PCCN Practice Exam #3 Questions and Answers 100% Pass

PCCN Practice Exam #3 Questions and Answers 100% Pass A patient is being treated for hypertensive crisis with Labetalol 10mg IV Q2H PRN and Enalapril 1.25mg IV Q6H. The RN should hold the meds and notify the provider when lab findings show: A. ↓ potassium B. ↑ hematocrit C. ↓ platelets D. ↑ liver function tests - Correct Answer ️️ -D Torsades de Pointes is commonly associated with which of the following electrolyte disturbances? A. Hyperkalemia B. Hypokalemia C. Hypermagnesemia D. Hypomagnesemia - Correct Answer ️️ -D A patient is admitted to the hospital with abdmominal pain and nausea and was taken to the OR for an emergent bowel resection. The post-operative course has been complicated by septic shock and AKI. The patient is placed on intermittent HD. The nurse recognizes which of the following is a priority to ensure safe patient care while receiving renal replacement therapy? A. Invasive hemodynamic monitoring to assess fluid volume status hourly B. Frequent electrolyte monitoring to identify electrolyte shifts C. Hourly UO monitoring to know when HD should be d/c D. Daily weight monitoring to assess fluid status - Correct Answer ️️ -B A 52 year old male just underwent a 3 vessel CABG. He has been in NSR and suddenly converts to a-fib at a rate of 160. His BP suddenly drops to 72/46 (54) and is feeling SOB. You should anticipate which of the following? A. Adenosine 6mg rapid IVP B. Defibrillation with 100 J C. Synchronized cardioversion with 100 J D. Diltiazem bolus followed by an infusion - Correct Answer ️️ -C Which of the following is an example of advocacy? A. Standing behind organizational decisions that are formed based on the needs of patients B. Working with individuals to create synergistic relationships C. Consistently acting with intention and upholding ethical values and principles D. Being an honest and trustworthy individual - Correct Answer ️️ -A During a patient's admissions to the PCU, the RN notes a hgb level of 9g/dL and hct of 27ml/dL. Which med should be confirmed with the provider prior to administration? A. Metoprolol B. Sulfa-trimethoprim C. Erythropoietin D. Furosemide - Correct Answer ️️ -B (29) A 56 year old male presents in heart block with a ventricular rate of 38 caused from an intentional overdose from calcium channel blockers. What is the appropriate antidote? A. Glucagon B. Diphenhydramine C. Calcium D. Atropine - Correct Answer ️️ -C Acetylsalicylic acid (aspirin) is a non-steroidal anti-inflammatory medication that inhibits the release of which of the following? A. Platelets B. Fibrinogen C. Thromboxane A2 D. Nitric Oxide - Correct Answer ️️ -C The benefit of the Trans-jugular intrahepatic portosystemic shunt (TIPS) procedure is: A. Stop esophageal bleeding B. Relieve portal venous pressure C. Prevent liver enzyme elevation D. Increase blood flow to the liver - Correct Answer ️️ -B Which type of the following heart block complications would you monitor for in the setting of an anterior wall MI? A. 1st degree AV block B. 2nd degree Type I (Wenckebach) C. 2nd degree Type II D. Sinus bradycardia - Correct Answer ️️ -C Which of the following is a complication of infective endocarditis? A. Myocarditis B. Heart failure C. Emboli D. Pericarditis - Correct Answer ️️ -C The patient has been anuric for 2 days and is currently receiving intermittent dialysis with an order to perform ultrafiltration only. Because of this, you know the goal of the therapy is to: A. Remove cytokines B. Remove fluid only C. Rapid removal of excess electrolytes, such as potassium D. Remove metabolic waste such as urea nitrogen and creatinine - Correct Answer ️️ - B A 54 year old patient with no significant medical hx is admitted to the PCU 3 days following elective clipping of a cerebral aneurysm. Which of the followi