PCCN Study Latest Exam
2026/2027 Updated
Verified Questions and
Solutions A+ Pass
Guaranteed
1. 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:
- ANS - fluid volume overload.
2. what is normal Pulmonary artery occlusion pressure (PAOP)?
- ANS - 5-12 mmHg
3. The resistance against which the left ventricle must pump to eject
its volume is:
- ANS - systemic vascular resistance.
4. When the tricuspid valve is open, central venous pressure reflects
the filling pressure in the:
- ANS - right ventricle.
,5. Tachycardia is dangerous for the patient with ischemic heart
disease because of:
- ANS - compromised cardiac output.
6. During initial examination of a critical care patient, the nurse
observes wide and convex nails and bulbous fingertips. This is
evidence of:
- ANS - central cyanosis.
7. Priorities for palpation of the patient with cardiovascular disease
include:
- ANS - estimating edema.
8. checking capillary refill
9. checking for DVT
10. arterial pulses
11. By blocking the conversion of angiotensin I to angiotensin II,
angiotensin-converting enzyme inhibitors produce:
- ANS - b. vasodilation.
12. 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?
- ANS - a. Verapamil, diltiazem, or amlodipine
,13. The nurse has administered a drug that stimulates β1-
adrenergic sites. Following administration of the drug, the nurse
will assess for:
- ANS - a. increased heart rate.
14. 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:
- ANS - c. atrium is being paced.
15. The possibility of microshock when handling a temporary
pacemaker can be minimized by:
- ANS - b. insulating the ends of the wires. and wearing gloves when
handling the pacing wires
16. In the postoperative cardiovascular patient, the most
frequent cause of a decreased cardiac output is:
- ANS - a. reduced preload.
17. 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?
- ANS - a. Position the patient on the left side. or reposition the
leads
18. 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
- ANS - b. pacing artifact; the pacemaker is sensing and capturing.
19. Calculate the cerebral perfusion pressure (CPP) for a patient
with a mean arterial pressure (MAP) = 95 mm Hg and an intracranial
pressure (ICP) = 15 mm Hg.
- ANS - b. 80 mm Hg
20. What procedure secures an arteriovenous malformation when
a pt's condition is too unstable for surgery?
- ANS - embolization that can be done to secure the lesion without
surgery. When the condition is more stable, an operation might be
considered if needed.
21. Knowing that a patient has hypoxemia and ischemia in his
brain, the nurse anticipates which of the following?
- ANS - a. Cerebrovascular dilation
22. The nurse's priority in eye care for the patient in a coma will
be:
- ANS - c. keeping the eyes moist to prevent corneal ulceration.
23. The patient has markedly deep, rapid respirations with a
fruity breath odor. Based on the patient's history, the nurse will:
- ANS - perform a blood glucose measurement.
24. The patient with the syndrome of inappropriate antidiuretic
hormone (SIADH) secretion will need to have the imbalance of
2026/2027 Updated
Verified Questions and
Solutions A+ Pass
Guaranteed
1. 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:
- ANS - fluid volume overload.
2. what is normal Pulmonary artery occlusion pressure (PAOP)?
- ANS - 5-12 mmHg
3. The resistance against which the left ventricle must pump to eject
its volume is:
- ANS - systemic vascular resistance.
4. When the tricuspid valve is open, central venous pressure reflects
the filling pressure in the:
- ANS - right ventricle.
,5. Tachycardia is dangerous for the patient with ischemic heart
disease because of:
- ANS - compromised cardiac output.
6. During initial examination of a critical care patient, the nurse
observes wide and convex nails and bulbous fingertips. This is
evidence of:
- ANS - central cyanosis.
7. Priorities for palpation of the patient with cardiovascular disease
include:
- ANS - estimating edema.
8. checking capillary refill
9. checking for DVT
10. arterial pulses
11. By blocking the conversion of angiotensin I to angiotensin II,
angiotensin-converting enzyme inhibitors produce:
- ANS - b. vasodilation.
12. 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?
- ANS - a. Verapamil, diltiazem, or amlodipine
,13. The nurse has administered a drug that stimulates β1-
adrenergic sites. Following administration of the drug, the nurse
will assess for:
- ANS - a. increased heart rate.
14. 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:
- ANS - c. atrium is being paced.
15. The possibility of microshock when handling a temporary
pacemaker can be minimized by:
- ANS - b. insulating the ends of the wires. and wearing gloves when
handling the pacing wires
16. In the postoperative cardiovascular patient, the most
frequent cause of a decreased cardiac output is:
- ANS - a. reduced preload.
17. 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?
- ANS - a. Position the patient on the left side. or reposition the
leads
18. 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
- ANS - b. pacing artifact; the pacemaker is sensing and capturing.
19. Calculate the cerebral perfusion pressure (CPP) for a patient
with a mean arterial pressure (MAP) = 95 mm Hg and an intracranial
pressure (ICP) = 15 mm Hg.
- ANS - b. 80 mm Hg
20. What procedure secures an arteriovenous malformation when
a pt's condition is too unstable for surgery?
- ANS - embolization that can be done to secure the lesion without
surgery. When the condition is more stable, an operation might be
considered if needed.
21. Knowing that a patient has hypoxemia and ischemia in his
brain, the nurse anticipates which of the following?
- ANS - a. Cerebrovascular dilation
22. The nurse's priority in eye care for the patient in a coma will
be:
- ANS - c. keeping the eyes moist to prevent corneal ulceration.
23. The patient has markedly deep, rapid respirations with a
fruity breath odor. Based on the patient's history, the nurse will:
- ANS - perform a blood glucose measurement.
24. The patient with the syndrome of inappropriate antidiuretic
hormone (SIADH) secretion will need to have the imbalance of
