1|Page
PCCN EXAM NEWEST 2025 TEST BANK| 2 VERSIONS
(VERSION A & B) WITH COMPLETE 650 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
PROGRESSIVE CARE CERTIFIED NURSE EXAM PREP
(MOST RECENT!!)
PROGRESSIVE CARE CERTIFIED NURSE VERSION A.
A patient is discharged with the diagnosis of severe peripheral vascular
disease (PVD). In addition to medication and a walking regime, if
applicable, which of the following is essential education at time of
discharge?
A. nutritional counseling
B. smoking cessation counseling
C. social work consult
D. speech therapy consult - Correct Answer - B.
Cessation of tobacco use is the most important non-pharmacological
intervention that can be done to improve signs and symptoms of
peripheral bvascular disease. Social work consult and speech therapy
may not be indicated in this patient. All patients may benefit from
nutrition counseling; however, this is not a primary concern for this
patient.
A medication that dilates both the venous and arterial beds will cause
which of the following results?
pg. 1
,2|Page
A. increased preload, decreased afterload
B. increased preload, increased afterload
C. decreased preload, decreased afterload
D. decreased preload, increased afterload - Correct Answer - C.
When both the venous and arterial beds are dilated, there will be less
venous return, causing a decreased preload (ex. nitroglycerin). With
arterial vasodilation, the afterload will decrease (ex nitroprusside, ACE-
I). Afterload in this case is resistant to LV pumping.
The gold standard diagnostic tool for the identification, location of
disease and severity of coronary artery disease is:
A. a stress test
B. an echocardiography
C. cardiac catheterization
D. a spiral computer tomography (CT scan) - Correct Answer - C.
The gold standard, or best diagnostic tool, for the diagnosis, location and
severity of coronary artery disease is the cardiac catheterization
performed in the cath laboratory. Echocardiography is excellent in
revealing structure changes, but not coronary artery disease. A stress test
may be a good screening tool, but again, is not the gold standard, nor is
CT scanning
The most common complication after a STEMI is:
A. heart failure
pg. 2
,3|Page
B. dysrhythmia
C. ventricular septal rupture
D. ventricular wall rupture - Correct Answer - B. dysrhythmia
The most common complication after a STEMI is dysrhthmia due to
irritability of the ischemic myocardium and the dead myocardium that
does not transmit electrical stimuli. With interior-wall STEMI, the most
common dysrhythmia is bradycardia and heart block. With anterior-wall
STEMI, tachydysrhythmias such as ventricular tachycardia and/or
ventricular fibrillation are most common. Heart failure, ventricular
septal wall rupture and ventricular rupture are infrequent complications
after STEMI and carry a very poor prognosis.
The most common cause of heart failure in the US is:
A. valvular disease
B. ischemic heart disease
C. renal failure
D. hepatitis - Correct Answer - B. ischemic heart disease
In the US, the most common cause of heart failure is ischemic heart
disease. After STEMI or NSTEMI with damage to the myocardium,
ventricular failure may result secondary to decreased ejection fraction.
Each insult to the myocardium may make the heart failure worse. For
many years, valvular disease, caused by untreated strep throat, was one
of the most common causes of heart failure. However, that has changed
since the newer strep tests provide rapid results, preventing delayed
treatments. Renal failure and hepatitis are serious illnesses but are not
common causes of heart failure.
pg. 3
, 4|Page
Medications commonly used in the treatment of heart failure include:
A. ACE inhibitors, beta blockers
B. calcium channel blockers
C. nitrates
D. calcium channel blockers and digoxin (Lanoxicaps) - Correct Answer
- A. ACE inhibitors, beta blockers
The most effective and evidence-based practice treatment of heart failure
is neurohormonal blockade. These medications include beta blockers
and ACE inhibitors. They reduce preload and afterload as well as
controlling heart rate and BP. Calcium channel blockers are not used in
heart failure since they tend to increase the absorption of sodium and
water. Nitrates are used for treatment in conjunction with other drugs.
Beta blockers are ACE-I are the foundation of treatments. Digoxin is
also used but only after the beta blockers and ACE-I are started.
The heart's primary compensatory response to chronic aortic stenosis
includes:
A. left arterial hypertrophy
B. left ventricular hypertrophy
C. left ventricular dilation
D. right ventricular dysfunction - Correct Answer - B.
With chronic aortic stenosis, the left ventricle hypertrophies over time
due to the increased workload of pumping blood through a narrowed
opening. This leads to diastolic dysfunction as well as hypertrophy. The
left atrium will enlarge over time, but the primary result is left
pg. 4
PCCN EXAM NEWEST 2025 TEST BANK| 2 VERSIONS
(VERSION A & B) WITH COMPLETE 650 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
PROGRESSIVE CARE CERTIFIED NURSE EXAM PREP
(MOST RECENT!!)
