PCCN CARDIAC EXAM | NEWEST n n n n
ACTUAL EXAM COMPLETE QUESTIONS n n n n
AND VERIFIED ANSWERS GRADED A+ | 1
n n n n n n
00% PASS | 2025 UPDATE! n n n n
If blood pressure is lower by at least 10-
n n n n n n n n
11 mm Hg on inspiration than on expiration, this is known as .
n n n n n n n n n n n n
-Pulsus alternans n
-Pulse pressure n
-Pulsus paradoxus n
-Pulsus parvus - ✔✔✔ Correct Answer > Pulsus paradoxus
n n n n n n n n
Pulsus paradoxus may be present in conjunction with asthma, emphys
n n n n n n n n n
ema, cardiac tamponade, restrictive pericarditis, or hemorrhagic shock
n n n n n n n
.
Pulse pressure is the difference between systolic and diastolic pressure
n n n n n n n n n
s.
Pulsus parvus means a small or weak pulse
n n n n n n n
Pulsus alternans means the upstroke is more powerful than the downst
n n n n n n n n n n
roke -- that is, the stokes alternate in strength.
n n n n n n n n
,Robert suffered an MI but is now in stable condition in the PCU. Seven fa
n n n n n n n n n n n n n n
mily members arrive at the unit demanding to see the pt. Your best respo
n n n n n n n n n n n n n
nse would be:
n n
-Notify social services n n
-Identify the responsible family spokesperson and contact him or her
n n n n n n n n n
-Refuse to admit more than one person]
n n n n n n
-Call security to remove the visitors. - ✔✔✔ Correct Answer >
n n n n n n n n n n
Identify the responsible family spokesperson and contact him or her.
n n n n n n n n n
Visitation policies cary by institution. However, it is best to identify one p
n n n n n n n n n n n n
erson as the point of contact. HIPAA regulations require limitations on th
n n n n n n n n n n n
e release of any medical information be set by the patient if the patient is
n n n n n n n n n n n n n n
able to communicate his or her wishes. If the patient is unable to make t
n n n n n n n n n n n n n n n
his decision, the next of kin can act as a contact person.
n n n n n n n n n n n
Robert suffered an MI but is now in stable contition in the PCU. After yo
n n n n n n n n n n n n n n
u have identified his significant other, his estranged wife arrives.
n n n n n n n n n
Robert tells you that he does not want contact with her. He even writes a
n n n n n n n n n n n n n n n
note to the effect to be placed on his chart. He also states he wants no inf
n n n n n n n n n n n n n n n n
ormation given to his estranged wife. She becomes belligerent when told
n n n n n n n n n n
of Robert's wishes and threatens the staff with a lawsuit. The most appro
n n n n n n n n n n n n n
priate nursing action would be :
n n n n n
,-
Request an ethics/ multidisciplinary care conference to discuss commu
n n n n n n n n
nication and dissemination of the patient's medical status and to revie
n n n n n n n n n n
w the visitation policy
n n n
-Immediately call the hospial's attorney to speak to the estranged wife
n n n n n n n n n n
-
Give the wife any information she wants, but do not inform Robert that
n n n n n n n n n n n n n
you have done son n n
-Request that the patient's physician write a non-
n n n n n n n
visitation order for the wife. - n n n n n
n✔✔✔ Correct Answer > Request an ethics/ multidisciplinary care conf
n n n n n n n n n
erence to discuss communication and dissemination of the patient's med
n n n n n n n n n
ical status and to review the visitation policy
n n n n n n n
The best response would be to collaborate and interact with other prof
n n n n n n n n n n n
essionals.
Rebecca, who is a Jehovah's Witness, has just undergone a cardiac sur
n n n n n n n n n n n
gical procedure. Her Hgb and Hct levels have been falling and are now
n n n n n n n n n n n n n
6.5 and 24. Her chest tubes have drained 1750 ml in the last 4 hours. T
n n n n n n n n n n n n n n n
he anticipated treatment would be to administer:
n n n n n n
-One unit type specific whole blood
n n n n n
-500 ml albumin n n
-250 ml FFP n n
-Continuous-circuit auto-transfusion - ✔✔✔ Correct Answer > n n n n n n
Continuous-Circuit Auto-transfusion n
, The religious preference of the patient must be respected. The only acc
n n n n n n n n n n n
eptable form of transfusion is this case is via auto-transfusion.
n n n n n n n n n
The major advantage of using an internal mammary artery for cardiac b
n n n n n n n n n n n
ypass would be: n n
-Greater ease of harvesting n n n
-Better postsurgical patency
n n
-A lowered infection rate
n n n
-A lowered rate of reperfusion rhythms - ✔✔✔ Correct Answer >
n n n n n n n n n n
Better postsurgical patency
n n
Utilizing the internal mammary artery means grafts do not have to c
n n n n n n n n n n n
ome from the saphenous veins in the legs, minimizing the risk for inf
n n n n n n n n n n n n
ection from another site.
n n n
In the graft procedure, the internal mammary artery is seperated at only
n n n n n n n n n n n n
one end and reanastomosed to the affected coronary artery distal to the
n n n n n n n n n n n n
affected area. The patency of the resulting graft is generally quite good.
n n n n n n n n n n n n
After 10 years, approximately 90% of the grafts are still patent.
n n n n n n n n n n
Your patient just underwent a percutaneous intervention for stent pla
n n n n n n n n n
cement, after which he was returned to your tele unit. You note a rash
n n n n n n n n n n n n n n
over the patient's trunk and arms. This is probably due to
n n . n n n n n n n n n
ACTUAL EXAM COMPLETE QUESTIONS n n n n
AND VERIFIED ANSWERS GRADED A+ | 1
n n n n n n
00% PASS | 2025 UPDATE! n n n n
If blood pressure is lower by at least 10-
n n n n n n n n
11 mm Hg on inspiration than on expiration, this is known as .
n n n n n n n n n n n n
-Pulsus alternans n
-Pulse pressure n
-Pulsus paradoxus n
-Pulsus parvus - ✔✔✔ Correct Answer > Pulsus paradoxus
n n n n n n n n
Pulsus paradoxus may be present in conjunction with asthma, emphys
n n n n n n n n n
ema, cardiac tamponade, restrictive pericarditis, or hemorrhagic shock
n n n n n n n
.
