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Progressive Care Nursing PCCN Exam Prep - Question List

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66.

A young man had a motorcycle accident and sustained major injury to the head. He was brought in this condition to the accident and emergency department. The monitor showed that he was having alternating bradycardia and tachycardia, his BP was 180/110 mm of Hg and he was in an altered state of consciousness. What would be the first step in saving the life of this patient?

  1. Checking airway
  2. Checking breathing
  3. Checking circulation
  4. None of the above
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67. Understanding Jehovah's Witnesses is an example of:
  1. cultural competence
  2. cultural sensitivity
  3. response to diversity
  4. none of the above
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68. A young man presented to medical emergency in a state of unconsciousness which had so far lasted for 16 minutes. According to his relatives, he has absolutely normal half an hour back, when he suddenly started having spastic tonic and clonic movements, convulsions and frothing from the mouth. After this episode, he went unconscious. What is the most likely diagnosis?
  1. Epilepsy
  2. Parkinsonism
  3. Alzheimer's disease
  4. Psychosis
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69. In Q wave Myocardial Infarction, the peak CK levels occur in:
  1. 30 hours
  2. 12 hours
  3. 36 hours
  4. 27 hours
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70. A known diabetic and hypertensive presented in medical emergency with acute onset of right-sided hemiplegia, altered level of consciousness and inability to speak. On examination, gag reflex was absent, plantars were upgoing and the power on the right side was markedly decreased. What is the likely diagnosis?
  1. Stroke
  2. Epilepsy
  3. Parkinsonism
  4. Dementia
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