Page 1 of 68
“CC EXAM 1 “ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
CC Exam 1
Fifteen minutes after beginning a transfusion of O negative blood to a patient
in shock, the
nurse assesses a drop in the patient's blood pressure to 60/40 mm Hg, heart
rate 135
beats/min, respirations 40 breaths/min, and a temperature of 102q F. The nurse
notes the new
onset of hematuria in the patient's Foley catheter. What are the priority nursing
actions?
(Select all that apply.)
a. Administer acetaminophen
b. Document the patient's response.
c. Increase the rate of transfusion.
d. Notify the blood bank.
e. Notify the physician.
f. Stop the transfusion.
b. Document the patient's response.
d. Notify the blood bank.
e. Notify the physician.
f. Stop the transfusion.
The nurse is caring for a young adult patient admitted with shock. The nurse
understands
, Page 2 of 68
which assessment findings best assess tissue perfusion in a patient in shock?
(Select all that
apply.)
a. Blood pressure
b. Heart rate
c. Level of consciousness
d. Pupil response
e. Respirations
f. Urine output
a. Blood pressure
c. Level of consciousness
f. Urine output
A patient is admitted with an angina attack. The nurse anticipates which drug
regimen to be
initiated?
Nitroglycerin, oxygen, and beta-blockers
A patient diagnosed with coronary artery disease is having a cardiac
evaluation to assess for
possible valvular disease. Which study best identifies valvular function and
measures the size
of the cardiac chambers?
Echocardiogram
A patient has elevated blood lipids. The nurse anticipates which classification
of drugs to be
prescribed for the patient?
Statins
The patient is admitted with an acute myocardial infarction (AMI). Three days
later the nurse
is concerned that the patient may have a papillary muscle rupture. Which
assessment data may
indicate a papillary muscle rupture?
Murmur
, Page 3 of 68
While instructing a patient on what occurs with a myocardial infarction, the
nurse plans to
explain which process?
Death of cardiac muscle from lack of oxygen (tissue necrosis).
A 72-year-old woman is brought to the ED by her family. The family states that
she's "just
not herself." Her respirations are slightly labored, and her heart monitor shows
sinus
tachycardia (rate 110 beats/min) with frequent premature ventricular
contractions (PVCs). She
denies any chest pain, jaw pain, back discomfort, or nausea. Her troponin
levels are elevated,
and her 12-lead electrocardiogram (ECG) shows elevated ST segments in
leads II, III, and
AVF. The nurse knows that these symptoms are most likely associated with
which diagnosis?
Silent myocardial infarction
A patient presents to the ED complaining of severe substernal chest pressure
radiating to his
left shoulder and back that started about 16 hours ago. The patient delayed
coming to the ED
hoping the pain would go away. The patient's 12-lead ECG shows ST-segment
depression in
the inferior leads. Troponin and CK-MB are both elevated. The hospital does
not have the
capability for percutaneous coronary intervention. Thrombolysis is one
possible treatment.
Based on these data, the nurse correctly comes to what conclusion?
The patient is not a candidate for thrombolysis.
The patient presenting to the ED with severe chest discomfort is taken for
cardiac
catheterization and angiography that shows 80% occlusion of the left main
, Page 4 of 68
coronary artery.
Which procedure will be most likely followed?
Coronary artery bypass graft surgery
The patient is admitted with recurrent supraventricular tachycardia that the
cardiologist
believes to be related to an accessory conduction pathway or a reentry
pathway. The nurse
anticipates which procedure to be planned for this patient?
Radiofrequency catheter ablation
The patient presents to the ED with sudden severe sharp chest discomfort
radiating to the back
and down both arms, as well as numbness in the left arm. While taking the
patient's vital
signs, the nurse notices a 30-point discrepancy in systolic blood pressure
between the right
and left arm. Based on these findings, what should the nurse do in addition to
informing the
primary care provider?
Begin prepping the patient for emergency surgery.
A patient is admitted to the emergency department with clinical indications of
an acute
myocardial infarction with symptoms that began 3 hours ago. The facility does
not have the
capability for percutaneous coronary intervention. Given this scenario, what is
the priority
intervention in the treatment and nursing management of this patient?
Administer thrombolytic therapy unless contraindicated
A patient has been prescribed nitroglycerin in the ED for chest pain. In taking
the health
history, the nurse should verify whether the patient has taken medications
prior to admission
for which condition?
