PCCN EXAM TEST BANK ALL PCCN
QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST VERSION ALREADY
A+ GRADED |NEW AND REVISED
A patient with heart failure presents with weight gain, peripheral
edema, and jugular venous distension. What type of heart failure
is indicated?
Answer: Right-sided heart failure
Which electrolyte imbalance is most likely to cause ventricular
arrhythmias in a progressive care patient?
Answer: Hypokalemia
A patient is being treated for hypertensive crisis with Labetalol
10mg IV Q2H PRN and Enalapril 1.25mg IV Q6H. The RN should
hold the meds and notify the provider when lab findings show:
Answer: ↑ liver function tests
Torsades de Pointes is commonly associated with which of the
following electrolyte disturbances?
Answer: Hypomagnesemia
A patient is admitted to the hospital with abdominal pain and
nausea and was taken to the OR for an emergent bowel resection.
The post-operative course has been complicated by septic shock
and AKI. The patient is placed on intermittent HD. The nurse
,recognizes which of the following is a priority to ensure safe
patient care while receiving renal replacement therapy?
Answer: Frequent electrolyte monitoring to identify electrolyte
shifts
A 52 year old male just underwent a 3 vessel CABG. He has been
in NSR and suddenly converts to a-fib at a rate of 160. His BP
suddenly drops to 72/46 (54) and is feeling SOB. You should
anticipate which of the following?
Answer: Synchronized cardioversion with 100 J
Which of the following is an example of advocacy?
Answer: Standing behind organizational decisions that are formed
based on the needs of patients
During a patient's admission to the PCU, the RN notes a hgb level
of 9g/dL and hct of 27ml/dL. Which med should be confirmed
with the provider prior to administration?
Answer: Erythropoietin
There are _____ layers of the heart.
Answer: 5 layers
Mr. Key has a regular heart rate of 80 beats per minute. The
pacemaker of the heart is likely the:
Answer: SA node
On Mr. Key's ECG, the T wave represents:
Answer: Ventricular repolarization
A 65 year old male patient is admitted to your step down unit
from his physician's office where he experienced transient chest
pain (less than 10 minutes) at a pain level 6/10. He was provided
, with nitroglycerin and transferred by ambulance to your hospital
with an oxygen saturation of 95%. What type of acute coronary
syndrome (ACS) is he demonstrating?
Answer: Stable angina
A 48 year old male is admitted to your unit with shortness of
breath and chest pain relieved by 3 sublingual nitroglycerin tabs
and 2 mg IV morphine. The ECG has ST segment elevation in leads
2, 3, and AVF. The patient has elevated troponin and creatine
phosphate kinase myocardial bands (CPK-MB). This patient is
most likely experiencing a(n)?
Answer: STEMI
Patients with variant or Prinzmetal's angina experience which of
the following?
Answer: ST segment depression of 2 mm or more
Initial management of a patient with acute coronary syndrome
(ACS) includes all of the following except:
Answer: 12 lead EEG
A 55 year old woman one week post myocardial infarction (MI) is
suddenly experiencing hypotension, tachycardia, weakened
peripheral pulses, anxiety, restlessness, low urine output, and
jugular vein distention (JVD). Your concerns include which
possibilities?
Answer: Cardiogenic shock
A 64-year-old male is admitted with an acute exacerbation of
heart failure. The nurse notes a regular heart rhythm with
alternating strong and weak peripheral pulses during palpation.
Which of the following conditions is most likely indicated by this
QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST VERSION ALREADY
A+ GRADED |NEW AND REVISED
A patient with heart failure presents with weight gain, peripheral
edema, and jugular venous distension. What type of heart failure
is indicated?
Answer: Right-sided heart failure
Which electrolyte imbalance is most likely to cause ventricular
arrhythmias in a progressive care patient?
Answer: Hypokalemia
A patient is being treated for hypertensive crisis with Labetalol
10mg IV Q2H PRN and Enalapril 1.25mg IV Q6H. The RN should
hold the meds and notify the provider when lab findings show:
Answer: ↑ liver function tests
Torsades de Pointes is commonly associated with which of the
following electrolyte disturbances?
Answer: Hypomagnesemia
A patient is admitted to the hospital with abdominal pain and
nausea and was taken to the OR for an emergent bowel resection.
The post-operative course has been complicated by septic shock
and AKI. The patient is placed on intermittent HD. The nurse
,recognizes which of the following is a priority to ensure safe
patient care while receiving renal replacement therapy?
Answer: Frequent electrolyte monitoring to identify electrolyte
shifts
A 52 year old male just underwent a 3 vessel CABG. He has been
in NSR and suddenly converts to a-fib at a rate of 160. His BP
suddenly drops to 72/46 (54) and is feeling SOB. You should
anticipate which of the following?
Answer: Synchronized cardioversion with 100 J
Which of the following is an example of advocacy?
Answer: Standing behind organizational decisions that are formed
based on the needs of patients
During a patient's admission to the PCU, the RN notes a hgb level
of 9g/dL and hct of 27ml/dL. Which med should be confirmed
with the provider prior to administration?
Answer: Erythropoietin
There are _____ layers of the heart.
Answer: 5 layers
Mr. Key has a regular heart rate of 80 beats per minute. The
pacemaker of the heart is likely the:
Answer: SA node
On Mr. Key's ECG, the T wave represents:
Answer: Ventricular repolarization
A 65 year old male patient is admitted to your step down unit
from his physician's office where he experienced transient chest
pain (less than 10 minutes) at a pain level 6/10. He was provided
, with nitroglycerin and transferred by ambulance to your hospital
with an oxygen saturation of 95%. What type of acute coronary
syndrome (ACS) is he demonstrating?
Answer: Stable angina
A 48 year old male is admitted to your unit with shortness of
breath and chest pain relieved by 3 sublingual nitroglycerin tabs
and 2 mg IV morphine. The ECG has ST segment elevation in leads
2, 3, and AVF. The patient has elevated troponin and creatine
phosphate kinase myocardial bands (CPK-MB). This patient is
most likely experiencing a(n)?
Answer: STEMI
Patients with variant or Prinzmetal's angina experience which of
the following?
Answer: ST segment depression of 2 mm or more
Initial management of a patient with acute coronary syndrome
(ACS) includes all of the following except:
Answer: 12 lead EEG
A 55 year old woman one week post myocardial infarction (MI) is
suddenly experiencing hypotension, tachycardia, weakened
peripheral pulses, anxiety, restlessness, low urine output, and
jugular vein distention (JVD). Your concerns include which
possibilities?
Answer: Cardiogenic shock
A 64-year-old male is admitted with an acute exacerbation of
heart failure. The nurse notes a regular heart rhythm with
alternating strong and weak peripheral pulses during palpation.
Which of the following conditions is most likely indicated by this
