PCCN PRACTICE EXAM WITH RIGHT
QUESTIONS AND COMPLETE ANSWERS
GRADED A+
who *is *at *risk *for *MDRO *infection *- *CORRECT *ANSWER-patients *with *severe *disease,
*including *compromised *host *defenses *from *underlying *medical *conditions, *recent *surgery,
*or *indwelling *medical *devices *(ex: *foleys *or *ET *tubes)
what *are *classic *signs *of *cardiac *tamponade? *- *CORRECT *ANSWER-hypotension, *narrowing
*pulse *pressure, *tachycardia *with *weak, *thready *pulse, *and *tachypnea
what *arrhythmia *is *mitral *valve *insufficiency *associated *with? *- *CORRECT *ANSWER-afib
what *defines *oliguira? *- *CORRECT *ANSWER-less *than *500 *ml *of *output *per *day
what *does *renal *failure *result *in? *- *CORRECT *ANSWER-acidosis
what *type *of *HF *are *patients *with *OSA *at *risk *for? *- *CORRECT *ANSWER-right-sided *HF
what *is *one *of *the *hallmark *features *of *pancreatitis? *- *CORRECT *ANSWER-dehydration
what *is *treatment *for *pancreatitis? *- *CORRECT *ANSWER-hydration, *maintenance *of
*electrolyte *balance, *nutritional *support
what *is *unstable *angina *characterized *by? *- *CORRECT *ANSWER-new *onset *pain *or *increase
*in *frequency/duration *of *pain. *pain *generally *lasts *15-30 *minutes. *may *be *experienced *at
*low *exertion *or *rest *and *pain *tends *not *to *respond *to *SL *nitro. *symptoms *may *be
*accompanied *by *diaphoresis *or *dyspnea.
, what *is *stable *angina *characterized *by? *- *CORRECT *ANSWER-pain *on *exertion *or *stress
*that *is *relieved *by *rest *or *SL *Nitro. *pain *generally *does *not *increase *in *severity *over
*time
what *characterizes *an *acute *MI? *- *CORRECT *ANSWER-constant, *severe *pain *and *may *be
*accompanied *by *nausea, *weakness, *fatigue, *anxiety. *not *relieved *with *rest, *duration
*exceeds *30 *minutes.
what *are *characteristics *of *dissection *aortic *aneurysm? *- *CORRECT *ANSWER-pain *is *severe
*and *unrelenting, *commonly *experienced *in *chest/abdomen *and *radiates *to *the *back. *pain
*does *not *improve *spontaneously.
what *procedure *is *most *appropriate *for *obtaining *heart *pressure *measurements *and
*diagnosing *pulmonary *HTN? *- *CORRECT *ANSWER-right *sided *heart *cath
what *is *the *best *noninvasive *test *for *pulmonary *HTN? *- *CORRECT *ANSWER-transthoracic
*echocardiogram
what *is *a *reasonable *goal *for *the *first *day *Blood *Pressure *in *a *stroke *patient? *-
*CORRECT *ANSWER-lower *by *15-20% *in *the *first *day
what *may *improve *the *prognosis *of *patients *with *stroke? *- *CORRECT *ANSWER-lowering
*body *temp
what *are *the *causes *of *afib *in *post-cardiac *surgery *patients? *- *CORRECT *ANSWER-
advanced *age, *pre-existing *medical *or *cardiac *conditions, *electrolyte *abnormalities,
*conduction *disturbances *that *wil *likely *resolve, *and *pre-existing *atrial *or *valve *conditions
*that *contribute *to *the *development *of *this *arrythmia
what *is *a *life *threatening *condition *that *most *commonly *occurs *with *renal *dysfunction? *-
*CORRECT *ANSWER-hyperkalemia
what *medication *is *contraindicated *in *RV *infarct? *- *CORRECT *ANSWER-nitro *bc *it *will
*reduce *preload, *and *patients *with *RV *infarct *are *preload *dependent
