ALL THE PCCN LATEST EXAM 2025 GRADED A+ WITH
CORRECT QUESTIONS AND WELL RESEARCHED
ANSWERS FROM A VERIFIED SOURCE
The nurse observes that 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: - CORRECT ANSWER-fluid volume overload.
what is normal Pulmonary artery occlusion pressure (PAOP)? -
CORRECT ANSWER-5-12 mmHg
The resistance against which the left ventricle must pump to eject its
volume is: - CORRECT ANSWER-systemic vascular resistance.
When the tricuspid valve is open, central venous pressure reflects the
filling pressure in the: - CORRECT ANSWER-right ventricle.
Tachycardia is dangerous for the patient with ischemic heart disease
because of: - CORRECT ANSWER-compromised cardiac output.
During initial examination of a critical care patient, the nurse observes
wide and convex nails and bulbous fingertips. This is evidence of: -
CORRECT ANSWER-central cyanosis.
,Priorities for palpation of the patient with cardiovascular disease
include: - CORRECT ANSWER-estimating edema.
checking capillary refill
checking for DVT
arterial pulses
By blocking the conversion of angiotensin I to angiotensin II,
angiotensin-converting enzyme inhibitors produce: - CORRECT
ANSWER-b. vasodilation.
The nurse has read that 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? - CORRECT
ANSWER-a. Verapamil, diltiazem, or amlodipine
The nurse has administered a drug that stimulates β1-adrenergic sites.
Following administration of the drug, the nurse will assess for: -
CORRECT ANSWER-a. increased heart rate.
The nurse is observing the patient's electrocardiographic monitor after
insertion of a temporary pacemaker. Seeing a P-wave after the pacing
artifact, the nurse knows that the: - CORRECT ANSWER-c. atrium is
being paced.
The possibility of microshock when handling a temporary pacemaker
can be minimized by: - CORRECT ANSWER-b. insulating the ends of the
wires. and wearing gloves when handling the pacing wires
In the postoperative cardiovascular patient, the most frequent cause of
a decreased cardiac output is: - CORRECT ANSWER-a. reduced preload.
,A patient is being monitored by continuous electrocardiogram (ECG)
after placement of a transvenous pacemaker. "Loss of capture" is seen
on the ECG. Which nursing intervention may correct this situation? -
CORRECT ANSWER-a. Position the patient on the left side. or reposition
the leads
In analyzing the ECG strip, the nurse notices a spike before each QRS
complex. The patient's heart rate is 70 beats/min. This phenomenon is
reflective of - CORRECT ANSWER-b. pacing artifact; the pacemaker is
sensing and capturing.
Calculate the cerebral perfusion pressure (CPP) for a patient with a
mean arterial pressure (MAP) = 95 mm Hg and an intracranial pressure
(ICP) = 15 mm Hg. - CORRECT ANSWER-b. 80 mm Hg
What procedure secures an arteriovenous malformation when a pt's
condition is too unstable for surgery? - CORRECT ANSWER-embolization
that can be done to secure the lesion without surgery. When the
condition is more stable, an operation might be considered if needed.
Knowing that a patient has hypoxemia and ischemia in his brain, the
nurse anticipates which of the following? - CORRECT ANSWER-a.
Cerebrovascular dilation
The nurse's priority in eye care for the patient in a coma will be: -
CORRECT ANSWER-c. keeping the eyes moist to prevent corneal
ulceration.
The patient has markedly deep, rapid respirations with a fruity breath
odor. Based on the patient's history, the nurse will: - CORRECT ANSWER-
perform a blood glucose measurement.
, The patient with the syndrome of inappropriate antidiuretic hormone
(SIADH) secretion will need to have the imbalance of which electrolyte
corrected as soon as possible? - CORRECT ANSWER-Sodium
Which of the following conditions occurs when the renal tubules are
unable to reabsorb excess glucose? - CORRECT ANSWER-Glycosuria
The patient has a waist measurement of 52 inches. His triglyceride level
is 175 mg/dL, his high-density lipoprotein (HDL) cholesterol level is 32
mg/dL, and his fasting plasma glucose level is 224 mg/dL. His blood
pressure readings are usually approximately 140/90 mm Hg. The nurse
recognizes the characteristics of: - CORRECT ANSWER-metabolic
syndrome.
To reverse the hyperglycemic hyperosmolar state, the nurse will first
prepare to administer: - CORRECT ANSWER-fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The
nurse should anticipate orders for the administration of: - CORRECT
ANSWER-vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the
physiological effect is: - CORRECT ANSWER-dilutional hyponatremia,
reducing sodium concentration to critically low levels.
