CCI ACTUAL FINAL EXAM 2025 -2026 NEWEST VERSION
WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS \ACTUAL PRACTICE EXAM 2025 \ASSURED
PASS ALREADY GRADED A+
During the administration of ANS: C
the thrombolytic agent to a The change in level of consciousness indicates that the
patient with an acute patient may be experiencing intracranial bleeding, a
myocardial infarction, the possible complication of thrombolytic therapy. Some
nurse should stop the drug bleeding of the gums is an expected side effect of the
infusion if the patient therapy but not an indication to stop infusion of the
experiences thrombolytic medication. A decrease in blood pressure
a. bleeding from the gums. could indicate internal bleeding. A nonsustained
b. increase in blood pressure.
episode of ventricular tachycardia is a common
c. a decrease in level of
reperfusion dysrhythmia and may indicate that the
consciousness.
d. a nonsustained episode therapy is effective.
of ventricular
tachycardia. DIF: Cognitive Level: Apply (application)
A patient recovering from ANS: C
a myocardial infarction The patient's symptoms are consistent with the
(MI) develops chest pain on development of pericarditis, a possible complication of
day 3 that increases when MI. The other assessments listed are not consistent with
taking a deep breath and is the description of the patient's symptoms.
relieved by leaning
forward. Which action DIF: Cognitive Level: Apply (application)
should the nurse take as
focused follow-up on this
symptom?
a. Assess the feet for pedal
edema.
b. Palpate the radial pulses
bilaterally.
c. Auscultate for a pericardial
friction rub.
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d. Check the heart
monitor for
dysrhythmias.
In preparation for ANS: C
discharge, the nurse The patient should sit down before taking the
teaches a patient with nitroglycerin to decrease cardiac workload and
chronic stable angina how prevent orthostatic hypotension. Transdermal nitrates
to use the prescribed short- are used prophylactically rather than to treat acute pain
acting and long-acting and can be used concurrently with sublingual
nitrates. Which patient nitroglycerin. Although the nurse should check blood
statement indicates that pressure before giving nitroglycerin, patients do not
the teaching has been need to check the pulse rate before taking nitrates.
effective?
a. "I will check my pulse rate DIF: Cognitive Level: Apply (application)
before I take any
nitroglycerin tablets."
b. "I will put the
nitroglycerin patch on as
soon as I get any chest
pain."
c. "I will stop what I am
doing and sit down before I
put the nitroglycerin under
my tongue."
d. "I will be sure to
remove the
nitroglycerin patch
before taking any
sublingual nitroglycerin."
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Three days after ANS: B
experiencing a myocardial The patient data indicate anxiety about the impact of
infarction (MI), a patient the MI is a concern. The other nursing diagnoses may
who is scheduled for be appropriate for some patients after an MI, but the
discharge asks for data for this patient do not support denial, activity
assistance with hygiene intolerance, or altered body image.
activities, saying, "I am too
nervous about my heart to DIF: Cognitive Level: Apply (application)
be alone while I get
washed up." Based on this
information, which nursing
diagnosis is appropriate?
a. Activity intolerance related
to weakness
b. Anxiety related to
change in health status
c. Denial related to lack of
acceptance of the MI
d. Altered body image
related to cardiac disease
When caring for a ANS: B
patient who is recovering Diagnostic testing (e.g., stress test, Holter monitor,
from a sudden cardiac electrophysiologic studies, cardiac catheterization) is
death (SCD) event and used to determine the possible cause of the SCD and
has no evidence of an treatment options. SCD is likely to recur.
acute myocardial Anticoagulation therapy will not have any effect on the
infarction (AMI), the incidence of SCD, and SCD can occur even when the
nurse will anticipate patient is resting.
teaching the patient that
a. sudden cardiac death DIF: Cognitive Level: Apply (application)
events rarely reoccur.
b. additional diagnostic
testing will be required.
c. long-term
anticoagulation therapy
will be needed.
d. limiting physical activity will
prevent
future SCD events.
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A few days after experiencing ANS: A
a myocardial infarction (MI) When the patient is experiencing denial, the nurse
and successful percutaneous should assist the patient in testing reality until the
coronary intervention, the patient has progressed beyond this step of the
patient states, "It was just a emotional adjustment to MI. Asking the patient about
little chest pain. As soon as I vacation plans reinforces the patient's plan, which is not
get out of here, I'm going appropriate in the immediate post-MI period.
for my vacation as Reminding the patient in denial about the MI is likely to
planned." Which reply make the patient angry and lead to distrust of the
would be most appropriate nursing staff.
for the nurse to make?
a. "What do you think DIF: Cognitive Level: Apply (application)
caused your chest pain?"
b. "Where are you planning
to go for your vacation?"
c. "Sometimes plans need to
change after a heart
attack."
d. "Recovery from a heart
attack takes at
least a few weeks."
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