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Exam (elaborations)

PCCN EXAM QUESTIONS AND VERIFIED ANSWERS

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PCCN EXAM QUESTIONS AND VERIFIED ANSWERS

Institution
PCCN
Course
PCCN











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Institution
PCCN
Course
PCCN

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Uploaded on
December 18, 2025
Number of pages
117
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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Calcium-channel blockers act primarily on?


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ARTERIES TO ARTERIOLES

Large-lumen vessels in the arteriole system are affected. The advantage of
this action is that both systolic and diastolic pressures are reduced and the
pt will not have a precipitous drop in BP. The BP may be lowered slightly
and cause a reflex baroreceptor response to increase HR to maintain CO
(cardiac output).




The possibility of microshock when handling a temporary pacemaker can be
minimized by:


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, b. insulating the ends of the wires. and wearing gloves when handling the
pacing wires




Aortic and pulmonic are the:


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Semi-lunar Valves




Which of the following hemodynamic changes will occur with cardiac tamponade?
• Increased cardiac output
• Stroke volume decrease
• Contractility increases
• Decreased heart rate


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STROKE VOLUME DECREASE

Because the heart cannot adequately fill or eject its contents, stroke
volume (SV) decreases and causes a decreased cardiac output (CO).
Contractility decreases because the muscles cannot stretch and, therefore,
cannot contract effectively.




What do abnormal Q waves signify on a 12-lead EKG?


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, Complete- thickness infarction of the myocardium

When tissue dies as a result of MI, it becomes electrically dead, causing the
opposing energy to become the dominant feature.
Partial- thickness myocardial death would be classified as a non-Q wave
MI.




when the PR interval is lengthened beyond the normal interval, it is called a __ ___ ___
block


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first degree AV




total effective osmolality calculation


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(2xNa) + (glucose x 10)/180




The patient has markedly deep, rapid respirations with a fruity breath odor. Based on
the patient's history, the nurse will:


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perform a blood glucose measurement.

, What % of acute MIs may be considered "silent?"


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20%

Silent infarcts account for approximately 20% of all MIs. Silent infarcts are
often seen in patients who present atypically, such as the elderly and
persons with diabetes.




The most common new-onset dysrhythmias seen is a patient with pulmonary edema
is:


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Atrial fibrillation

A Fib is the result of the constant stretching and disruption of normal
pathyways in the atrium due to inreased preload produced by the
pulmonary congestion.




What does AICD stand for?


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Automated implantable cardioverter/defibrillator

AICDs may be implanted in patients with recurrent ventricular tachycardia.
They can also be programmed to act as pacemakers.

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