1|Page
PCCN CARDIAC EXAM LATEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
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
_____.
-An allergic reaction to contrast dye
-Petechiae from a fat emolism
-A reaction to the indwelling stent
-A rash secondary to a Candida infection - ANSWER-An allergic
reaction to contrast dye.
Iodine dye is used and will cause a rash, itching, swelling
and can also lead to laryngospasm and anaphylaxis in some
patients. It is imperative to determine whether the patient is
allergic to iodine, shellfish, or horses prior to initiating the
procedure.
,2|Page
A sign of necrosis on an EKG would include:
-Acute ST elevation
-A Right BBB
-A Left BBB
-A Q wave in lead III - ANSWER-Acute ST elevation.
Along with acute ST elevation, another indicator of necrosis
would be an abnormal Q wave. If the Q wave appears within
about 6 hours of a transmural MI, it is an ominous sign. If the
Q wave is more than 0.04 seconds long, it is a sign of
necrosis. In an inferior MI, the Q wave should not exceed 0.03
seconds or it is indicative of necrosis.
Holly recieved 4 mg Morphine IV. She is now unresponsive and
her RR and depth are diminished. The antidote for morphine is:
-Regitine
-Bicarbonate
-Naloxone
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-Atropine - ANSWER-Naloxone
The antagonist for morphine and other opiods is Narcan
(naloxone). Generally, the naloxone dose is 0.4 mg IV. This
dose can be repeated about every 3 to 4 minutes for a total of
3 times. When you give Narcan, you must always be alert for
the patient to relapse once the dose wears off. Administering
multiple follow-up doses is not uncommon.
Complications associated with ventricular assist devices (VADs)
include:
-Thromboembolism
-Thrombocytopenia
-Dissection of the aorta
-Septicemia - ANSWER-Thromboembolism
Additional complications that are commonly seen with VADs
are infection and bleeding.
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Thrombocytopenia, aortic dissection and septicemia are
complications of an intra-aortic balloon pump (IAPB).
Indications for use of a VAD include:
-Dysrhythmias
-As destination therapy
-Prolonged cardiac arrest
-Extensive organ damage - ANSWER-As destination therapy
Other indications for use of VAD include use as a bridge to
transplant, treatment of cardiogenic shock, and inability to
wean from cardiopulmonary bypass. Always be aware of the
possibility of device failure.
Prolonged cardiac arrest, especially with neuroligical
damage is a contraindication for use of a VAD. Extensive
organ damage is another contraindication. Dysrhythmias are
not indications for use.
PCCN CARDIAC EXAM LATEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
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
_____.
-An allergic reaction to contrast dye
-Petechiae from a fat emolism
-A reaction to the indwelling stent
-A rash secondary to a Candida infection - ANSWER-An allergic
reaction to contrast dye.
Iodine dye is used and will cause a rash, itching, swelling
and can also lead to laryngospasm and anaphylaxis in some
patients. It is imperative to determine whether the patient is
allergic to iodine, shellfish, or horses prior to initiating the
procedure.
,2|Page
A sign of necrosis on an EKG would include:
-Acute ST elevation
-A Right BBB
-A Left BBB
-A Q wave in lead III - ANSWER-Acute ST elevation.
Along with acute ST elevation, another indicator of necrosis
would be an abnormal Q wave. If the Q wave appears within
about 6 hours of a transmural MI, it is an ominous sign. If the
Q wave is more than 0.04 seconds long, it is a sign of
necrosis. In an inferior MI, the Q wave should not exceed 0.03
seconds or it is indicative of necrosis.
Holly recieved 4 mg Morphine IV. She is now unresponsive and
her RR and depth are diminished. The antidote for morphine is:
-Regitine
-Bicarbonate
-Naloxone
,3|Page
-Atropine - ANSWER-Naloxone
The antagonist for morphine and other opiods is Narcan
(naloxone). Generally, the naloxone dose is 0.4 mg IV. This
dose can be repeated about every 3 to 4 minutes for a total of
3 times. When you give Narcan, you must always be alert for
the patient to relapse once the dose wears off. Administering
multiple follow-up doses is not uncommon.
Complications associated with ventricular assist devices (VADs)
include:
-Thromboembolism
-Thrombocytopenia
-Dissection of the aorta
-Septicemia - ANSWER-Thromboembolism
Additional complications that are commonly seen with VADs
are infection and bleeding.
, 4|Page
Thrombocytopenia, aortic dissection and septicemia are
complications of an intra-aortic balloon pump (IAPB).
Indications for use of a VAD include:
-Dysrhythmias
-As destination therapy
-Prolonged cardiac arrest
-Extensive organ damage - ANSWER-As destination therapy
Other indications for use of VAD include use as a bridge to
transplant, treatment of cardiogenic shock, and inability to
wean from cardiopulmonary bypass. Always be aware of the
possibility of device failure.
Prolonged cardiac arrest, especially with neuroligical
damage is a contraindication for use of a VAD. Extensive
organ damage is another contraindication. Dysrhythmias are
not indications for use.
