AACN PCCN Practice Test Review Questions and Answers

AACN PCCN Practice Test Review Questions and Answers What are signs of dialysis disequilibrium syndrome - Ans:-Headache Nausea/vomiting Restlessness AMS Agitation Seizures What causes disequilibrium syndrome? How can it be avoided? - Ans:-This occurs when plasma solutes (i.e. urea) are lowered too quickly. Prevent by reducing dialysis time and increasing frequency. What causes myocarditis? - Ans:-Recent viral infections Cocaine abuse ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/14 Autoimmune disease (i.e. SLE) What is a key intervention to increase preload in the setting of cardiac tamponade while waiting for a pericardiocentesis? - Ans:-Placing the patient in Trendelenburg's (feet above head). Consider: IVF D/C preload lowering agents: diuretics, nitrates, and morphine Signs of middle cerebral artery stroke - Ans:-* Contralateral hemiplegia * Sensory involvement * Aphasia (if dominant hemisphere involved) * Neglect (if non-dominant hemisphere involved) (i.e. denial of weakness) * Homonymous hemianopsia (loss of same visual field in both eyes) Signs of anterior cerebral artery stroke - Ans:-* Weakness or sensory loss of contralateral leg and proximal arm * Behavior disturbance (confusion, indecisiveness, memory loss, urinary incontinence) ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/14 Signs of posterior cerebral artery stroke - Ans:-* Contralateral visual field loss * Color blindness * Impaired depth perception * Memory loss * Sensory loss * Nystagmus * Pupillary abnormalities * Ataxia Signs of a vertebral artery stroke - Ans:-* Ipsilateral numbness to face/nose/eye with contralateral numbness to body * Facial weakness * Vertigo * Ataxia * Nystagmus * Dysphagia