PCCN Study Test Questions with
Complete Solutions
epoetin alfa - ANSWERSanemia related to chronic kidney disease should be treated with
______________________.
folic acid, Vitamin B12 - ANSWERSName two treatments for megaloblastic anemia.
infection - ANSWERSGlucose control (via insulin drip) in the post-CABG patient decreases the
risk of ___________________.
acidosis - ANSWERSIn acute oliguric kidney injury, hyperkalemia leads to
____________________.
right - ANSWERSObstructive-sleep apnea patients are at risk for ________-sided heart failure.
hydration - ANSWERSAcute pancreatitis patients need aggressive _________________________
as their first line treatment.
right - ANSWERSThe best way to diagnose pulmonary hypertension and get heart pressure
measurements is ________-sided heart catheterization.
False (hypoglycemia can cause stroke-like signs and symptoms) - ANSWERSTrue or False:
hyperglycemia can cause stroke-like signs and symptoms.
benzodiazepines - ANSWERSThe goal of alcohol withdrawal management is adequate sedation
with _____________________.
,heparin - ANSWERSIf atrial fibrillation lasts more than 24 hours, the patient should get a
____________ drip at therapeutic levels
beta blockers - ANSWERSRate control for atrial fibrillation can be achieved with a cardizem drip.
_______________ are also an alternative for rate control.
transesophageal echocardiogram - ANSWERSA
___________________________________________ should be done before attempting to
cardiovert a patient with atrial fibrillation.
15-20 - ANSWERSThe ischemic stroke patient should have their blood pressure lowered ____-
____% within the first day. A too-low BP can result in neurological worsening.
beta blockers - ANSWERSCardiac surgery patients can be on _______________ pre- and post-
operatively to control atrial fibrillation.
preload - ANSWERSNitroglycerin is contraindicated in right ventricular infarction because it
decreases ____________________.
seizures - ANSWERSBoth hypernatremia and hyponatremia can cause _____________________.
Sepsis - ANSWERSDIC is common in ____________ because coagulation is impaired.
jaundice - ANSWERS_________________ is common in DIC patients because stress and
hypotension can cause hepatocellular injury.
true - ANSWERSTrue or False: Sputum cultures are not recommended for COPD exacerbation.
, False (Antibiotics are not recommended. Short-acting beta agonists are first line therapy.) -
ANSWERSTrue or False: Antibiotics are recommended for COPD exacerbation.
False (afterload and preload are increased with cardiogenic shock; afterload needs to be
decreased and vasoconstrictors are contraindicated) - ANSWERSTrue or False: The goal of
treatment for cardiogenic shock is to increase afterload with vasoconstrictors like
norepinephrine (levophed).
cardiogenic shock - ANSWERSVasosonstrictors (norepinephrine), beta-blockers, and low
molecular weight heparin should be avoided for patients with this condition.
Vasopressin (ADH) - ANSWERS_______________________ can improve portal hypertension in
upper GI bleed/liver cirrhosis patients.
sepsis - ANSWERSARDS is most often part of a systemic inflammatory process, particularly
systemic ____________.
endocarditis - ANSWERSA patient with a new systolic murmur should be evaluated for
____________________.
true - ANSWERSTrue or False: acute ischemic stroke patients need to be as flat as possible in
bed for the first 24 hours.
False - ANSWERSTrue or False: A pulmonary embolism patient will have crackles in the lungs.
supine - ANSWERS____________ positioning should be avoided in pneumonia patients.
atrial fibrillation - ANSWERSThe dysrhythmia most commonly associated with mitral stenosis is
__________________________.
Complete Solutions
epoetin alfa - ANSWERSanemia related to chronic kidney disease should be treated with
______________________.
folic acid, Vitamin B12 - ANSWERSName two treatments for megaloblastic anemia.
infection - ANSWERSGlucose control (via insulin drip) in the post-CABG patient decreases the
risk of ___________________.
acidosis - ANSWERSIn acute oliguric kidney injury, hyperkalemia leads to
____________________.
right - ANSWERSObstructive-sleep apnea patients are at risk for ________-sided heart failure.
hydration - ANSWERSAcute pancreatitis patients need aggressive _________________________
as their first line treatment.
right - ANSWERSThe best way to diagnose pulmonary hypertension and get heart pressure
measurements is ________-sided heart catheterization.
False (hypoglycemia can cause stroke-like signs and symptoms) - ANSWERSTrue or False:
hyperglycemia can cause stroke-like signs and symptoms.
benzodiazepines - ANSWERSThe goal of alcohol withdrawal management is adequate sedation
with _____________________.
,heparin - ANSWERSIf atrial fibrillation lasts more than 24 hours, the patient should get a
____________ drip at therapeutic levels
beta blockers - ANSWERSRate control for atrial fibrillation can be achieved with a cardizem drip.
_______________ are also an alternative for rate control.
transesophageal echocardiogram - ANSWERSA
___________________________________________ should be done before attempting to
cardiovert a patient with atrial fibrillation.
15-20 - ANSWERSThe ischemic stroke patient should have their blood pressure lowered ____-
____% within the first day. A too-low BP can result in neurological worsening.
beta blockers - ANSWERSCardiac surgery patients can be on _______________ pre- and post-
operatively to control atrial fibrillation.
preload - ANSWERSNitroglycerin is contraindicated in right ventricular infarction because it
decreases ____________________.
seizures - ANSWERSBoth hypernatremia and hyponatremia can cause _____________________.
Sepsis - ANSWERSDIC is common in ____________ because coagulation is impaired.
jaundice - ANSWERS_________________ is common in DIC patients because stress and
hypotension can cause hepatocellular injury.
true - ANSWERSTrue or False: Sputum cultures are not recommended for COPD exacerbation.
, False (Antibiotics are not recommended. Short-acting beta agonists are first line therapy.) -
ANSWERSTrue or False: Antibiotics are recommended for COPD exacerbation.
False (afterload and preload are increased with cardiogenic shock; afterload needs to be
decreased and vasoconstrictors are contraindicated) - ANSWERSTrue or False: The goal of
treatment for cardiogenic shock is to increase afterload with vasoconstrictors like
norepinephrine (levophed).
cardiogenic shock - ANSWERSVasosonstrictors (norepinephrine), beta-blockers, and low
molecular weight heparin should be avoided for patients with this condition.
Vasopressin (ADH) - ANSWERS_______________________ can improve portal hypertension in
upper GI bleed/liver cirrhosis patients.
sepsis - ANSWERSARDS is most often part of a systemic inflammatory process, particularly
systemic ____________.
endocarditis - ANSWERSA patient with a new systolic murmur should be evaluated for
____________________.
true - ANSWERSTrue or False: acute ischemic stroke patients need to be as flat as possible in
bed for the first 24 hours.
False - ANSWERSTrue or False: A pulmonary embolism patient will have crackles in the lungs.
supine - ANSWERS____________ positioning should be avoided in pneumonia patients.
atrial fibrillation - ANSWERSThe dysrhythmia most commonly associated with mitral stenosis is
__________________________.
