AACN PCCN Practice Test

AACN PCCN Practice Test who is at risk for MDRO infection - patients with severe disease, including compromised host defenses from underlying medical conditions, recent surgery, or indwelling medical devices (ex: foleys or ET tubes) what are classic signs of cardiac tamponade? - hypotension, narrowing pulse pressure, tachycardia with weak, thready pulse, and tachypnea what arrhythmia is mitral valve insufficiency associated with? - afib what defines oliguira? - less than 500 ml of output per day what does renal failure result in? - acidosis what type of HF are patients with OSA at risk for? - right-sided HF what is one of the hallmark features of pancreatitis? - dehydration what is treatment for pancreatitis? - hydration, maintenance of electrolyte balance, nutritional support what is unstable angina characterized by? - new onset pain or increase in frequency/duration of pain. pain generally lasts 15-30 minutes. may be experienced at low exertion or rest and pain tends not to respond to SL nitro. symptoms may be accompanied by diaphoresis or dyspnea. what is stable angina characterized by? - pain on exertion or stress that is relieved by rest or SL Nitro. pain generally does not increase in severity over time what characterizes an acute MI? - constant, severe pain and may be accompanied by nausea, weakness, fatigue, anxiety. not relieved with rest, duration exceeds 30 minutes. what are characteristics of dissection aortic aneurysm? - pain is severe and unrelenting, commonly experienced in chest/abdomen and radiates to the back. pain does not improve spontaneously. what procedure is most appropriate for obtaining heart pressure measurements and diagnosing pulmonary HTN? - right sided heart cath what is the best noninvasive test for pulmonary HTN? - transthoracic echocardiogram what is a reasonable goal for the first day Blood Pressure in a stroke patient? - lower by 15-20% in the first day