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Exam (elaborations)

PCCN _

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Exam of 85 pages for the course PCCN _ at PCCN _ (PCCN _)

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PCCN _
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PCCN _

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1 of 132

Definition



A patient is admitted with adrenal insufficiency. The provider orders
Dexamethasone (Decadron). Which side effect should you
anticipate?
A. Increased potassium level
B. Increased calcium level
C. Hypoglycemia
D. Proximal muscle weakness



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d (Side effects of dexamethasone include decreased potassium and
calcium levels, hyperglycemia, and myopathy that results in proximal
muscle weakness.)




a (The best place to auscultate the mitral valve is the left mid-clavicular line, 5th
ICS-directly over the anatomic location of the valve. The mitral valve is open
during diastole, so altered flow due to stenosis is best heard then.)

, b (In acute asthma exacerbation, hypercapnia or elevated PaCO2 is an ominous
sign and indicates the patient is becoming fatigued and going into acute
respiratory failure.)




Lepirudin (Refludan)


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2 of 132

Term



a (Atrial fibrillation. Atrial fibrillation occurs due to distension of the
atrial myocardial tissue as a result of reduced left ventricular
emptying. The tissues around the pulmonary veins are typical sites
for atrial ectopy. 2nd degree AV block type II and 3rd degree AV
block are complications associated with occlusion of the left
anterior descending artery during acute coronary syndrome. 2nd
degree AV block type I is seen with conditions that produce
ischemia to the AV node.)



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Pharmaceutical management of hypertrophic cardiomyopathy should include:
A. Metoprolol (Lopressor)
B. Furosemide (Lasix)
C. Digoxin (Lanoxin)
D. Nitroprusside (Nipride)




A patient with Diabetes Insipidus (DI) should be closely monitored for:
A. Ventricular dysrhythmias

, B. S3 ventricular gallop
C. Hypovolemic shock
D. Adrenal crisis



Which set of lab values is commonly seen in acute pancreatitis?
A. Hyperglycemia, hypercalcemia, hyperkalemia
B. Hyperglycemia, hypocalcemia, hypokalemia
C. Hypoglycemia, hypocalcemia, hypokalemia
D. Hypoglycemia, hypercalcemia, hyperkalemia




Which arrhythmia is commonly associated with left-sided heart failure? A.
Atrial fibrillation
B. 2nd degree AV block type I
C. 2nd degree AV block type II
D. 3rd degree AV block


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3 of 132

Definition



Janeway lesions, splinter hemorrhages, mucosal petechiae, and
Roth's spots are indicators of ______________________.



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pericarditis endocarditis




myocarditis valvular prolapse


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, 4 of 132

Definition



A patient with refractory hypoxemia and diffuse crackles should be
evaluated for ______________.



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ARDS (acute respiratory
Pneumothorax
distress syndrome)




Asthmatic bronchitis COPD exacerbation


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5 of 132

Definition



Diuresis and dehydration cause preload to ___________.



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increase decrease




fluctuate stabilize


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Institution
PCCN _
Course
PCCN _

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Uploaded on
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Number of pages
85
Written in
2025/2026
Type
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Contains
Questions & answers

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