Pulse pressure is the difference between systolic and diastolic pressure
n n n n n n n n n
s.
Pulsus parvus means a small or weak pulse
n n n n n n n
Pulsus alternans means the upstroke is more powerful than the downst
n n n n n n n n n n
roke -- that is, the stokes alternate in strength.
n n n n n n n n
,Robert suffered an MI but is now in stable condition in the PCU. Seven fa
n n n n n n n n n n n n n n
mily members arrive at the unit demanding to see the pt. Your best respo
n n n n n n n n n n n n n
nse would be:
n n
-Notify social services n n
-Identify the responsible family spokesperson and contact him or her
n n n n n n n n n
-Refuse to admit more than one person]
n n n n n n
-Call security to remove the visitors. - ✔✔✔ Correct Answer >
n n n n n n n n n n
Identify the responsible family spokesperson and contact him or her.
n n n n n n n n n
Visitation policies cary by institution. However, it is best to identify one p
n n n n n n n n n n n n
erson as the point of contact. HIPAA regulations require limitations on th
n n n n n n n n n n n
e release of any medical information be set by the patient if the patient is
n n n n n n n n n n n n n n
able to communicate his or her wishes. If the patient is unable to make t
n n n n n n n n n n n n n n n
his decision, the next of kin can act as a contact person.
n n n n n n n n n n n
Robert suffered an MI but is now in stable contition in the PCU. After yo
n n n n n n n n n n n n n n
u have identified his significant other, his estranged wife arrives.
n n n n n n n n n
Robert tells you that he does not want contact with her. He even writes a
n n n n n n n n n n n n n n n
note to the effect to be placed on his chart. He also states he wants no inf
n n n n n n n n n n n n n n n n
ormation given to his estranged wife. She becomes belligerent when told
n n n n n n n n n n
of Robert's wishes and threatens the staff with a lawsuit. The most appro
n n n n n n n n n n n n n
priate nursing action would be :
n n n n n
,-
Request an ethics/ multidisciplinary care conference to discuss commu
n n n n n n n n
nication and dissemination of the patient's medical status and to revie
n n n n n n n n n n
w the visitation policy
n n n
-Immediately call the hospial's attorney to speak to the estranged wife
n n n n n n n n n n
-
Give the wife any information she wants, but do not inform Robert that
n n n n n n n n n n n n n
you have done son n n
-Request that the patient's physician write a non-
n n n n n n n
visitation order for the wife. - n n n n n
n✔✔✔ Correct Answer > Request an ethics/ multidisciplinary care conf
n n n n n n n n n
erence to discuss communication and dissemination of the patient's med
n n n n n n n n n
ical status and to review the visitation policy
n n n n n n n
The best response would be to collaborate and interact with other prof
n n n n n n n n n n n
essionals.
Rebecca, who is a Jehovah's Witness, has just undergone a cardiac sur
n n n n n n n n n n n
gical procedure. Her Hgb and Hct levels have been falling and are now
n n n n n n n n n n n n n
6.5 and 24. Her chest tubes have drained 1750 ml in the last 4 hours. T
n n n n n n n n n n n n n n n
he anticipated treatment would be to administer:
n n n n n n
-One unit type specific whole blood
n n n n n
-500 ml albumin n n
-250 ml FFP n n
-Continuous-circuit auto-transfusion - ✔✔✔ Correct Answer > n n n n n n
Continuous-Circuit Auto-transfusion n
, The religious preference of the patient must be respected. The only acc
n n n n n n n n n n n
eptable form of transfusion is this case is via auto-transfusion.
n n n n n n n n n
The major advantage of using an internal mammary artery for cardiac b
n n n n n n n n n n n
ypass would be: n n
-Greater ease of harvesting n n n
-Better postsurgical patency
n n
-A lowered infection rate
n n n
-A lowered rate of reperfusion rhythms - ✔✔✔ Correct Answer >
n n n n n n n n n n
Better postsurgical patency
n n
Utilizing the internal mammary artery means grafts do not have to c
n n n n n n n n n n n
ome from the saphenous veins in the legs, minimizing the risk for inf
n n n n n n n n n n n n
ection from another site.
n n n
In the graft procedure, the internal mammary artery is seperated at only
n n n n n n n n n n n n
one end and reanastomosed to the affected coronary artery distal to the
n n n n n n n n n n n n
affected area. The patency of the resulting graft is generally quite good.
n n n n n n n n n n n n
After 10 years, approximately 90% of the grafts are still patent.
n n n n n n n n n n
Your patient just underwent a percutaneous intervention for stent pla
n n n n n n n n n
cement, after which he was returned to your tele unit. You note a rash
n n n n n n n n n n n n n n
over the patient's trunk and arms. This is probably due to
n n . n n n n n n n n n
