities,
conduction disturbances that wil likely resolve, and pre-existing atrial or valve
conditions that contribute to the development of this arrythmia
what is a life threatening condition that most commonly occurs with renal
dysfunction? - ANS IS hyperkalemia
what medication is contraindicated in RV infarct? - ANS IS nitro bc it will reduce
preload, and patients with RV infarct are preload dependent
what are the manifestations of hepatic encephalopathy? - ANS IS changes in
mental state, behavior, personality, decreased self-care ability, deterioration of
handwriting, or loss of other small movements, and asterixis ("liver flaps")
what are the manifestations of cerebral edema? - ANS IS decreased LOC,
bradycardia, HTN, bradypnea, posturing, unequal pupils, decreased pupillary
reaction to light
what are impending delirium tremens manifested by? - ANS IS tremors,
irritability, n/v, hallucinations (auditory, visual, or olfactory), confusion,
delusions, and severe agitation
what is impending azotemia manifested by? - ANS IS tachycardia, hypotension,
and signs of dehydration
what is hyponatremia associated with? - ANS IS SIADH
