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PCCN EXAM QUESTIONS

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The nurse observes that fluid volume overload.
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:

what is normal Pulmonary 5-12 mmHg
artery occlusion pressure
(PAOP)?

The resistance against systemic vascular resistance.
which the left ventricle
must pump to eject its
volume is:

When the tricuspid valve is right ventricle.
open, central venous
pressure reflects the filling
pressure in the:

Tachycardia is dangerous compromised cardiac output.
for the patient with
ischemic heart disease
because of:

,During initial examination central cyanosis.
of a critical care patient,
the nurse observes wide
and convex nails and
bulbous fingertips. This is
evidence of:

Priorities for palpation of estimating edema.
the patient with checking capillary refill
cardiovascular disease checking for DVT
include: arterial pulses

By blocking the b. vasodilation.
conversion of angiotensin
I to angiotensin II,
angiotensin-converting
enzyme inhibitors
produce:

The nurse has read that a. Verapamil, diltiazem, or amlodipine
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?

The nurse has a. increased heart rate.
administered a drug that
stimulates β1-adrenergic
sites. Following
administration of the drug,
the nurse will assess for:

, The nurse is observing the c. atrium is being paced.
patient's
electrocardiographic
monitor after insertion of a
temporary pacemaker.
Seeing a P-wave after the
pacing artifact, the nurse
knows that the:

The possibility of b. insulating the ends of the wires. and wearing gloves
microshock when handling when handling the pacing wires
a temporary pacemaker
can be minimized by:

In the postoperative a. reduced preload.
cardiovascular patient, the
most frequent cause of a
decreased cardiac output
is:

A patient is being a. Position the patient on the left side. or reposition
monitored by continuous the leads
electrocardiogram (ECG)
after placement of a
transvenous pacemaker.
"Loss of capture" is seen
on the ECG. Which nursing
intervention may correct
this situation?

In analyzing the ECG strip, b. pacing artifact; the pacemaker is sensing and
the nurse notices a spike capturing.
before each QRS
complex. The patient's
heart rate is 70 beats/min.
This phenomenon is
reflective of

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