PCCN Exam Questions and Answers Revised
Analyzed and Graded A+
A.fib first line of drugs - CORRECT ANSWER ✔️✔️ -Cardizem first then admiodarone
adverse effects of ACE inhibitors - CORRECT ANSWER ✔️✔️ -1. Renal impairment
2. Cough ( d/t bradykinen )
3. Angioedema
Afterload determines the functions of the __________ - CORRECT ANSWER ✔️✔️ -ARTERIES
BE CAREFUL WITH THESE DRUGS FOR PT WITH HYPERTROPHIC
CARDIOMYOPATHY - CORRECT ANSWER ✔️✔️ -1. Digitalis
2. Diuretics
3. Inotropic agents
** can result in closing ventricular outflow and cause cardiac death
Best med for HF - CORRECT ANSWER ✔️✔️ -nitroglycerine (preferred)
bc it decreases preload and afterload and improves CO
& lasix
,BNP < 100 - CORRECT ANSWER ✔️✔️ -CHF unlikely
BNP 100 - 500 with baseline LV dysfunction - CORRECT ANSWER ✔️✔️ -Exacerbation of
CHF
BNP greater than 100 with no baseline LV dysfunction - CORRECT ANSWER ✔️✔️ -CHF
LIKELY
Causes of decreases of preload - CORRECT ANSWER ✔️✔️ -1. Hypovolemia
2. Arrhythmia
3. Loss of atrial kick
4. Venous vasodilation
Chest pain assessment - CORRECT ANSWER ✔️✔️ -P : pain, placement, provocation
Q : quality (sharp, stabbing, pressure), quantity
R : Radiation, relief
S : Severity, systems (nausea, sweaty, dizziness)
T : Timing ( when it started, how long did it last, what makes it better or worse )
COPD will cause enlargement in which part of the heart - CORRECT ANSWER ✔️✔️ -Right
ventricular enlargement
Digoxin is mainly given to what type of patients - CORRECT ANSWER ✔️✔️ -HF with
concomitant atrial fibrilation
, -it's a positive ionotrope & slows AV conduction
-monitor for hypokalemia and hypercalcemia
diltazem (Cardizem) is what type of pharmalogical drug - CORRECT ANSWER ✔️✔️ -calcium
channel blocker , you know it's effective when HR decreases
Dobutrex is used for pt's with - CORRECT ANSWER ✔️✔️ -kidney function?
Explain a positive hepatojugular reflex - CORRECT ANSWER ✔️✔️ -Pushing on the liver on
acute pts can cause JVD to appear
Explain the difference between systolic and diastolic's HF heart anatomy change - CORRECT
ANSWER ✔️✔️ -1. Systolic HF'S ventricle's dilate with wall thinning
2. Diastolic HF'S ventricle's DOES NOT dilate with wall thickening
half of the deaths from heart failure occurs suddenly and are most likely due to the result of
what? - CORRECT ANSWER ✔️✔️ -dysrhytmia
How do POSITIVE ionotropic agents work - CORRECT ANSWER ✔️✔️ -Increases the force of
myocardial contraction enhancing stroke volume -> increasing cardiac output
How does a pt with right sided failure present? - CORRECT ANSWER ✔️✔️ -1. Systemic
engorgement, poor perfusion
2. Sternal heave, right sided - S3
Analyzed and Graded A+
A.fib first line of drugs - CORRECT ANSWER ✔️✔️ -Cardizem first then admiodarone
adverse effects of ACE inhibitors - CORRECT ANSWER ✔️✔️ -1. Renal impairment
2. Cough ( d/t bradykinen )
3. Angioedema
Afterload determines the functions of the __________ - CORRECT ANSWER ✔️✔️ -ARTERIES
BE CAREFUL WITH THESE DRUGS FOR PT WITH HYPERTROPHIC
CARDIOMYOPATHY - CORRECT ANSWER ✔️✔️ -1. Digitalis
2. Diuretics
3. Inotropic agents
** can result in closing ventricular outflow and cause cardiac death
Best med for HF - CORRECT ANSWER ✔️✔️ -nitroglycerine (preferred)
bc it decreases preload and afterload and improves CO
& lasix
,BNP < 100 - CORRECT ANSWER ✔️✔️ -CHF unlikely
BNP 100 - 500 with baseline LV dysfunction - CORRECT ANSWER ✔️✔️ -Exacerbation of
CHF
BNP greater than 100 with no baseline LV dysfunction - CORRECT ANSWER ✔️✔️ -CHF
LIKELY
Causes of decreases of preload - CORRECT ANSWER ✔️✔️ -1. Hypovolemia
2. Arrhythmia
3. Loss of atrial kick
4. Venous vasodilation
Chest pain assessment - CORRECT ANSWER ✔️✔️ -P : pain, placement, provocation
Q : quality (sharp, stabbing, pressure), quantity
R : Radiation, relief
S : Severity, systems (nausea, sweaty, dizziness)
T : Timing ( when it started, how long did it last, what makes it better or worse )
COPD will cause enlargement in which part of the heart - CORRECT ANSWER ✔️✔️ -Right
ventricular enlargement
Digoxin is mainly given to what type of patients - CORRECT ANSWER ✔️✔️ -HF with
concomitant atrial fibrilation
, -it's a positive ionotrope & slows AV conduction
-monitor for hypokalemia and hypercalcemia
diltazem (Cardizem) is what type of pharmalogical drug - CORRECT ANSWER ✔️✔️ -calcium
channel blocker , you know it's effective when HR decreases
Dobutrex is used for pt's with - CORRECT ANSWER ✔️✔️ -kidney function?
Explain a positive hepatojugular reflex - CORRECT ANSWER ✔️✔️ -Pushing on the liver on
acute pts can cause JVD to appear
Explain the difference between systolic and diastolic's HF heart anatomy change - CORRECT
ANSWER ✔️✔️ -1. Systolic HF'S ventricle's dilate with wall thinning
2. Diastolic HF'S ventricle's DOES NOT dilate with wall thickening
half of the deaths from heart failure occurs suddenly and are most likely due to the result of
what? - CORRECT ANSWER ✔️✔️ -dysrhytmia
How do POSITIVE ionotropic agents work - CORRECT ANSWER ✔️✔️ -Increases the force of
myocardial contraction enhancing stroke volume -> increasing cardiac output
How does a pt with right sided failure present? - CORRECT ANSWER ✔️✔️ -1. Systemic
engorgement, poor perfusion
2. Sternal heave, right sided - S3