Which assessment findings would indicate fluid volume excess? -
CORRECT ANSWER-edema, auscultation of a third heart sound, crackles
in lungs, bounding pulses, AMS, olguria, HTN
CORRECT QUESTIONS AND WELL RESEARCHED
ANSWERS FROM A VERIFIED SOURCE
The nurse observes that 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: - CORRECT ANSWER-fluid volume overload.
what is normal Pulmonary artery occlusion pressure (PAOP)? -
CORRECT ANSWER-5-12 mmHg
The resistance against which the left ventricle must pump to eject its
volume is: - CORRECT ANSWER-systemic vascular resistance.
When the tricuspid valve is open, central venous pressure reflects the
filling pressure in the: - CORRECT ANSWER-right ventricle.
Tachycardia is dangerous for the patient with ischemic heart disease
because of: - CORRECT ANSWER-compromised cardiac output.
During initial examination of a critical care patient, the nurse observes
wide and convex nails and bulbous fingertips. This is evidence of: -
CORRECT ANSWER-central cyanosis.
,Priorities for palpation of the patient with cardiovascular disease
include: - CORRECT ANSWER-estimating edema.
checking capillary refill
checking for DVT
arterial pulses
By blocking the conversion of angiotensin I to angiotensin II,
angiotensin-converting enzyme inhibitors produce: - CORRECT
ANSWER-b. vasodilation.
The nurse has read that 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? - CORRECT
ANSWER-a. Verapamil, diltiazem, or amlodipine
The nurse has administered a drug that stimulates β1-adrenergic sites.
Following administration of the drug, the nurse will assess for: -
CORRECT ANSWER-a. increased heart rate.
The nurse is observing the patient's electrocardiographic monitor after
insertion of a temporary pacemaker. Seeing a P-wave after the pacing
artifact, the nurse knows that the: - CORRECT ANSWER-c. atrium is
being paced.
The possibility of microshock when handling a temporary pacemaker
can be minimized by: - CORRECT ANSWER-b. insulating the ends of the
wires. and wearing gloves when handling the pacing wires
In the postoperative cardiovascular patient, the most frequent cause of
a decreased cardiac output is: - CORRECT ANSWER-a. reduced preload.
,A patient is being monitored by continuous electrocardiogram (ECG)
after placement of a transvenous pacemaker. "Loss of capture" is seen
on the ECG. Which nursing intervention may correct this situation? -
CORRECT ANSWER-a. Position the patient on the left side. or reposition
the leads
In analyzing the ECG strip, the nurse notices a spike before each QRS
complex. The patient's heart rate is 70 beats/min. This phenomenon is
reflective of - CORRECT ANSWER-b. pacing artifact; the pacemaker is
sensing and capturing.
Calculate the cerebral perfusion pressure (CPP) for a patient with a
mean arterial pressure (MAP) = 95 mm Hg and an intracranial pressure
(ICP) = 15 mm Hg. - CORRECT ANSWER-b. 80 mm Hg
What procedure secures an arteriovenous malformation when a pt's
condition is too unstable for surgery? - CORRECT ANSWER-embolization
that can be done to secure the lesion without surgery. When the
condition is more stable, an operation might be considered if needed.
Knowing that a patient has hypoxemia and ischemia in his brain, the
nurse anticipates which of the following? - CORRECT ANSWER-a.
Cerebrovascular dilation
The nurse's priority in eye care for the patient in a coma will be: -
CORRECT ANSWER-c. keeping the eyes moist to prevent corneal
ulceration.
The patient has markedly deep, rapid respirations with a fruity breath
odor. Based on the patient's history, the nurse will: - CORRECT ANSWER-
perform a blood glucose measurement.
, The patient with the syndrome of inappropriate antidiuretic hormone
(SIADH) secretion will need to have the imbalance of which electrolyte
corrected as soon as possible? - CORRECT ANSWER-Sodium
Which of the following conditions occurs when the renal tubules are
unable to reabsorb excess glucose? - CORRECT ANSWER-Glycosuria
The patient has a waist measurement of 52 inches. His triglyceride level
is 175 mg/dL, his high-density lipoprotein (HDL) cholesterol level is 32
mg/dL, and his fasting plasma glucose level is 224 mg/dL. His blood
pressure readings are usually approximately 140/90 mm Hg. The nurse
recognizes the characteristics of: - CORRECT ANSWER-metabolic
syndrome.
To reverse the hyperglycemic hyperosmolar state, the nurse will first
prepare to administer: - CORRECT ANSWER-fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The
nurse should anticipate orders for the administration of: - CORRECT
ANSWER-vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the
physiological effect is: - CORRECT ANSWER-dilutional hyponatremia,
reducing sodium concentration to critically low levels.
Which assessment findings would indicate fluid volume excess? -
CORRECT ANSWER-edema, auscultation of a third heart sound, crackles
in lungs, bounding pulses, AMS, olguria, HTN
