Examchief78

Peds CCRN AACN Exam with Review Questions and Answers PEEP is intended to do which of the following? A. Improve ventilation/perfusion matching B. Decrease functional residual capacity C. Increased venous return to the heart D. Increased cardiac output ANSWER A. Improve ventilation/perfusion matching - PEEP increases alveolar volume, thereby improving ventilation/perfusion matching and increasing functional residual capacity. - A detrimental effect of PEEP (especially at high levels) i...

AACN GI Exam with Questions and Answers An antenatal client is informing the nurse of her prenatal signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy? Select all that apply. a) Amenorrhea b) Breast tenderness c) Quickening d) Frequent urination e) Uterine growth ANSWER A, B, C, D These are all presumptive signs of pregnancy: amenorrhea, breast tenderness, quickening, and frequent urination. A client asks the nu...

CCRN PEDS AACN Exam with Questions and Answers 1. In caring for a patient with salicylate intoxication, the critical care nurse would anticipate which of the following as a primary treatment measure? A. Administration of protamine sulfate B. Administration of glucose C. Transfusion of packed RBCs D. Replacement of fluid and electrolytes ANSWER D. Replacement of fluid and electrolytes 2. An adolescent with the developmental age of a 4-year-old requires placement of a chest tube. The b...

PCCN Exam 2 with Practice Questions and Answers The presence of the Hepatojugular Reflex is suggestive of which of the following conditions? A. Left-sided HF B. Right-sided HK C. Hepatic failure D. Carotid stenosis ANSWER B Which of the following electrolyte imbalances can contribute to a prolonged QT interval? A. Hypermagnesemia B. Hypomagnesemia C. Hypernatremia D. Hypercalcemia ANSWER B You are caring for a 51 year old male in DKA. To help assess the effective...

PCCN Exam 1 with Practice Questions and Solutions Patient on Vtach, HR 135, RR 32, BP 90/48, conscious but c/o dizziness, recent K+ lvl is 3.4. What action would you do first? a. emergent defib b. amio 300mg IVP c. emergent cardioversion d. hang 10 mEq KCL/50mL D5W ANSWER C The nurse notes the following when analyzing a patient's telemetry strip: HR, 65/min and regular; PR interval, 0.22 seconds; QRS complex, 0.10 seconds; QTc, 0.52 seconds. Which of the following dysrhythmias is th...

PCCN Cardiac Exam with Questions and Answers Which of the following is the outermost lining of the heart? A. Endocardium B. Myocardium C. Transcardium D. Pericardium ANSWER D. Pericardium "Endo" meaning "within" is associated with the innermost lining of the heart, so eliminate A. The myocardium is associated with the heart's middle layer, so eliminate option B. The "transcardium" is somewhat of a contrived term, so eliminate C as well. The prefix in pericardium, ...

PCCN Exam with Other Questions and Answers Which artery or arteries are responsible for anterior circulation to the brain? A. External carotid B. Internal carotid C. Basilar D. Vertebral ANSWER B. Internal carotid The brain is supplied with oxygenated blood from two arterial systems: the anterior circulation originating with the carotid arteries and the posterior circulation, which originates with the vertebral arteries. The common carotid arteries bifurcate, forming the external and int...

PCCN Renal Exam with Latest Questions and Answers A patient with chronic renal failure asks the nurse why he is anemic. The nurse explains that anemia accompanies chronic renal failure secondary to: a. Blood loss via the urine b. Renal insensitivity to vitamin A c. Inadequate production of erythropoietin d. Inadequate retention of serum iron ANSWER c. Inadequate production of erythropoietin The kidney is sensitive to oxygen saturations and secretes erythropoietin as needed to signal th...

PCCN Exam 1 with Questions and Solutions A 58-year-old male with a history of alcohol abuse is a heavy smoker. He complains of pain in his chest in the afternoons when he is sitting and watching TV. ECG shows elevation of ST segments. The most likely diagnosis is: a. Unstable angina. b. Variant/Prinzmetal's angina. c. Stable angina. d. Gastroesophageal reflux disease. ANSWER B: Variant angina (also known as Prinzmetal's angina) results from spasms of the coronary arteries associa...

PCCN Exam with Practice Questions and Answers A 49-year-old male was recently admitted with an inferior wall MI resulting from 100% occlusion of the right coronary artery (RCA). The 12-Lead ECG reveals ST elevation in leads II, Ill, and avF. You would expect to see reciprocal changes in which leads? A. I, aVR B. V, V2 C. V, VA D I, aVL ANSWER 1. D. I, aVI. The RCA perfuses the inferior wall and the mirror image or reciprocal change will be seen in the high latera wall, which is refle...