PCCN Exam with Practice Questions and Answers

PCCN Exam with Practice Questions and Answers A 49-year-old male was recently admitted with an inferior wall MI resulting from 100% occlusion of the right coronary artery (RCA). The 12-Lead ECG reveals ST elevation in leads II, Ill, and avF. You would expect to see reciprocal changes in which leads? A. I, aVR B. V, V2 C. V, VA D I, aVL ANSWER 1. D. I, aVI. The RCA perfuses the inferior wall and the mirror image or reciprocal change will be seen in the high latera wall, which is reflected in leads I, and aVL, on the 12-Lead ECG. Leads V1 and V2 correlate with the septal area, leads V3 and V4 correlate With the anterior area of the heart. The aVR lead does not provide much diagnostic value as all energy is depolarizing away from this lead. You are summoned to the room of a 30-year-old female who is experiencing sustained tonic-clonic convulsions while sitting in a chair. A family member states: "She was just talking to us and suddenly she let out a shriek and started flopping like a fish out of water." What is your initial priority of care? A. Call for help and safely guide the patient to the floor B. Call for help and administer a prescribed antiepileptic C. Call for help and administer a prescribed benzodiazepine D. Call for help and monitor the course of the seizure ANSWER A. Call for help and safely guide the patient to the floor