Download AACN Progressive Care Certified Nurse (PCCN) Exam Review and more Exams Nursing in PDF only on Docsity! AACN Progressive Care Certified Nurse PCCN Unit 1 Exam Review Questions and Answers 100% Pass Ch.1 Overview of Critical Care, Ch. 2 Patient and Family Response to the Critical Care Experience, Ch. 3 Ethical and Legal Issues in Critical Care Nursing, Ch. 4 Palliative and End-of-Life Care, Ch. 7 Dysrhythmia Interpretation and Management, Ch. 13 Cardiovascular Alterations Founded in 1969; Largest specialty organization in the world. Assist acute and critical care nurses to attain knowledge and influence to deliver excellent care. An ethic of care that focuses on compassion collaboration, accountability, and trust. - Answer>> American Association of Critical-Care Nurses (AACN) AACN's Vision; want to place specialized nurse with the patient who would benefit the most. - Answer>> Synergy Model The charge nurse assigns patients based on their acuity and the level of experience of the critical care nurses on duty. This is an example of: A) SBAR communication B) Healthy work environment C) National patient safety goals D) Synergy model - Answer>> D) Synergy model - Validate knowledge - Promote professional excellence - Help nurses maintain up to date knowledge - AACN oversees CCRN, CCRN-E, and PCCN certifications. -Based on AACN synergy model for patient care. - Answer>> Critical Care Certification When caring for a patient in the ICU, you need to figure out the one ____ for the patient who you will relay all the information to i.e. care provided, referrals, consults, status change, etc. - Answer>> Decision Maker/Spokesperson Being present during a code can assist family members in: A) Determining the need for a lawsuit B) Documenting care that was provided C) Taking a photo of the family member D) Witnessing that everything has been done - Answer>> D) Witnessing that everything has been done . Right of self-determination concerning medical care. - Answer>> Autonomy Duty to prevent harm, remove harm, and promote the good of another person. - Answer>> Beneficence Not to intentionally inflict harm. - Answer>> Nonmaleficence Fair distribution of health care resources. - Answer>> Justice Truthfulness. - Answer>> Veracity Progressive narrowing of coronary arteries by atherosclerosis. - Answer>> Coronary Artery Disease Antiplatelet drug often seen for the treatment in those with cardiovascular diseases. - Answer>> Aspirin Drug that stops MI. - Answer>> Glycoprotein IIb/IIIa Inhibitors What on an EKG points towards an MI? - Answer>> ST Elevation Released into the blood stream when heart muscle is not getting enough O2. - Answer>> Troponin I and T Chronic, exertional. Tx with rest and nitroglycerin. - Answer>> Stable Angina More often and more severe with less relief. Tx is rest and nitroglycerin along with drugs affecting platelets and revascularization. - Answer>> Unstable Angina Vasospasms of the heart muscle. Tx with CCB. - Answer>> Variant Angina The heart's demand for oxygen is higher than the supply. - Answer>> Myocardial Ischemia (Angina) Heart attack; heart muscles are dying. - Answer>> Myocardial Infarction Ischemia with myocardial cell death; imbalance of oxygen supply and demand. - Answer>> Acute Coronary Syndrome (ACS) What does MONA stand for? - Answer>> Morphine Oxygen Nitroglycerin Aspirin You want to get a patient to the cath lab within ____ of MI. - Answer>> 90 min You want to get a patient t-PA within ____ of MI. - Answer>> 6 hours If a patient complains of a headache after thrombolytic therapy, worry about a ____; get CT. - Answer>> Brain Bleed Goal is to increase blood flow to myocardium. - Answer>> Percutaneous Transluminal Coronary Angioplasty (PTCA) What two heart rhythms need to be treated with blood thinners? - Answer>> A-Fib and Atrial Flutter What are the steps for treating SVTs? - Answer>> Vagal maneuvers, adenosine (3x), then low shock. What treatments are used on a patient who is conscious with v- tach? - Answer>> Amiodaron and/or cardioversion What treatment is used on a patient who is unconscious with v- tach? - Answer>> CPR What are the treatments for someone in V-fib? - Answer>> Do CPR and defibrillate! What are the two lethal rhythms that need to be treated immediately? - Answer>> V-tach and V-fib What is the treatment for someone who has a idioventricular rhythm? - Answer>> Pacemaker What is the only treatment for someone who is asystole? - Answer>> CPR