PROGRESSIVE CARE CERTIFIED NURSE VERSION A.
A patient is discharged with the diagnosis of severe peripheral vascular
disease (PVD). In addition to medication and a walking regime, if
applicable, which of the following is essential education at time of
discharge?
A. nutritional counseling
B. smoking cessation counseling
C. social work consult
D. speech therapy consult - Correct Answer - B.
Cessation of tobacco use is the most important non-pharmacological
intervention that can be done to improve signs and symptoms of
peripheral bvascular disease. Social work consult and speech therapy
may not be indicated in this patient. All patients may benefit from
nutrition counseling; however, this is not a primary concern for this
patient.
A medication that dilates both the venous and arterial beds will cause
which of the following results?
pg. 1
,2|Page
A. increased preload, decreased afterload
B. increased preload, increased afterload
C. decreased preload, decreased afterload
D. decreased preload, increased afterload - Correct Answer - C.
When both the venous and arterial beds are dilated, there will be less
venous return, causing a decreased preload (ex. nitroglycerin). With
arterial vasodilation, the afterload will decrease (ex nitroprusside, ACE-
I). Afterload in this case is resistant to LV pumping.
The gold standard diagnostic tool for the identification, location of
disease and severity of coronary artery disease is:
A. a stress test
B. an echocardiography
C. cardiac catheterization
D. a spiral computer tomography (CT scan) - Correct Answer - C.
The gold standard, or best diagnostic tool, for the diagnosis, location and
severity of coronary artery disease is the cardiac catheterization
performed in the cath laboratory. Echocardiography is excellent in
revealing structure changes, but not coronary artery disease. A stress test
may be a good screening tool, but again, is not the gold standard, nor is
CT scanning
The most common complication after a STEMI is:
A. heart failure
pg. 2
,3|Page
B. dysrhythmia
C. ventricular septal rupture
D. ventricular wall rupture - Correct Answer - B. dysrhythmia
The most common complication after a STEMI is dysrhthmia due to
irritability of the ischemic myocardium and the dead myocardium that
does not transmit electrical stimuli. With interior-wall STEMI, the most
common dysrhythmia is bradycardia and heart block. With anterior-wall
STEMI, tachydysrhythmias such as ventricular tachycardia and/or
ventricular fibrillation are most common. Heart failure, ventricular
septal wall rupture and ventricular rupture are infrequent complications
after STEMI and carry a very poor prognosis.
The most common cause of heart failure in the US is:
A. valvular disease
B. ischemic heart disease
C. renal failure
D. hepatitis - Correct Answer - B. ischemic heart disease
In the US, the most common cause of heart failure is ischemic heart
disease. After STEMI or NSTEMI with damage to the myocardium,
ventricular failure may result secondary to decreased ejection fraction.
Each insult to the myocardium may make the heart failure worse. For
many years, valvular disease, caused by untreated strep throat, was one
of the most common causes of heart failure. However, that has changed
since the newer strep tests provide rapid results, preventing delayed
treatments. Renal failure and hepatitis are serious illnesses but are not
common causes of heart failure.
pg. 3
, 4|Page
Medications commonly used in the treatment of heart failure include:
A. ACE inhibitors, beta blockers
B. calcium channel blockers
C. nitrates
D. calcium channel blockers and digoxin (Lanoxicaps) - Correct Answer
- A. ACE inhibitors, beta blockers
The most effective and evidence-based practice treatment of heart failure
is neurohormonal blockade. These medications include beta blockers
and ACE inhibitors. They reduce preload and afterload as well as
controlling heart rate and BP. Calcium channel blockers are not used in
heart failure since they tend to increase the absorption of sodium and
water. Nitrates are used for treatment in conjunction with other drugs.
Beta blockers are ACE-I are the foundation of treatments. Digoxin is
also used but only after the beta blockers and ACE-I are started.
The heart's primary compensatory response to chronic aortic stenosis
includes:
A. left arterial hypertrophy
B. left ventricular hypertrophy
C. left ventricular dilation
D. right ventricular dysfunction - Correct Answer - B.
With chronic aortic stenosis, the left ventricle hypertrophies over time
due to the increased workload of pumping blood through a narrowed
opening. This leads to diastolic dysfunction as well as hypertrophy. The
left atrium will enlarge over time, but the primary result is left
pg. 4
