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Exam (elaborations)

AACN PCCN PRACTICE TEST REVIEW QUESTIONS AND VERIFIED ANSWERS

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AACN PCCN PRACTICE TEST REVIEW QUESTIONS AND VERIFIED ANSWERS

Institution
PCCN
Course
PCCN

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With epicardial pacemakers, what should you do if there is failure to capture?


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Increase the output (mA) of the pacer until a QRS is seen




What are reciprocal leads to the lateral heart (I, aVL, V5, V6)?


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Inferior: II, III, aVF




What is the mechanism of action of phosphodiesterase inhibitors?

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Relax airway smooth muscle --> bronchodilator and improved lung
function.

Indicated in mild COPD exacerbation.




Signs of a vertebral artery stroke


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* Ipsilateral numbness to face/nose/eye with contralateral numbness to
body
* Facial weakness
* Vertigo
* Ataxia
* Nystagmus
* Dysphagia
* Dysarthria




What are the key characteristics of arterial ulcers and where are they typically
located?


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* Location: most often on the foot, in between or at the tips of the toes, at
pressure points from foot wear, on the heels and around lateral malleolus
* Size and shape: Most likely round, with a "punched out" appearance. They
may range in size from small to large, with well-defined edges.
* Color: Yellow, brown or black in color. Skin may also appear pale and
non-granulating.
* Appearance: often deep, but may also appear shallow in early stages.
Skin surrounding the wound is often thin, smooth, taut and dry. Loss of hair
on the leg is also common.

, * Exudate: often dry due to minimal drainage.
* Pain level: Reportedly very painful. Elevating the leg can increase this
pain.
* Other distinguishing characteristics:
Toenails often appear brittle, yellow, deformed, thick and dry. Pulse may be
indistinguishable around the site of the wound. The area around the wound
is likely cool or cold to the touch due to minimal blood circulation.




What conditions are associated with bicarbonate loss --> metabolic acidosis?


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Diarrhea
Renal failure
Hyperkalemia
Toxins




What are risk factors for developing DM?


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Obesity: BMI > 27 kg/m2
HDL low: < 40 mg/dL
Age > 45
Genetics: parents, grandparents or siblings with DM




What are reciprocal leads to the septum (V1, V2)?


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Institution
PCCN
Course
PCCN

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