PCCN Exam questions with correct
answers,70
The nurse observes that the patient's jugular veins distend in the semi-upright position to
more than 5 cm above the sternal angle. This is an indication of: - verified answers; fluid
volume overload.
what is normal Pulmonary artery occlusion pressure (PAOP)? - verified answers; 5-12 mmHg
The resistance against which the left ventricle must pump to eject its volume is: - verified
answers; systemic vascular resistance.
When the tricuspid valve is open, central venous pressure reflects the filling pressure in the: -
verified answers; right ventricle.
Tachycardia is dangerous for the patient with ischemic heart disease because of: - verified
answers; compromised cardiac output.
During initial examination of a critical care patient, the nurse observes wide and convex nails
and bulbous fingertips. This is evidence of: - verified answers; central cyanosis.
Priorities for palpation of the patient with cardiovascular disease include: - verified answers;
estimating edema.
checking capillary refill
checking for DVT
arterial pulses
,By blocking the conversion of angiotensin I to angiotensin II, angiotensin-converting enzyme
inhibitors produce: - verified answers; b. vasodilation.
The nurse has read that the cardiologist recommends the use of class IV drugs to depress
sinus and atrioventricular node conduction and terminate supraventricular tachycardias in the
patient at this time. The nurse will anticipate orders for which medications? - verified
answers; a. Verapamil, diltiazem, or amlodipine
The nurse has administered a drug that stimulates β1-adrenergic sites. Following
administration of the drug, the nurse will assess for: - verified answers; a. increased heart
rate.
The nurse is observing the patient's electrocardiographic monitor after insertion of a
temporary pacemaker. Seeing a P-wave after the pacing artifact, the nurse knows that the: -
verified answers; c. atrium is being paced.
The possibility of microshock when handling a temporary pacemaker can be minimized by: -
verified answers; b. insulating the ends of the wires. and wearing gloves when handling the
pacing wires
In the postoperative cardiovascular patient, the most frequent cause of a decreased cardiac
output is: - verified answers; a. reduced preload.
A patient is being monitored by continuous electrocardiogram (ECG) after placement of a
transvenous pacemaker. "Loss of capture" is seen on the ECG. Which nursing intervention may
correct this situation? - verified answers; a. Position the patient on the left side. or reposition
the leads
In analyzing the ECG strip, the nurse notices a spike before each QRS complex. The patient's
heart rate is 70 beats/min. This phenomenon is reflective of - verified answers; b. pacing
artifact; the pacemaker is sensing and capturing.
,Calculate the cerebral perfusion pressure (CPP) for a patient with a mean arterial pressure
(MAP) = 95 mm Hg and an intracranial pressure (ICP) = 15 mm Hg. - verified answers; b. 80
mm Hg
What procedure secures an arteriovenous malformation when a pt's condition is too unstable
for surgery? - verified answers; embolization that can be done to secure the lesion without
surgery. When the condition is more stable, an operation might be considered if needed.
Knowing that a patient has hypoxemia and ischemia in his brain, the nurse anticipates which
of the following? - verified answers; a. Cerebrovascular dilation
The nurse's priority in eye care for the patient in a coma will be: - verified answers; c. keeping
the eyes moist to prevent corneal ulceration.
The patient has markedly deep, rapid respirations with a fruity breath odor. Based on the
patient's history, the nurse will: - verified answers; perform a blood glucose measurement.
The patient with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion will
need to have the imbalance of which electrolyte corrected as soon as possible? - verified
answers; Sodium
Which of the following conditions occurs when the renal tubules are unable to reabsorb
excess glucose? - verified answers; Glycosuria
The patient has a waist measurement of 52 inches. His triglyceride level is 175 mg/dL, his
high-density lipoprotein (HDL) cholesterol level is 32 mg/dL, and his fasting plasma glucose
level is 224 mg/dL. His blood pressure readings are usually approximately 140/90 mm Hg. The
nurse recognizes the characteristics of: - verified answers; metabolic syndrome.
, To reverse the hyperglycemic hyperosmolar state, the nurse will first prepare to administer: -
verified answers; fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The nurse should
anticipate orders for the administration of: - verified answers; vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the physiological effect is: -
verified answers; dilutional hyponatremia, reducing sodium concentration to critically low
levels.
Which assessment findings would indicate fluid volume excess? - verified answers; edema,
auscultation of a third heart sound, crackles in lungs, bounding pulses, AMS, olguria, HTN
The report of a renal patient's laboratory results shows that the blood urea nitrogen (BUN)
level is less than 25 mg/dL. To fully understand the patient's renal status, the nurse must
consider this value along with: - verified answers; c. creatinine level.
To determine whether edema in a patient's hands is due to circulatory compromise or
another cause, the nurse might: - verified answers; elevate the patient's extremities for 1
hour and observe the degree of edema still present.
Hypovolemia causes tachycardia and : - verified answers; hypotension.
To avoid the complications that can result from administering furosemide (Lasix) to stimulate
urinary output, the nurse will carefully monitor: - verified answers; levels of electrolytes,
especially potassium.
