CCRN- Nurse Life Academy Exam
2025 Questions and Answers
Cardiac Tamponade s/s - ANSWER-1. Systolic BP that fluctuates with breathing
patterns.
2. Beck's Triad: muffled heart sounds, jvd, narrowing pulse pressures
3. Pulsus Paradox
4. widening of mediastinum on CXR
5. equalization of CVP, PAd, PAOP
What is Beck's triad? - ANSWER-1. Low BP with narrowing Pulse pressures
2. muffled Hearts sounds
3. JVD
What is narrowing pulse pressures - ANSWER-when Systolic BP - Diastolic BP =
<30
What is pulsus paradoxus? - ANSWER-decrease of >10mmHG in systole during
inspiration
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,what is equalization of CVP, PAd, PAOP? - ANSWER-seen in cardiac tamponade
and when CVP, PAd, and PAOP ar within 5mmHg of each other.
treatment for Cardiac Tamponade? - ANSWER-pericardiocentesis
Your pt had an acute MI (St elevation in II, III, aVf) 2 days ago. The patient is now
increasingly dyspneic, restless, diaphoretic, and hypotensive. Assessment reveals
the development of a new loud holosystolic murmur, heard at the Apex. What is
most likely the cause of this patient's deteroriation? - ANSWER-An acute Mitral
regurgitation due to papillary muscle rupture
Papillary Muscle Rupture is most commonly seen in patient's with an ____ MI? -
ANSWER-inferior MI
Clinical Signs of Papillary Muscle Rupture? - ANSWER-1. Holosystolic Murmur
heard in Apex.
2. hemodynamic instability
3. dyspnea
4.fatigue
5. HF
How do you diagnose Papillary Muscle Rupture? - ANSWER-With TEE or an
ECHO.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, ECHO are responsible for diagnosing all of what dystfuntions? - ANSWER-
Valvular Dysfunctions
What is treatment for Papillary Muscle Rupture? - ANSWER-emergent surgical
repair
Large V-wave on PAOP tracing is related to what? - ANSWER-Mitral
Regurgitation
Mitral Regurgitation will be associated with what type of murmur? - ANSWER-
systolic murmur
A patient has wakes up from sleep with chest pain. You get an EKG, which shows
NSR with ST elevation in V1, V2, V3, V4. Within 10 minutes, patient states that
chest pain has resolved; the EKG is still connected and shows no more ST-
elevation. 10 minutes later, your patient experiences chest pain again and ST-
elevation is present. What medication would you anticipate the doctor ordering? -
ANSWER-Nitroglycerin and calcium channel blockers; Prinzmental's (Variant)
angina
What is prinzmetal (variant) angina? - ANSWER-a type of angina that is caused by
coronary vasospasms.
Clinical Signs of Prinzmetal (variant) angina? - ANSWER-1. sudden chest pain that
can occur at rest or sleep, may be cyclic (occurs at same time every day)
2.st-elevation with pain and no st-elevation with relief
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
2025 Questions and Answers
Cardiac Tamponade s/s - ANSWER-1. Systolic BP that fluctuates with breathing
patterns.
2. Beck's Triad: muffled heart sounds, jvd, narrowing pulse pressures
3. Pulsus Paradox
4. widening of mediastinum on CXR
5. equalization of CVP, PAd, PAOP
What is Beck's triad? - ANSWER-1. Low BP with narrowing Pulse pressures
2. muffled Hearts sounds
3. JVD
What is narrowing pulse pressures - ANSWER-when Systolic BP - Diastolic BP =
<30
What is pulsus paradoxus? - ANSWER-decrease of >10mmHG in systole during
inspiration
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,what is equalization of CVP, PAd, PAOP? - ANSWER-seen in cardiac tamponade
and when CVP, PAd, and PAOP ar within 5mmHg of each other.
treatment for Cardiac Tamponade? - ANSWER-pericardiocentesis
Your pt had an acute MI (St elevation in II, III, aVf) 2 days ago. The patient is now
increasingly dyspneic, restless, diaphoretic, and hypotensive. Assessment reveals
the development of a new loud holosystolic murmur, heard at the Apex. What is
most likely the cause of this patient's deteroriation? - ANSWER-An acute Mitral
regurgitation due to papillary muscle rupture
Papillary Muscle Rupture is most commonly seen in patient's with an ____ MI? -
ANSWER-inferior MI
Clinical Signs of Papillary Muscle Rupture? - ANSWER-1. Holosystolic Murmur
heard in Apex.
2. hemodynamic instability
3. dyspnea
4.fatigue
5. HF
How do you diagnose Papillary Muscle Rupture? - ANSWER-With TEE or an
ECHO.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, ECHO are responsible for diagnosing all of what dystfuntions? - ANSWER-
Valvular Dysfunctions
What is treatment for Papillary Muscle Rupture? - ANSWER-emergent surgical
repair
Large V-wave on PAOP tracing is related to what? - ANSWER-Mitral
Regurgitation
Mitral Regurgitation will be associated with what type of murmur? - ANSWER-
systolic murmur
A patient has wakes up from sleep with chest pain. You get an EKG, which shows
NSR with ST elevation in V1, V2, V3, V4. Within 10 minutes, patient states that
chest pain has resolved; the EKG is still connected and shows no more ST-
elevation. 10 minutes later, your patient experiences chest pain again and ST-
elevation is present. What medication would you anticipate the doctor ordering? -
ANSWER-Nitroglycerin and calcium channel blockers; Prinzmental's (Variant)
angina
What is prinzmetal (variant) angina? - ANSWER-a type of angina that is caused by
coronary vasospasms.
Clinical Signs of Prinzmetal (variant) angina? - ANSWER-1. sudden chest pain that
can occur at rest or sleep, may be cyclic (occurs at same time every day)
2.st-elevation with pain and no st-elevation with relief
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
