PCCN CARDIAC EXAM NEWEST 2026-2027 ACTUAL
EXAM COMPLETE 200 QUESTIONS AND CORRECT
ANSWERS (100%VERIFIED ANSWERS) |ALREADY
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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.
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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.
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.
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These waves actually heat the tissue around the active
sites and prevent reentry loop. Once the temperature
reaches 50'C, cell damage and death occurs. The
containing heat creats a lesion approximately 2-5 cm in
diameter. This "burned" area causes necrosis and will not
conduct electricity.
Your patient has A-Fib and needs to be cardioverted. The
patient was medicated for pain and anxiety with morphine
and Versed. Which additional medication will help the
process of cardioversion from A-Fib to a normal sinus
rhythm?
-Digitalis
-Amiodarone
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-Pronestyl
-Ibutilide - ANSWER-Ibutilide
Ibutilide is a relatively new Class III/IV medication. It must
be used at the time of the cardioversion and will be
ineffective if used prior to cardioversion.
Symtoms of chronic pericarditis most often mimic which
other disease process?
-Chronic right-sided heart failure
-Pulmonary HTN
-PNA
-Cardiomyopathy - ANSWER-Right sided heart failure