PCCN ACTUAL EXAM ALL QUESTIONS AND WELL ELABORATED ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED HIGHLY RECOMMENDED |NEW AND REVISED

PCCN ACTUAL EXAM ALL QUESTIONS
AND WELL ELABORATED ANSWERS
TOP RATED VERSION FOR ALREADY A+
GRADED HIGHLY RECOMMENDED
|NEW AND REVISED
whatRisRnormalRPulmonaryRarteryRocclusionRpressureR(PAOP)?R-RCORRECTRANSWER5-12RmmHg



TheRnurseRobservesRthatRtheRpatient'sRjugularRveinsRdistendRinRtheRsemi-
uprightRpositionRtoRmoreRthanR5RcmRaboveRtheRsternalRangle.RThisRisRanRindicationRof:R-
RCORRECTRANSWERfluidRvolumeRoverload.




TheRresistanceRagainstRwhichRtheRleftRventricleRmustRpumpRtoRejectRitsRvolumeRis:R-
RCORRECTRANSWERsystemicRvascularRresistance.




WhenRtheRtricuspidRvalveRisRopen,RcentralRvenousRpressureRreflectsRtheRfillingRpressureRinRthe:R-
RCORRECTRANSWERrightRventricle.




TachycardiaRisRdangerousRforRtheRpatientRwithRischemicRheartRdiseaseRbecauseRof:R-
RCORRECTRANSWERcompromisedRcardiacRoutput.




DuringRinitialRexaminationRofRaRcriticalRcareRpatient,RtheRnurseRobservesRwideRandRconvexRnailsRan
dRbulbousRfingertips.RThisRisRevidenceRof:R-RCORRECTRANSWERcentralRcyanosis.



PrioritiesRforRpalpationRofRtheRpatientRwithRcardiovascularRdiseaseRinclude:R-
RCORRECTRANSWERestimatingRedema.



checkingRcapillaryRrefill

checkingRforRDVT

,arterialRpulses



ByRblockingRtheRconversionRofRangiotensinRIRtoRangiotensinRII,Rangiotensin-
convertingRenzymeRinhibitorsRproduce:R-RCORRECTRANSWERb.Rvasodilation.



TheRnurseRhasRreadRthatRtheRcardiologistRrecommendsRtheRuseRofRclassRIVRdrugsRtoRdepressRsinusR
andRatrioventricularRnodeRconductionRandRterminateRsupraventricularRtachycardiasRinRtheRpatient
RatRthisRtime.RTheRnurseRwillRanticipateRordersRforRwhichRmedications?R-


RCORRECTRANSWERa.RVerapamil,Rdiltiazem,RorRamlodipine




TheRnurseRhasRadministeredRaRdrugRthatRstimulatesRβ1-
adrenergicRsites.RFollowingRadministrationRofRtheRdrug,RtheRnurseRwillRassessRfor:R-
RCORRECTRANSWERa.RincreasedRheartRrate.




TheRnurseRisRobservingRtheRpatient'sRelectrocardiographicRmonitorRafterRinsertionRofRaRtemporaryR
pacemaker.RSeeingRaRP-waveRafterRtheRpacingRartifact,RtheRnurseRknowsRthatRthe:R-
RCORRECTRANSWERc.RatriumRisRbeingRpaced.




TheRpossibilityRofRmicroshockRwhenRhandlingRaRtemporaryRpacemakerRcanRbeRminimizedRby:R-
RCORRECTRANSWERb.RinsulatingRtheRendsRofRtheRwires.RandRwearingRglovesRwhenRhandlingRtheRpa


cingRwires



InRtheRpostoperativeRcardiovascularRpatient,RtheRmostRfrequentRcauseRofRaRdecreasedRcardiacRout
putRis:R-RCORRECTRANSWERa.RreducedRpreload.



ARpatientRisRbeingRmonitoredRbyRcontinuousRelectrocardiogramR(ECG)RafterRplacementRofRaRtransv
enousRpacemaker.R"LossRofRcapture"RisRseenRonRtheRECG.RWhichRnursingRinterventionRmayRcorrectR
thisRsituation?R-
RCORRECTRANSWERa.RPositionRtheRpatientRonRtheRleftRside.RorRrepositionRtheRleads

,InRanalyzingRtheRECGRstrip,RtheRnurseRnoticesRaRspikeRbeforeReachRQRSRcomplex.RTheRpatient'sRhea
rtRrateRisR70Rbeats/min.RThisRphenomenonRisRreflectiveRofR-
RCORRECTRANSWERb.RpacingRartifact;RtheRpacemakerRisRsensingRandRcapturing.




