PCCN CARDIAC EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+BRAND NEW VERSION!!.pdf

PCCN CARDIAC EXAM | NEWEST n n n n




ACTUAL EXAM COMPLETE QUESTIONS n n n n




AND VERIFIED ANSWERS GRADED A+ | 1
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00% PASS | 2025 UPDATE! n n n n




If blood pressure is lower by at least 10-
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11 mm Hg on inspiration than on expiration, this is known as .
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-Pulsus alternans n




-Pulse pressure n




-Pulsus paradoxus n




-Pulsus parvus - ✔✔✔ Correct Answer > Pulsus paradoxus
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Pulsus paradoxus may be present in conjunction with asthma, emphys
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ema, cardiac tamponade, restrictive pericarditis, or hemorrhagic shock
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.


Pulse pressure is the difference between systolic and diastolic pressure
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s.
Pulsus parvus means a small or weak pulse
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Pulsus alternans means the upstroke is more powerful than the downst
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roke -- that is, the stokes alternate in strength.
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,Robert suffered an MI but is now in stable condition in the PCU. Seven fa
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mily members arrive at the unit demanding to see the pt. Your best respo
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nse would be:
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-Notify social services n n




-Identify the responsible family spokesperson and contact him or her
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-Refuse to admit more than one person]
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-Call security to remove the visitors. - ✔✔✔ Correct Answer >
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Identify the responsible family spokesperson and contact him or her.
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Visitation policies cary by institution. However, it is best to identify one p
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erson as the point of contact. HIPAA regulations require limitations on th
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e release of any medical information be set by the patient if the patient is
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able to communicate his or her wishes. If the patient is unable to make t
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his decision, the next of kin can act as a contact person.
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Robert suffered an MI but is now in stable contition in the PCU. After yo
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u have identified his significant other, his estranged wife arrives.
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Robert tells you that he does not want contact with her. He even writes a
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note to the effect to be placed on his chart. He also states he wants no inf
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ormation given to his estranged wife. She becomes belligerent when told
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of Robert's wishes and threatens the staff with a lawsuit. The most appro
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priate nursing action would be :
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,-
Request an ethics/ multidisciplinary care conference to discuss commu
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nication and dissemination of the patient's medical status and to revie
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w the visitation policy
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-Immediately call the hospial's attorney to speak to the estranged wife
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-
Give the wife any information she wants, but do not inform Robert that
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you have done son n n




-Request that the patient's physician write a non-
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visitation order for the wife. - n n n n n



n✔✔✔ Correct Answer > Request an ethics/ multidisciplinary care conf
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erence to discuss communication and dissemination of the patient's med
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ical status and to review the visitation policy
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The best response would be to collaborate and interact with other prof
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essionals.


Rebecca, who is a Jehovah's Witness, has just undergone a cardiac sur
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gical procedure. Her Hgb and Hct levels have been falling and are now
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6.5 and 24. Her chest tubes have drained 1750 ml in the last 4 hours. T
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he anticipated treatment would be to administer:
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-One unit type specific whole blood
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-500 ml albumin n n




-250 ml FFP n n




-Continuous-circuit auto-transfusion - ✔✔✔ Correct Answer > n n n n n n



Continuous-Circuit Auto-transfusion n

, The religious preference of the patient must be respected. The only acc
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eptable form of transfusion is this case is via auto-transfusion.
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The major advantage of using an internal mammary artery for cardiac b
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ypass would be: n n




-Greater ease of harvesting n n n




-Better postsurgical patency
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-A lowered infection rate
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-A lowered rate of reperfusion rhythms - ✔✔✔ Correct Answer >
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Better postsurgical patency
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Utilizing the internal mammary artery means grafts do not have to c
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ome from the saphenous veins in the legs, minimizing the risk for inf
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ection from another site.
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In the graft procedure, the internal mammary artery is seperated at only
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one end and reanastomosed to the affected coronary artery distal to the
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affected area. The patency of the resulting graft is generally quite good.
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After 10 years, approximately 90% of the grafts are still patent.
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Your patient just underwent a percutaneous intervention for stent pla
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cement, after which he was returned to your tele unit. You note a rash
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over the patient's trunk and arms. This is probably due to
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