Progressive Care Nursing PCCN Exam Prep - Question List

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71. A nurse is monitoring a client who was recently admitted to the unit after a cardiac catheterization. Which of the following ordered assignments is the nurse's priority?
  1. Assess the client's heart rate
  2. Monitor the client's urinary output
  3. Assess pulses distal to insertion site
  4. Assess pulses proximal to the insertion site
72. A patient has developed Acute Respiratory Acidosis, with a pH of 7.25 and a PaCO2 of 55. What is the underlying cause of Respiratory Acidosis?
  1. The lungs are not sufficiently ventilating.
  2. The lungs are working excessively resulting in "over-breathing."
  3. There is an underlying gastric disorder.
  4. There are elevated levels of aldosterone present.
73. The nurse is caring for a 59-year-old male client with a known case of chronic obstructive pulmonary disease. The client had an appendectomy a day before. Which of the following is a priority intervention in preventing respiratory complications?
  1. Maintain the flow of oxygen at 4 to 5 L at all times
  2. Help client to turn to sides every 2 hours and ambulate around the room
  3. Have the client perform deep breathing exercises every morning and before sleeping
  4. Ensure that hourly nebulization is done
74. In the approaches to teaching, internet modules are suitable for:
  1. academic or detailed information
  2. small groups
  3. independent learners
  4. giving targeted instructions for individuals
75. All of the following are contraindications to thrombolytic therapy in case of stroke except:
  1. Evidence of cerebral or subarachnoid hemorrhage
  2. Recent stroke head trauma or surgery
  3. Uncontrolled hypertension or seizures
  4. Low RBC count

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