Progressive Care Certified
Nurse Practice Test Review
Exam (PCCN) Questions and
Answers Exam
LAD Walls - ANSWER>>anterior wall, septal wall
LCx wall - ANSWER>>lateral wall
RCA Walls - ANSWER>>inferior wall, Right ventricle wall, posterior wall
inspiratory decrease in SBP >10 leads to pressure changes around the heart
(compression = increased pressure) - ANSWER>>pulsus paradoxus
what is SCVO2 and what is goal? - ANSWER>>central venous oxygen saturation,
goal is 70%
s3 heart sound? - ANSWER>>extra heart sound, seen with CHF/fluid overload
what does mannitol do? when should it be held? - ANSWER>>decreases ICP via
hyperosmolar therapy, hold if osmo >320. need to closely monitor osmo and
sodium.
dobutamine function? - ANSWER>>positive inotrope, improved CO and decreases
afterload by vasodilation
anastomotic leak? - ANSWER>>when intestines are joined together during surgery
they have high risk to leak at anastomosis site. leads to digestive contents to leak
into abdomen = infection, sepsis, death. high risk with abdominal surgery.
,s/s - all those of infx/sepsis
what is most important job of HD RN? - ANSWER>>keep eye on connection
between device/machine
hallmarks of HIT? - ANSWER>>low platelets, new DVT after starting heparin.
warfarin contraindicated with HIT
what will CO, preload, afterload be with right sided HF? - ANSWER>>low cardiac
output, increased preload and afterload. when RV is congested = no left sided
heart blood flow.
what is diabetes inspidius? - ANSWER>>LACK OF ADH = significant volume loss =
increased serum osmo, increased sodium levels, low urine osmo
what will preload, afterload, SV, CO be with hypovolemia? - ANSWER>>low
preload, SV, and CO. High afterload. body tries to compensate = tachycardia.
what will pH and Co2 look like with severe asthma exacerbation? -
ANSWER>>increased pH = alkalosis. low CO2. bronchoconstriction = air trapped
what will glucose, amylase, and lipase be with acute pancreatitis? - ANSWER>>all
will be elevated!
amylase/lipases = digestive enzymes
when using sodium chloride for mass volume resuscitation, what acid/base
imbalance are you at risk for? - ANSWER>>metabolic acidosis
when you have RV infarct, your heart becomes _ dependent? - ANSWER>>preload
dependent d/t low flow to left side of the heart
*so you don't want to use meds that will lower your preload - nitro, morphine,
BB, diuretics
, what will you see with myocardial contusion? - ANSWER>>RV and atria are
impacted d/t positioning on the body. will have low CO, increased RV preload, low
left heart preload
what condition are you at most high risk for with severe thrombocytopenia? -
ANSWER>>intracranial hemorrhage
what pressure will be increased with mitral valve stenosis? - ANSWER>>increased
left atrial pressure
what type of meds should be avoided s/p bariatric surgery? - ANSWER>>extended
release d/t decreased post-op absorption
sildenafil, bosentan, tracleer, treprostinil, remodulin, epoprostenol, fiolan are all
meds used for waht? - ANSWER>>pulm artery hypertension, all are vasodilators
medication used for DI that leads to increased ADH formation? -
ANSWER>>diabinese/chlorpropamide
what med d/t pt's s/p heart transplant not respond to ? - ANSWER>>atropine,
need pacing if bradycardic
what is first intervention with SIADH - ANSWER>>free water restriction, then
diuretics
what is used iwth burns to prevent hypovolemia and decreased perfusion? -
ANSWER>>IVFs, also preventing AKI with them.
treatment for ICP elevation and SAH? - ANSWER>>osmotic diuretics, hypertonic
saline (large molecules pull water in and decrease swelling)
Nurse Practice Test Review
Exam (PCCN) Questions and
Answers Exam
LAD Walls - ANSWER>>anterior wall, septal wall
LCx wall - ANSWER>>lateral wall
RCA Walls - ANSWER>>inferior wall, Right ventricle wall, posterior wall
inspiratory decrease in SBP >10 leads to pressure changes around the heart
(compression = increased pressure) - ANSWER>>pulsus paradoxus
what is SCVO2 and what is goal? - ANSWER>>central venous oxygen saturation,
goal is 70%
s3 heart sound? - ANSWER>>extra heart sound, seen with CHF/fluid overload
what does mannitol do? when should it be held? - ANSWER>>decreases ICP via
hyperosmolar therapy, hold if osmo >320. need to closely monitor osmo and
sodium.
dobutamine function? - ANSWER>>positive inotrope, improved CO and decreases
afterload by vasodilation
anastomotic leak? - ANSWER>>when intestines are joined together during surgery
they have high risk to leak at anastomosis site. leads to digestive contents to leak
into abdomen = infection, sepsis, death. high risk with abdominal surgery.
,s/s - all those of infx/sepsis
what is most important job of HD RN? - ANSWER>>keep eye on connection
between device/machine
hallmarks of HIT? - ANSWER>>low platelets, new DVT after starting heparin.
warfarin contraindicated with HIT
what will CO, preload, afterload be with right sided HF? - ANSWER>>low cardiac
output, increased preload and afterload. when RV is congested = no left sided
heart blood flow.
what is diabetes inspidius? - ANSWER>>LACK OF ADH = significant volume loss =
increased serum osmo, increased sodium levels, low urine osmo
what will preload, afterload, SV, CO be with hypovolemia? - ANSWER>>low
preload, SV, and CO. High afterload. body tries to compensate = tachycardia.
what will pH and Co2 look like with severe asthma exacerbation? -
ANSWER>>increased pH = alkalosis. low CO2. bronchoconstriction = air trapped
what will glucose, amylase, and lipase be with acute pancreatitis? - ANSWER>>all
will be elevated!
amylase/lipases = digestive enzymes
when using sodium chloride for mass volume resuscitation, what acid/base
imbalance are you at risk for? - ANSWER>>metabolic acidosis
when you have RV infarct, your heart becomes _ dependent? - ANSWER>>preload
dependent d/t low flow to left side of the heart
*so you don't want to use meds that will lower your preload - nitro, morphine,
BB, diuretics
, what will you see with myocardial contusion? - ANSWER>>RV and atria are
impacted d/t positioning on the body. will have low CO, increased RV preload, low
left heart preload
what condition are you at most high risk for with severe thrombocytopenia? -
ANSWER>>intracranial hemorrhage
what pressure will be increased with mitral valve stenosis? - ANSWER>>increased
left atrial pressure
what type of meds should be avoided s/p bariatric surgery? - ANSWER>>extended
release d/t decreased post-op absorption
sildenafil, bosentan, tracleer, treprostinil, remodulin, epoprostenol, fiolan are all
meds used for waht? - ANSWER>>pulm artery hypertension, all are vasodilators
medication used for DI that leads to increased ADH formation? -
ANSWER>>diabinese/chlorpropamide
what med d/t pt's s/p heart transplant not respond to ? - ANSWER>>atropine,
need pacing if bradycardic
what is first intervention with SIADH - ANSWER>>free water restriction, then
diuretics
what is used iwth burns to prevent hypovolemia and decreased perfusion? -
ANSWER>>IVFs, also preventing AKI with them.
treatment for ICP elevation and SAH? - ANSWER>>osmotic diuretics, hypertonic
saline (large molecules pull water in and decrease swelling)
