All the PCCN Exam questions with all the correct answers (100% VERIFIED 2024 UPDATE)

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: - CORRECT ANSWERSfluid volume overload. what is normal Pulmonary artery occlusion pressure (PAOP)? - CORRECT ANSWERS5-12 mmHg The resistance against which the left ventricle must pump to eject its volume is: - CORRECT ANSWERSsystemic vascular resistance. When the tricuspid valve is open, central venous pressure reflects the filling pressure in the: - CORRECT ANSWERSright ventricle. Tachycardia is dangerous for the patient with ischemic heart disease because of: - CORRECT ANSWERScompromised cardiac output. During initial examination of a critical care patient, the nurse observes wide and convex nails and bulbous fingertips. This is evidence of: - CORRECT ANSWERScentral cyanosis. Priorities for palpation of the patient with cardiovascular disease include: - CORRECT ANSWERSestimating edema. checking capillary refill checking for DVT arterial pulses By blocking the conversion of angiotensin I to angiotensin II, angiotensin-converting enzyme inhibitors produce: - CORRECT ANSWERSb. 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? - CORRECT ANSWERSa. 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: - CORRECT ANSWERSa. 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: - CORRECT ANSWERSc. atrium is being paced. The possibility of microshock when handling a temporary pacemaker can be minimized by: - CORRECT ANSWERSb. 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: - CORRECT ANSWERSa. 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? - CORRECT ANSWERSa. 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 - CORRECT ANSWERSb