Progressive Care Nursing PCCN Exam Prep - Question List

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11. A young man presents with chest discomfort, dyspnea, fatigue, pressure in epigastrium and palpitations. He had a history of viral flu a few days back. Moreover, the ECG showed non-specific changes and the lab culture had a growth of influenza virus. What is the diagnosis?
  1. Myocarditis
  2. Pericarditis
  3. Pulmonary edema
  4. Endocarditis
12. A middle-aged woman came to the emergency department with worsening dyspnea, pressure in head and increased respiratory rate. She was known to have pulmonary edema secondary to heart failure. On examination, there was tachycardia, tachypnea, and hypertension. ABGs were carried out which showed pH < 7.35, paCO2>42 mm of HG, and H2CO3 was also high. What is the likely diagnosis?
  1. Respiratory alkalosis
  2. Metabolic acidosis
  3. Respiratory acidosis
  4. Metabolic alkalosis
13. The stages of COPD can be assessed by all of the following except:
  1. Functional dyspnea
  2. Body mass index
  3. Spirometry
  4. Chest x-ray
14. A patient being managed in the pulmonology ward for COPD should get all the medications except:
  1. Bronchodilators
  2. Corticosteroids
  3. Supplemental oxygen therapy
  4. Analgesics
15.

A known hypertensive presented with the features of stroke. His systolic blood pressure was 190 mm of Hg and diastolic pressure was 120 mm of Hg. What is the next thing that should be done?

  1. Monitor the blood pressure and wait until it drops to normal
  2. Immediately give t-PA
  3. Immediately give SK
  4. Immediately drop the blood pressure

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