Progressive Care Nursing PCCN Exam Prep - Question List

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16. After having a fight, a young man presented to the trauma center with a lacerated wound in the right chest. Patient was in severe respiratory distress. Examination showed there was tachycardia and tachypnea. Moreover, breath sounds were absent in right chest. Chest x-ray showed mediastinal shift to left. What is the most likely diagnosis?
  1. Tension pneumothorax
  2. Spontaneous pneumothorax
  3. Pneumonia
  4. Emphysema
17. A patient presented to medical OPD with all the signs and symptoms of heart failure. His echocardiography showed increased right ventricle workload, right ventricle hypertrophy, displaced interventricular septum and tricuspid regurgitation. What is the most important test to confirm the diagnosis in this regard?
  1. ECG
  2. Chest x-ray
  3. Echocardiography (already done)
  4. Right-sided cardiac catheterization
18. All of the following may be the cause of primary pulmonary hypertension except:
  1. COPD
  2. Pulmonary emboli
  3. Sickle cell disease
  4. Raynaud's disease
19. What is seen in the Chest x-ray of a patient suffering from Pneumonia?
  1. Consolidation
  2. Cavity
  3. Diffuse patches
  4. Solitary nodule
20. All the statements are true about SARS (severe acute respiratory syndrome) except:
  1. Temp> 38 degree centigrade, headaches, general malaise
  2. Dry cough and dyspnea
  3. Decreased white cell and platelet count in blood tests
  4. Frequent nausea and vomiting

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