Which dialysis method would be most appropriate for the hemodynamically stable patient in
the anuric phase of acute kidney injury (AKI)? - verified answers; Intermittent hemodialysis
answers,70
The nurse observes that the patient's jugular veins distend in the semi-upright position to
more than 5 cm above the sternal angle. This is an indication of: - verified answers; fluid
volume overload.
what is normal Pulmonary artery occlusion pressure (PAOP)? - verified answers; 5-12 mmHg
The resistance against which the left ventricle must pump to eject its volume is: - verified
answers; systemic vascular resistance.
When the tricuspid valve is open, central venous pressure reflects the filling pressure in the: -
verified answers; right ventricle.
Tachycardia is dangerous for the patient with ischemic heart disease because of: - verified
answers; compromised cardiac output.
During initial examination of a critical care patient, the nurse observes wide and convex nails
and bulbous fingertips. This is evidence of: - verified answers; central cyanosis.
Priorities for palpation of the patient with cardiovascular disease include: - verified answers;
estimating edema.
checking capillary refill
checking for DVT
arterial pulses
,By blocking the conversion of angiotensin I to angiotensin II, angiotensin-converting enzyme
inhibitors produce: - verified answers; b. vasodilation.
The nurse has read that the cardiologist recommends the use of class IV drugs to depress
sinus and atrioventricular node conduction and terminate supraventricular tachycardias in the
patient at this time. The nurse will anticipate orders for which medications? - verified
answers; a. Verapamil, diltiazem, or amlodipine
The nurse has administered a drug that stimulates β1-adrenergic sites. Following
administration of the drug, the nurse will assess for: - verified answers; a. increased heart
rate.
The nurse is observing the patient's electrocardiographic monitor after insertion of a
temporary pacemaker. Seeing a P-wave after the pacing artifact, the nurse knows that the: -
verified answers; c. atrium is being paced.
The possibility of microshock when handling a temporary pacemaker can be minimized by: -
verified answers; b. insulating the ends of the wires. and wearing gloves when handling the
pacing wires
In the postoperative cardiovascular patient, the most frequent cause of a decreased cardiac
output is: - verified answers; a. reduced preload.
A patient is being monitored by continuous electrocardiogram (ECG) after placement of a
transvenous pacemaker. "Loss of capture" is seen on the ECG. Which nursing intervention may
correct this situation? - verified answers; a. Position the patient on the left side. or reposition
the leads
In analyzing the ECG strip, the nurse notices a spike before each QRS complex. The patient's
heart rate is 70 beats/min. This phenomenon is reflective of - verified answers; b. pacing
artifact; the pacemaker is sensing and capturing.
,Calculate the cerebral perfusion pressure (CPP) for a patient with a mean arterial pressure
(MAP) = 95 mm Hg and an intracranial pressure (ICP) = 15 mm Hg. - verified answers; b. 80
mm Hg
What procedure secures an arteriovenous malformation when a pt's condition is too unstable
for surgery? - verified answers; embolization that can be done to secure the lesion without
surgery. When the condition is more stable, an operation might be considered if needed.
Knowing that a patient has hypoxemia and ischemia in his brain, the nurse anticipates which
of the following? - verified answers; a. Cerebrovascular dilation
The nurse's priority in eye care for the patient in a coma will be: - verified answers; c. keeping
the eyes moist to prevent corneal ulceration.
The patient has markedly deep, rapid respirations with a fruity breath odor. Based on the
patient's history, the nurse will: - verified answers; perform a blood glucose measurement.
The patient with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion will
need to have the imbalance of which electrolyte corrected as soon as possible? - verified
answers; Sodium
Which of the following conditions occurs when the renal tubules are unable to reabsorb
excess glucose? - verified answers; Glycosuria
The patient has a waist measurement of 52 inches. His triglyceride level is 175 mg/dL, his
high-density lipoprotein (HDL) cholesterol level is 32 mg/dL, and his fasting plasma glucose
level is 224 mg/dL. His blood pressure readings are usually approximately 140/90 mm Hg. The
nurse recognizes the characteristics of: - verified answers; metabolic syndrome.
, To reverse the hyperglycemic hyperosmolar state, the nurse will first prepare to administer: -
verified answers; fluids
The nurse is caring for a patient with central diabetes insipidus (DI). The nurse should
anticipate orders for the administration of: - verified answers; vasopressin
In the syndrome of inappropriate antidiuretic hormone (SIADH), the physiological effect is: -
verified answers; dilutional hyponatremia, reducing sodium concentration to critically low
levels.
Which assessment findings would indicate fluid volume excess? - verified answers; edema,
auscultation of a third heart sound, crackles in lungs, bounding pulses, AMS, olguria, HTN
The report of a renal patient's laboratory results shows that the blood urea nitrogen (BUN)
level is less than 25 mg/dL. To fully understand the patient's renal status, the nurse must
consider this value along with: - verified answers; c. creatinine level.
To determine whether edema in a patient's hands is due to circulatory compromise or
another cause, the nurse might: - verified answers; elevate the patient's extremities for 1
hour and observe the degree of edema still present.
Hypovolemia causes tachycardia and : - verified answers; hypotension.
To avoid the complications that can result from administering furosemide (Lasix) to stimulate
urinary output, the nurse will carefully monitor: - verified answers; levels of electrolytes,
especially potassium.
Which dialysis method would be most appropriate for the hemodynamically stable patient in
the anuric phase of acute kidney injury (AKI)? - verified answers; Intermittent hemodialysis
