PCCN Study Guide

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PCCN Questions And Answers

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Q:1-A client with a left-sided heart failure is prescribed with digoxin (Lanoxin) and furosemide (Lasix). Which of the following signs and symptoms alerts the nurse for a possible occurrence of digoxin toxicity?
Mark one answer:

A positive Trousseau's sign
Leg cramps
Diarrhea
Muscle twitching



Q:2-A 40-year-old pregnant woman presented to surgical OPD with short history of pain in the right hypochondrium radiating to the back. She also complains of nausea and vomiting associated with this episode of pain. What is the likely diagnosis?
Mark one answer:

Acute cholecystitis
Acute pancreatitis
Peritonitis
Gastritis


Q:3-What is the definitive treatment of Cholecystitis due to Cholelithiasis?
Mark one answer:

Laproscopic or open cholecystectomy
Use of antibiotics
Use of anti-spasmodic
Use of analgesics


Q:4-A patient, with a known case of ischemic heart disease, presented to the cardiac OPD with complaints of being breathless and irritable, even at rest, and not being able to carry out daily life activities. What class of heart failure is patient suffering from?
Mark one answer:

Class 1
Class 2
Class 3
Class 4


Q:5-A patient presented with hypertensive urgency. What is the best method of decreasing the blood pressure of the patient in this condition?
Mark one answer:

Immediate decreasing of blood
Waiting for ECG changes to come
Decreasing the blood pressure within a few hours
Decreasing the blood pressure within a few days



Q:6-All of the following are causes of Atrial Fibrillation except:
Mark one answer:

Thyrotoxicosis
Ischemic heart disease
Pheochromocytoma
Nephrotic syndrome


Q:7-What is the immediate management of Tension Pneumothorax?
Mark one answer:

Insertion of large bore IV cannula in 2nd intercostals space
Wait for chest tube to be arranged and then inserted
Cardiopulmonary resuscitation
Bronchoscopy


Q:8-All of the following measures are helpful in the treatment of foreign body aspiration except:
Mark one answer:

Heimlich maneuver
Laryngoscopy and bronchoscopy
Antibiotic therapy for secondary infections
Manual removal of foreign substance


Q:9-A physician orders increased dose of clonidine (Catapres). It is most essential for the nurse to assess for which parameter before drug administration?
Mark one answer:

Heart rate
Blood pressure
Blood glucose
Urine output


Q:10-A child presented with sharp piercing chest pain, fever, malaise, irritability, poor appetite and Dysrhythmia. He had undergone a recent surgery for valvular abnormality of the heart. What is the most likely disease to occur?
Mark one answer:

Pericarditis
Infective endocarditis
Pleural effusion
Cardiac contusion



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