PCCN FINAL EXAM AND PRACTICE EXAM |
NEWEST ACTUAL EXAM COMPLETE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% PASS | 2025 UPDATE!
Which two meds should never be used together? - ✔✔✔ Correct
Answer > Ace Inhibitors and ARBs (-sartan drugs)
-ARBs are given if you can't use an ACE inhibitor ( esp if pt has cough
and angioedema from ACE I
Will sepsis increase or decrease preload? - ✔✔✔ Correct Answer >
Decrease preload d/t blood in peripheral areas of the body being
unable to get to heart
How does Entresto (Sacubitril /Valsartan compound) work with
patient's with HF - ✔✔✔ Correct Answer > Prevents break down of
BNP, which helps you diurese. (Neprilysin and RAAS inhibition)
Causes of decreases of preload - ✔✔✔ Correct Answer > 1.
Hypovolemia
2. Arrhythmia
3. Loss of atrial kick
,4. Venous vasodilation
What can decrease contractility - ✔✔✔ Correct Answer > 1.
Parasympathetic stimulation
2. Negative ionotropic therapies ( beta blockers & ca channel blockers )
3. Hyperkalemia, acidosis
4. Acidosis
When are ARBS contraindicated - ✔✔✔ Correct Answer > if pt has
bilateral renal artery stenosis
In ACUTE HF situations with HTN , DO NOT GIVE WHICH MEDICATION?
- ✔✔✔ Correct Answer > Beta Blockers!
What are popular aquaretic drugs and how do they work for HF pt -
✔✔✔ Correct Answer > 1. Conivaptan (Vapirsol) -> IV V2 antagonist
2. Tolvaptan (Samsca) -> PO V2 antagonist
- gets rid of pure water and keeps sodium intact , pt will be extremely
thirsty
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
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 )
this is the amount of blood leaving the heart in over a minute - ✔✔✔
Correct Answer > Cardiac output
this is the amount volume that leaves the heart with each beat (
mL/beat) - ✔✔✔ Correct Answer > Stroke volume
Stroke volume consists of which 3 things - ✔✔✔ Correct Answer >
Preload Afterload Contractility
This the volume of blood in the ventricle at the end of diastole - ✔✔✔
Correct Answer > preload (the stretch of the ventricle)
NEWEST ACTUAL EXAM COMPLETE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% PASS | 2025 UPDATE!
Which two meds should never be used together? - ✔✔✔ Correct
Answer > Ace Inhibitors and ARBs (-sartan drugs)
-ARBs are given if you can't use an ACE inhibitor ( esp if pt has cough
and angioedema from ACE I
Will sepsis increase or decrease preload? - ✔✔✔ Correct Answer >
Decrease preload d/t blood in peripheral areas of the body being
unable to get to heart
How does Entresto (Sacubitril /Valsartan compound) work with
patient's with HF - ✔✔✔ Correct Answer > Prevents break down of
BNP, which helps you diurese. (Neprilysin and RAAS inhibition)
Causes of decreases of preload - ✔✔✔ Correct Answer > 1.
Hypovolemia
2. Arrhythmia
3. Loss of atrial kick
,4. Venous vasodilation
What can decrease contractility - ✔✔✔ Correct Answer > 1.
Parasympathetic stimulation
2. Negative ionotropic therapies ( beta blockers & ca channel blockers )
3. Hyperkalemia, acidosis
4. Acidosis
When are ARBS contraindicated - ✔✔✔ Correct Answer > if pt has
bilateral renal artery stenosis
In ACUTE HF situations with HTN , DO NOT GIVE WHICH MEDICATION?
- ✔✔✔ Correct Answer > Beta Blockers!
What are popular aquaretic drugs and how do they work for HF pt -
✔✔✔ Correct Answer > 1. Conivaptan (Vapirsol) -> IV V2 antagonist
2. Tolvaptan (Samsca) -> PO V2 antagonist
- gets rid of pure water and keeps sodium intact , pt will be extremely
thirsty
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
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 )
this is the amount of blood leaving the heart in over a minute - ✔✔✔
Correct Answer > Cardiac output
this is the amount volume that leaves the heart with each beat (
mL/beat) - ✔✔✔ Correct Answer > Stroke volume
Stroke volume consists of which 3 things - ✔✔✔ Correct Answer >
Preload Afterload Contractility
This the volume of blood in the ventricle at the end of diastole - ✔✔✔
Correct Answer > preload (the stretch of the ventricle)
