PCCN CARDIAC EXAM | NEWEST
ACTUAL EXAM COMPLETE QUESTIONS
AND VERIFIED ANSWERS GRADED A+ |
100% PASS | 2025 UPDATE!
If blood pressure is lower by at least 10-11 mm Hg on inspiration than
on expiration, this is known as _____.
-Pulsus alternans
-Pulse pressure
-Pulsus paradoxus
-Pulsus parvus - ✔✔✔ Correct Answer > Pulsus paradoxus
Pulsus paradoxus may be present in conjunction with asthma,
emphysema, cardiac tamponade, restrictive pericarditis, or
hemorrhagic shock.
Pulse pressure is the difference between systolic and diastolic
pressures.
Pulsus parvus means a small or weak pulse
Pulsus alternans means the upstroke is more powerful than the
downstroke -- that is, the stokes alternate in strength.
,Robert suffered an MI but is now in stable condition in the PCU. Seven
family members arrive at the unit demanding to see the pt. Your best
response would be:
-Notify social services
-Identify the responsible family spokesperson and contact him or her
-Refuse to admit more than one person]
-Call security to remove the visitors. - ✔✔✔ Correct Answer >
Identify the responsible family spokesperson and contact him or her.
Visitation policies cary by institution. However, it is best to identify one
person as the point of contact. HIPAA regulations require limitations on
the release of any medical information be set by the patient if the
patient is able to communicate his or her wishes. If the patient is
unable to make this decision, the next of kin can act as a contact
person.
Robert suffered an MI but is now in stable contition in the PCU. After
you have identified his significant other, his estranged wife arrives.
Robert tells you that he does not want contact with her. He even writes
a note to the effect to be placed on his chart. He also states he wants
no information given to his estranged wife. She becomes belligerent
when told of Robert's wishes and threatens the staff with a lawsuit. The
most appropriate nursing action would be :
,-Request an ethics/ multidisciplinary care conference to discuss
communication and dissemination of the patient's medical status and
to review the visitation policy
-Immediately call the hospial's attorney to speak to the estranged wife
-Give the wife any information she wants, but do not inform Robert
that you have done so
-Request that the patient's physician write a non-visitation order for the
wife. - ✔✔✔ Correct Answer > Request an ethics/ multidisciplinary
care conference to discuss communication and dissemination of the
patient's medical status and to review the visitation policy
The best response would be to collaborate and interact with other
professionals.
Rebecca, who is a Jehovah's Witness, has just undergone a cardiac
surgical procedure. Her Hgb and Hct levels have been falling and are
now 6.5 and 24. Her chest tubes have drained 1750 ml in the last 4
hours. The anticipated treatment would be to administer:
-One unit type specific whole blood
-500 ml albumin
-250 ml FFP
-Continuous-circuit auto-transfusion - ✔✔✔ Correct Answer >
Continuous-Circuit Auto-transfusion
, The religious preference of the patient must be respected. The only
acceptable form of transfusion is this case is via auto-transfusion.
The major advantage of using an internal mammary artery for cardiac
bypass would be:
-Greater ease of harvesting
-Better postsurgical patency
-A lowered infection rate
-A lowered rate of reperfusion rhythms - ✔✔✔ Correct Answer >
Better postsurgical patency
Utilizing the internal mammary artery means grafts do not have to
come from the saphenous veins in the legs, minimizing the risk for
infection from another site.
In the graft procedure, the internal mammary artery is seperated at
only one end and reanastomosed to the affected coronary artery distal
to the affected area. The patency of the resulting graft is generally
quite good. After 10 years, approximately 90% of the grafts are still
patent.
Your patient just underwent a percutaneous intervention for stent
placement, after which he was returned to your tele unit. You note a
rash over the patient's trunk and arms. This is probably due to _____.
ACTUAL EXAM COMPLETE QUESTIONS
AND VERIFIED ANSWERS GRADED A+ |
100% PASS | 2025 UPDATE!
If blood pressure is lower by at least 10-11 mm Hg on inspiration than
on expiration, this is known as _____.
-Pulsus alternans
-Pulse pressure
-Pulsus paradoxus
-Pulsus parvus - ✔✔✔ Correct Answer > Pulsus paradoxus
Pulsus paradoxus may be present in conjunction with asthma,
emphysema, cardiac tamponade, restrictive pericarditis, or
hemorrhagic shock.
Pulse pressure is the difference between systolic and diastolic
pressures.
Pulsus parvus means a small or weak pulse
Pulsus alternans means the upstroke is more powerful than the
downstroke -- that is, the stokes alternate in strength.
,Robert suffered an MI but is now in stable condition in the PCU. Seven
family members arrive at the unit demanding to see the pt. Your best
response would be:
-Notify social services
-Identify the responsible family spokesperson and contact him or her
-Refuse to admit more than one person]
-Call security to remove the visitors. - ✔✔✔ Correct Answer >
Identify the responsible family spokesperson and contact him or her.
Visitation policies cary by institution. However, it is best to identify one
person as the point of contact. HIPAA regulations require limitations on
the release of any medical information be set by the patient if the
patient is able to communicate his or her wishes. If the patient is
unable to make this decision, the next of kin can act as a contact
person.
Robert suffered an MI but is now in stable contition in the PCU. After
you have identified his significant other, his estranged wife arrives.
Robert tells you that he does not want contact with her. He even writes
a note to the effect to be placed on his chart. He also states he wants
no information given to his estranged wife. She becomes belligerent
when told of Robert's wishes and threatens the staff with a lawsuit. The
most appropriate nursing action would be :
,-Request an ethics/ multidisciplinary care conference to discuss
communication and dissemination of the patient's medical status and
to review the visitation policy
-Immediately call the hospial's attorney to speak to the estranged wife
-Give the wife any information she wants, but do not inform Robert
that you have done so
-Request that the patient's physician write a non-visitation order for the
wife. - ✔✔✔ Correct Answer > Request an ethics/ multidisciplinary
care conference to discuss communication and dissemination of the
patient's medical status and to review the visitation policy
The best response would be to collaborate and interact with other
professionals.
Rebecca, who is a Jehovah's Witness, has just undergone a cardiac
surgical procedure. Her Hgb and Hct levels have been falling and are
now 6.5 and 24. Her chest tubes have drained 1750 ml in the last 4
hours. The anticipated treatment would be to administer:
-One unit type specific whole blood
-500 ml albumin
-250 ml FFP
-Continuous-circuit auto-transfusion - ✔✔✔ Correct Answer >
Continuous-Circuit Auto-transfusion
, The religious preference of the patient must be respected. The only
acceptable form of transfusion is this case is via auto-transfusion.
The major advantage of using an internal mammary artery for cardiac
bypass would be:
-Greater ease of harvesting
-Better postsurgical patency
-A lowered infection rate
-A lowered rate of reperfusion rhythms - ✔✔✔ Correct Answer >
Better postsurgical patency
Utilizing the internal mammary artery means grafts do not have to
come from the saphenous veins in the legs, minimizing the risk for
infection from another site.
In the graft procedure, the internal mammary artery is seperated at
only one end and reanastomosed to the affected coronary artery distal
to the affected area. The patency of the resulting graft is generally
quite good. After 10 years, approximately 90% of the grafts are still
patent.
Your patient just underwent a percutaneous intervention for stent
placement, after which he was returned to your tele unit. You note a
rash over the patient's trunk and arms. This is probably due to _____.
