PCCN Exam 1 Questions & Answers, All Answers Explained, Rated 100%

PCCN Exam 1 Questions & Answers, All Answers Explained, Rated 100%
A 16 year old is admitted following a syncopal episdoe while on a basketball court. The
pt reports having had syncopal episodes in the past, generally while in the midst of sports
events. The nurse notes the pt is in SB with a rate of 55, PR interval of 0.16, QRS of 0.10,
QT interval of 0.50, and a slightly peaked T wave. The nurse should anticipate
A. cardiac cath the following morning
B. performance of an echo
C. serum and urine toxicology screens
D. CBC and trop levels - B. This pt has signs and symptoms of long QT syndrome. This
condiition is a congenital disorder characterized by a prolongation of the QT interval on
ECG and propensity for ventricular tachyarrhythmias, which may lead to syncope,
cardiac arrest or sudden death, Imaging studies, such as echocardiography, may help to
exclude other potential reasons for arrhythmic events or associated congenital heart
diseases. ANy young person with syncope that occurs during exercise or in any other
circumstance in which a surge of adrenaline levels was likely to have been present should
have long QT syndrome specifically ruled out
A cardiac pt with with DNR status is being managed medically. The nurse notes a new
cough, thick yellow sputum and a temperature of 101.4 (38.4) Coarse crackles are present
in the right upper field. The nurse should most immediately anticipate
A. blood and sputum cultures followed by a broad spectrum abx
B. mucolytics and judicious IV fluid administration
C. an antyipyretic and conservative management
D. NPO status and encouragement of frequent activity - A. This pt symptoms are
consistent with pneumonia. Management should include abx therapy, oxygen therapy for
hypoxemia, mechanical ventilation if acute respiratory failure develops, fluid
management for hydration, nutritional support, and treatment of associated medical
problems and complications.
A fellow employee confides to you about a personal addiction to narcotics. The colleague
has not sought professional help but is considering the need to do so. Conversation
further reveals she has been forging prescriptions to obtain drugs. When you ask her to
report this to the supervisor, she refuses and asks you not to share what you spoke about.
What is the nurse best course of action
A. confidentially report the conversation to the EDA
B. disregard the conversation and hope the situation resolves
C. remove the prescription pads and limit her access to them
D. speak with the nursing supervisor - D. Nurses who divert drugs pose a significant
threats to patient safety but also become a liability to healthcare organizations and the
nursing department where the diversion occurred. Healthcare and nursing leaders have a
responsibility to ensure that security systems are in place to prevent diversion and protect
pt if nursing impairment is suspected as a result of drug diversion. Nursing leaders must
consider legal, regulatory, ethical, humanistic and practical considerations in resolving
this issue. The nursing supervisor must be notified immediately and in a private area.
This is a very sensitve issue.

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