Erectile dysfunction
“CC EXAM 1 “ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
CC Exam 1
Fifteen minutes after beginning a transfusion of O negative blood to a patient
in shock, the
nurse assesses a drop in the patient's blood pressure to 60/40 mm Hg, heart
rate 135
beats/min, respirations 40 breaths/min, and a temperature of 102q F. The nurse
notes the new
onset of hematuria in the patient's Foley catheter. What are the priority nursing
actions?
(Select all that apply.)
a. Administer acetaminophen
b. Document the patient's response.
c. Increase the rate of transfusion.
d. Notify the blood bank.
e. Notify the physician.
f. Stop the transfusion.
b. Document the patient's response.
d. Notify the blood bank.
e. Notify the physician.
f. Stop the transfusion.
The nurse is caring for a young adult patient admitted with shock. The nurse
understands
, Page 2 of 68
which assessment findings best assess tissue perfusion in a patient in shock?
(Select all that
apply.)
a. Blood pressure
b. Heart rate
c. Level of consciousness
d. Pupil response
e. Respirations
f. Urine output
a. Blood pressure
c. Level of consciousness
f. Urine output
A patient is admitted with an angina attack. The nurse anticipates which drug
regimen to be
initiated?
Nitroglycerin, oxygen, and beta-blockers
A patient diagnosed with coronary artery disease is having a cardiac
evaluation to assess for
possible valvular disease. Which study best identifies valvular function and
measures the size
of the cardiac chambers?
Echocardiogram
A patient has elevated blood lipids. The nurse anticipates which classification
of drugs to be
prescribed for the patient?
Statins
The patient is admitted with an acute myocardial infarction (AMI). Three days
later the nurse
is concerned that the patient may have a papillary muscle rupture. Which
assessment data may
indicate a papillary muscle rupture?
Murmur
, Page 3 of 68
While instructing a patient on what occurs with a myocardial infarction, the
nurse plans to
explain which process?
Death of cardiac muscle from lack of oxygen (tissue necrosis).
A 72-year-old woman is brought to the ED by her family. The family states that
she's "just
not herself." Her respirations are slightly labored, and her heart monitor shows
sinus
tachycardia (rate 110 beats/min) with frequent premature ventricular
contractions (PVCs). She
denies any chest pain, jaw pain, back discomfort, or nausea. Her troponin
levels are elevated,
and her 12-lead electrocardiogram (ECG) shows elevated ST segments in
leads II, III, and
AVF. The nurse knows that these symptoms are most likely associated with
which diagnosis?
Silent myocardial infarction
A patient presents to the ED complaining of severe substernal chest pressure
radiating to his
left shoulder and back that started about 16 hours ago. The patient delayed
coming to the ED
hoping the pain would go away. The patient's 12-lead ECG shows ST-segment
depression in
the inferior leads. Troponin and CK-MB are both elevated. The hospital does
not have the
capability for percutaneous coronary intervention. Thrombolysis is one
possible treatment.
Based on these data, the nurse correctly comes to what conclusion?
The patient is not a candidate for thrombolysis.
The patient presenting to the ED with severe chest discomfort is taken for
cardiac
catheterization and angiography that shows 80% occlusion of the left main
, Page 4 of 68
coronary artery.
Which procedure will be most likely followed?
Coronary artery bypass graft surgery
The patient is admitted with recurrent supraventricular tachycardia that the
cardiologist
believes to be related to an accessory conduction pathway or a reentry
pathway. The nurse
anticipates which procedure to be planned for this patient?
Radiofrequency catheter ablation
The patient presents to the ED with sudden severe sharp chest discomfort
radiating to the back
and down both arms, as well as numbness in the left arm. While taking the
patient's vital
signs, the nurse notices a 30-point discrepancy in systolic blood pressure
between the right
and left arm. Based on these findings, what should the nurse do in addition to
informing the
primary care provider?
Begin prepping the patient for emergency surgery.
A patient is admitted to the emergency department with clinical indications of
an acute
myocardial infarction with symptoms that began 3 hours ago. The facility does
not have the
capability for percutaneous coronary intervention. Given this scenario, what is
the priority
intervention in the treatment and nursing management of this patient?
Administer thrombolytic therapy unless contraindicated
A patient has been prescribed nitroglycerin in the ED for chest pain. In taking
the health
history, the nurse should verify whether the patient has taken medications
prior to admission
for which condition?
Erectile dysfunction