QUESTIONS AND COMPLETE ANSWERS
GRADED A+
who *is *at *risk *for *MDRO *infection *- *CORRECT *ANSWER-patients *with *severe *disease,
*including *compromised *host *defenses *from *underlying *medical *conditions, *recent *surgery,
*or *indwelling *medical *devices *(ex: *foleys *or *ET *tubes)
what *are *classic *signs *of *cardiac *tamponade? *- *CORRECT *ANSWER-hypotension, *narrowing
*pulse *pressure, *tachycardia *with *weak, *thready *pulse, *and *tachypnea
what *arrhythmia *is *mitral *valve *insufficiency *associated *with? *- *CORRECT *ANSWER-afib
what *defines *oliguira? *- *CORRECT *ANSWER-less *than *500 *ml *of *output *per *day
what *does *renal *failure *result *in? *- *CORRECT *ANSWER-acidosis
what *type *of *HF *are *patients *with *OSA *at *risk *for? *- *CORRECT *ANSWER-right-sided *HF
what *is *one *of *the *hallmark *features *of *pancreatitis? *- *CORRECT *ANSWER-dehydration
what *is *treatment *for *pancreatitis? *- *CORRECT *ANSWER-hydration, *maintenance *of
*electrolyte *balance, *nutritional *support
what *is *unstable *angina *characterized *by? *- *CORRECT *ANSWER-new *onset *pain *or *increase
*in *frequency/duration *of *pain. *pain *generally *lasts *15-30 *minutes. *may *be *experienced *at
*low *exertion *or *rest *and *pain *tends *not *to *respond *to *SL *nitro. *symptoms *may *be
*accompanied *by *diaphoresis *or *dyspnea.
, what *is *stable *angina *characterized *by? *- *CORRECT *ANSWER-pain *on *exertion *or *stress
*that *is *relieved *by *rest *or *SL *Nitro. *pain *generally *does *not *increase *in *severity *over
*time
what *characterizes *an *acute *MI? *- *CORRECT *ANSWER-constant, *severe *pain *and *may *be
*accompanied *by *nausea, *weakness, *fatigue, *anxiety. *not *relieved *with *rest, *duration
*exceeds *30 *minutes.
what *are *characteristics *of *dissection *aortic *aneurysm? *- *CORRECT *ANSWER-pain *is *severe
*and *unrelenting, *commonly *experienced *in *chest/abdomen *and *radiates *to *the *back. *pain
*does *not *improve *spontaneously.
what *procedure *is *most *appropriate *for *obtaining *heart *pressure *measurements *and
*diagnosing *pulmonary *HTN? *- *CORRECT *ANSWER-right *sided *heart *cath
what *is *the *best *noninvasive *test *for *pulmonary *HTN? *- *CORRECT *ANSWER-transthoracic
*echocardiogram
what *is *a *reasonable *goal *for *the *first *day *Blood *Pressure *in *a *stroke *patient? *-
*CORRECT *ANSWER-lower *by *15-20% *in *the *first *day
what *may *improve *the *prognosis *of *patients *with *stroke? *- *CORRECT *ANSWER-lowering
*body *temp
what *are *the *causes *of *afib *in *post-cardiac *surgery *patients? *- *CORRECT *ANSWER-
advanced *age, *pre-existing *medical *or *cardiac *conditions, *electrolyte *abnormalities,
*conduction *disturbances *that *wil *likely *resolve, *and *pre-existing *atrial *or *valve *conditions
*that *contribute *to *the *development *of *this *arrythmia
what *is *a *life *threatening *condition *that *most *commonly *occurs *with *renal *dysfunction? *-
*CORRECT *ANSWER-hyperkalemia
what *medication *is *contraindicated *in *RV *infarct? *- *CORRECT *ANSWER-nitro *bc *it *will
*reduce *preload, *and *patients *with *RV *infarct *are *preload *dependent
