PCCN Exam Questions Updated Practice with Verified Correct Answers 2025/ 2026 Progressive Care Certified Nurse Review
The nurse observes that the patient's fluid volume overload.
jugular veins distend in the semi-
upright position to more than 5 cm
above the sternal angle. This is an
indication of:
what is normal Pulmonary artery 5-12 mmHg
occlusion pressure (PAOP)?
The resistance against which the left systemic vascular resistance.
ventricle must pump to eject its
volume is:
When the tricuspid valve is open, right ventricle.
central venous pressure reflects the
filling pressure in the:
Tachycardia is dangerous for the compromised cardiac output.
patient with ischemic heart disease
because of:
,PCCN Exam Questions Updated Practice with Verified Correct Answers 2025/ 2026 Progressive Care Certified Nurse Review
During initial examination of a critical central cyanosis.
care patient, the nurse observes wide
and convex nails and bulbous
fingertips. This is evidence of:
estimating edema.
Priorities for palpation of the patient checking capillary refill
with cardiovascular disease include: checking for DVT
arterial pulses
By blocking the conversion of b. vasodilation.
angiotensin I to angiotensin II,
angiotensin-converting enzyme
inhibitors produce:
The nurse has read that the a. Verapamil, diltiazem, or amlodipine
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?
,PCCN Exam Questions Updated Practice with Verified Correct Answers 2025/ 2026 Progressive Care Certified Nurse Review
The nurse has administered a drug a. increased heart rate.
that stimulates β1-adrenergic sites.
Following administration of the drug,
the nurse will assess for:
The nurse is observing the patient's c. atrium is being paced.
electrocardiographic monitor after
insertion of a temporary pacemaker.
Seeing a P-wave after the pacing
artifact, the nurse knows that the:
The possibility of microshock when b. insulating the ends of the wires. and wearing gloves when handling t
handling a temporary pacemaker can pacing wires
be minimized by:
In the postoperative cardiovascular a. reduced preload.
patient, the most frequent cause of a
decreased cardiac output is:
, PCCN Exam Questions Updated Practice with Verified Correct Answers 2025/ 2026 Progressive Care Certified Nurse Review
A patient is being monitored by a. Position the patient on the left side. or reposition the leads
continuous electrocardiogram (ECG)
after placement of a transvenous
pacemaker. "Loss of capture" is seen
on the ECG. Which nursing
intervention may correct this
situation?
In analyzing the ECG strip, the nurse b. pacing artifact; the pacemaker is sensing and capturing.
notices a spike before each QRS
complex. The patient's heart rate is 70
beats/min. This phenomenon is
reflective of
Calculate the cerebral perfusion b. 80 mm Hg
pressure (CPP) for a patient with a
mean arterial pressure (MAP) = 95 mm
Hg and an intracranial pressure (ICP) =
15 mm Hg.
The nurse observes that the patient's fluid volume overload.
jugular veins distend in the semi-
upright position to more than 5 cm
above the sternal angle. This is an
indication of:
what is normal Pulmonary artery 5-12 mmHg
occlusion pressure (PAOP)?
The resistance against which the left systemic vascular resistance.
ventricle must pump to eject its
volume is:
When the tricuspid valve is open, right ventricle.
central venous pressure reflects the
filling pressure in the:
Tachycardia is dangerous for the compromised cardiac output.
patient with ischemic heart disease
because of:
,PCCN Exam Questions Updated Practice with Verified Correct Answers 2025/ 2026 Progressive Care Certified Nurse Review
During initial examination of a critical central cyanosis.
care patient, the nurse observes wide
and convex nails and bulbous
fingertips. This is evidence of:
estimating edema.
Priorities for palpation of the patient checking capillary refill
with cardiovascular disease include: checking for DVT
arterial pulses
By blocking the conversion of b. vasodilation.
angiotensin I to angiotensin II,
angiotensin-converting enzyme
inhibitors produce:
The nurse has read that the a. Verapamil, diltiazem, or amlodipine
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?
,PCCN Exam Questions Updated Practice with Verified Correct Answers 2025/ 2026 Progressive Care Certified Nurse Review
The nurse has administered a drug a. increased heart rate.
that stimulates β1-adrenergic sites.
Following administration of the drug,
the nurse will assess for:
The nurse is observing the patient's c. atrium is being paced.
electrocardiographic monitor after
insertion of a temporary pacemaker.
Seeing a P-wave after the pacing
artifact, the nurse knows that the:
The possibility of microshock when b. insulating the ends of the wires. and wearing gloves when handling t
handling a temporary pacemaker can pacing wires
be minimized by:
In the postoperative cardiovascular a. reduced preload.
patient, the most frequent cause of a
decreased cardiac output is:
, PCCN Exam Questions Updated Practice with Verified Correct Answers 2025/ 2026 Progressive Care Certified Nurse Review
A patient is being monitored by a. Position the patient on the left side. or reposition the leads
continuous electrocardiogram (ECG)
after placement of a transvenous
pacemaker. "Loss of capture" is seen
on the ECG. Which nursing
intervention may correct this
situation?
In analyzing the ECG strip, the nurse b. pacing artifact; the pacemaker is sensing and capturing.
notices a spike before each QRS
complex. The patient's heart rate is 70
beats/min. This phenomenon is
reflective of
Calculate the cerebral perfusion b. 80 mm Hg
pressure (CPP) for a patient with a
mean arterial pressure (MAP) = 95 mm
Hg and an intracranial pressure (ICP) =
15 mm Hg.
