PCCN Exam questions | Questions with 100% Verified Answers | Latest Update
Question: 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.
Question: what is normal Pulmonary artery occlusion pressure
(PAOP)?
Answer:
5-12 mmHg
Question: The resistance against which the left ventricle must pump to
eject its volume is:
Answer:
systemic vascular resistance.
Question: When the tricuspid valve is open, central venous pressure
reflects the filling pressure in the:
Answer:
right ventricle.
Question: Tachycardia is dangerous for the patient with ischemic heart
disease because of:
Answer:
compromised cardiac output.
Question: 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.
Question: Priorities for palpation of the patient with cardiovascular
disease include:
Answer:
estimating edema. checking capillary refill checking for DVT arterial pulses
,Question: By blocking the conversion of angiotensin I to angiotensin II,
angiotensin-converting enzyme inhibitors produce:
Answer:
b. vasodilation.
Question: 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
Question: 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.
Question: 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.
Question: 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
Question: In the postoperative cardiovascular patient, the most frequent
cause of a decreased cardiac output is:
Answer:
a. reduced preload.
,Question: 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
Question: 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.
Question: 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.
Answer:
b. 80 mm Hg
Question: What procedure secures an arteriovenous malformation when
a pt's condition is too unstable for surgery?
Answer:
embolization that can be done to secure the lesion without surgery. When the condition is more
stable, an operation might be considered if needed.
Question: Knowing that a patient has hypoxemia and ischemia in his
brain, the nurse anticipates which of the following?
Answer:
a. Cerebrovascular dilation
Question: The nurse's priority in eye care for the patient in a coma will
be:
Answer:
c. keeping the eyes moist to prevent corneal ulceration.
, Question: The patient has markedly deep, rapid respirations with a
fruity breath odor. Based on the patient's history, the nurse will:
Answer:
perform a blood glucose measurement.
Question: The patient with the syndrome of inappropriate antidiuretic
hormone (SIADH) secretion will need to have the imbalance of which
electrolyte corrected as soon as possible?
Answer:
Sodium
Question: Which of the following conditions occurs when the renal
tubules are unable to reabsorb excess glucose?
Answer:
Glycosuria
Question: The patient has a waist measurement of 52 inches. His
triglyceride level is 175 mg/dL, his high-density lipoprotein (HDL)
cholesterol level is 32 mg/dL, and his fasting plasma glucose level is
224 mg/dL. His blood pressure readings are usually approximately
140/90 mm Hg. The nurse recognizes the characteristics of:
Answer:
metabolic syndrome.
Question: To reverse the hyperglycemic hyperosmolar state, the nurse
will first prepare to administer:
Answer:
fluids
Question: The nurse is caring for a patient with central diabetes
insipidus (DI). The nurse should anticipate orders for the administration
of:
Answer:
vasopressin
Question: 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.
Question: what is normal Pulmonary artery occlusion pressure
(PAOP)?
Answer:
5-12 mmHg
Question: The resistance against which the left ventricle must pump to
eject its volume is:
Answer:
systemic vascular resistance.
Question: When the tricuspid valve is open, central venous pressure
reflects the filling pressure in the:
Answer:
right ventricle.
Question: Tachycardia is dangerous for the patient with ischemic heart
disease because of:
Answer:
compromised cardiac output.
Question: 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.
Question: Priorities for palpation of the patient with cardiovascular
disease include:
Answer:
estimating edema. checking capillary refill checking for DVT arterial pulses
,Question: By blocking the conversion of angiotensin I to angiotensin II,
angiotensin-converting enzyme inhibitors produce:
Answer:
b. vasodilation.
Question: 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
Question: 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.
Question: 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.
Question: 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
Question: In the postoperative cardiovascular patient, the most frequent
cause of a decreased cardiac output is:
Answer:
a. reduced preload.
,Question: 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
Question: 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.
Question: 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.
Answer:
b. 80 mm Hg
Question: What procedure secures an arteriovenous malformation when
a pt's condition is too unstable for surgery?
Answer:
embolization that can be done to secure the lesion without surgery. When the condition is more
stable, an operation might be considered if needed.
Question: Knowing that a patient has hypoxemia and ischemia in his
brain, the nurse anticipates which of the following?
Answer:
a. Cerebrovascular dilation
Question: The nurse's priority in eye care for the patient in a coma will
be:
Answer:
c. keeping the eyes moist to prevent corneal ulceration.
, Question: The patient has markedly deep, rapid respirations with a
fruity breath odor. Based on the patient's history, the nurse will:
Answer:
perform a blood glucose measurement.
Question: The patient with the syndrome of inappropriate antidiuretic
hormone (SIADH) secretion will need to have the imbalance of which
electrolyte corrected as soon as possible?
Answer:
Sodium
Question: Which of the following conditions occurs when the renal
tubules are unable to reabsorb excess glucose?
Answer:
Glycosuria
Question: The patient has a waist measurement of 52 inches. His
triglyceride level is 175 mg/dL, his high-density lipoprotein (HDL)
cholesterol level is 32 mg/dL, and his fasting plasma glucose level is
224 mg/dL. His blood pressure readings are usually approximately
140/90 mm Hg. The nurse recognizes the characteristics of:
Answer:
metabolic syndrome.
Question: To reverse the hyperglycemic hyperosmolar state, the nurse
will first prepare to administer:
Answer:
fluids
Question: The nurse is caring for a patient with central diabetes
insipidus (DI). The nurse should anticipate orders for the administration
of:
Answer:
vasopressin