CalculateRtheRcerebralRperfusionRpressureR(CPP)RforRaRpatientRwithRaRmeanRarterialRpressureR(MAP
)R=R95RmmRHgRandRanRintracranialRpressureR(ICP)R=R15RmmRHg.R-RCORRECTRANSWERb.R80RmmRHg



WhatRprocedureRsecuresRanRarteriovenousRmalformationRwhenRaRpt'sRconditionRisRtooRunstableRfo
rRsurgery?R-
RCORRECTRANSWERembolizationRthatRcanRbeRdoneRtoRsecureRtheRlesionRwithoutRsurgery.RWhenRt


heRconditionRisRmoreRstable,RanRoperationRmightRbeRconsideredRifRneeded.



KnowingRthatRaRpatientRhasRhypoxemiaRandRischemiaRinRhisRbrain,RtheRnurseRanticipatesRwhichRofRt
heRfollowing?R-RCORRECTRANSWERa.RCerebrovascularRdilation



TheRnurse'sRpriorityRinReyeRcareRforRtheRpatientRinRaRcomaRwillRbe:R-
RCORRECTRANSWERc.RkeepingRtheReyesRmoistRtoRpreventRcornealRulceration.




TheRpatientRhasRmarkedlyRdeep,RrapidRrespirationsRwithRaRfruityRbreathRodor.RBasedRonRtheRpatien
t'sRhistory,RtheRnurseRwill:R-RCORRECTRANSWERperformRaRbloodRglucoseRmeasurement.



TheRpatientRwithRtheRsyndromeRofRinappropriateRantidiureticRhormoneR(SIADH)RsecretionRwillRnee
dRtoRhaveRtheRimbalanceRofRwhichRelectrolyteRcorrectedRasRsoonRasRpossible?R-
RCORRECTRANSWERSodium




WhichRofRtheRfollowingRconditionsRoccursRwhenRtheRrenalRtubulesRareRunableRtoRreabsorbRexcessR
glucose?R-RCORRECTRANSWERGlycosuria



TheRpatientRhasRaRwaistRmeasurementRofR52Rinches.RHisRtriglycerideRlevelRisR175Rmg/dL,RhisRhigh-
densityRlipoproteinR(HDL)RcholesterolRlevelRisR32Rmg/dL,RandRhisRfastingRplasmaRglucoseRlevelRisR22

, 4Rmg/dL.RHisRbloodRpressureRreadingsRareRusuallyRapproximatelyR140/90RmmRHg.RTheRnurseRrecog
nizesRtheRcharacteristicsRof:R-RCORRECTRANSWERmetabolicRsyndrome.



ToRreverseRtheRhyperglycemicRhyperosmolarRstate,RtheRnurseRwillRfirstRprepareRtoRadminister:R-
RCORRECTRANSWERfluids




TheRnurseRisRcaringRforRaRpatientRwithRcentralRdiabetesRinsipidusR(DI).RTheRnurseRshouldRanticipateR
ordersRforRtheRadministrationRof:R-RCORRECTRANSWERvasopressin



InRtheRsyndromeRofRinappropriateRantidiureticRhormoneR(SIADH),RtheRphysiologicalReffectRis:R-
RCORRECTRANSWERdilutionalRhyponatremia,RreducingRsodiumRconcentrationRtoRcriticallyRlowRlev


els.



WhichRassessmentRfindingsRwouldRindicateRfluidRvolumeRexcess?R-
RCORRECTRANSWERedema,RauscultationRofRaRthirdRheartRsound,RcracklesRinRlungs,RboundingRpuls


es,RAMS,Rolguria,RHTN



TheRreportRofRaRrenalRpatient'sRlaboratoryRresultsRshowsRthatRtheRbloodRureaRnitrogenR(BUN)Rlevel
RisRlessRthanR25Rmg/dL.RToRfullyRunderstandRtheRpatient'sRrenalRstatus,RtheRnurseRmustRconsiderRthi


sRvalueRalongRwith:R-RCORRECTRANSWERc.RcreatinineRlevel.



ToRdetermineRwhetherRedemaRinRaRpatient'sRhandsRisRdueRtoRcirculatoryRcompromiseRorRanotherRc
ause,RtheRnurseRmight:R-
RCORRECTRANSWERelevateRtheRpatient'sRextremitiesRforR1RhourRandRobserveRtheRdegreeRofRedem


aRstillRpresent.



HypovolemiaRcausesRtachycardiaRandR:R-RCORRECTRANSWERhypotension.