AACN Test Questions CCRN review 2026 EXAM QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+ PROFESSOR VERIFIED

AACN Test Questions CCRN review 2026 EXAM QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+ PROFESSOR
VERIFIED

1. A patient with mitral regurg suddenly develops A Fib. BP normal, HR 156.
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V. Anticipate Orders for:: cardiac glycosides (e.g. digoxin) and calcium channel
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V. blockers. Glycosides will increase contractility and decrease HR in new onset
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acute phase. Calcium channel blockers will help control ventricular response.
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2. What rhythm should the nurse watch out for following aortic valve
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V. replacement?: 2nd degree AV block type II. Due to edema, inflammation,
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V. hemorrhage, or suturing near the node. V. V. V. V. V.




3. What finding is the most consistent with an acute elevation in left
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V. ventricular filling pressure?: Bibasilar crackles. When pressures in the left
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V. ventricle increase suddenly fluid is forced into the alveoli by an increase in
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V. hydrostatic pressure. This could lead to acute heart failure and acute
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V. decompensation.
4. Patient V. with V. suspected V. abdominal V. aortic V. aneurysm V. reports
V. paresthesia in both legs, diaphoresis and tachypnea. Pt has diminished
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V. pedal pulses and increasing anxiety. What should the next steps be?:
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V. Activate V. emergency V. response V. team V. and V. initiate V. resuscitation. V. Provide
V. supplemental oxygen and place two large bore IVs. Do not palpate the
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V. abdomen!

,5. What rhythm is a risk when administering Haldol?: Torsades de
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V. pointes. The med can cause a prolonged QT.
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6. For a pt with a hx of cocaine use what medication should the RN
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V. consult the provider about before givinge?`: Beta blockers. This drug can
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V. cause vasoconstriction,. increased HR, BP and temp. With the added med this
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V. puts the patient at risk for coronary vasospasm due to alpha-adrenergic receptor
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activity that is otherwise unopposed.
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7. A patient with ACS of the anterior wall and elevated PAOP + S3 heart
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V. sounds is at risk for: Left ventricular failure. These findings are reflective of
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V. increased left ventricular end-diastolic pressure.
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8. A patient experiencing sharp and tearing chest pain with low BP,
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V. high HR, and tachypnia may be experiencing: thoracic aortic dissection. RN
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V. should check BP between arms to see if there is a discrepancy. The patient
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V. will need surgical intervention.
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9. A patient post prosthetic heart valve surgery with new hematuria, bloody
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V. stools, and epistaxis 2 days after starting warfarin with an INR of 8.0
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V. should be treated with: Fresh frozen plasma
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10. What hemodynamic findings are consistent with cardiac tamponade?:
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V. Hypotension, tachycardia, tachypnea, decreased CO, and decreased stroke
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V. volume.




11. What is the gold standard for diagnosing cardiac tamponade?:
echocardiogram



2 V./ V.12

, 12. Chest heaviness, muffled heart sounds, JVD, decrease in BP with
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V. inspiration are symptoms of: cardiac tamponade. V. V. V. V. V.




13 This medication helps decrease myocardial O2 demand, decrease
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V. heart rate at rest and with exercise, lowers BP and reduces myocardial
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V. contractility:: beta-blockers V.




14. Before aortic abdominal aneurysm repair this medication is given to
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V. reduce contractility:: metoprolol (lopressor)
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15. ST segment elevation, Q waves and T wave inversion in leads V1-V3
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V. are signs of what type of MI and occlusion of which artery?: Anterior
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V. wall MI, occlusion of the LAD
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16. What dysrhythmia is the most commonly associated with anterior
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V. wall MI?: Second-degree AV block (type II). These originate below the AV
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V. node
17. For a patient with heart failure secondary to ischemic cardiomyopathy and
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V. end-stage CAD what medications are the most beneficial?: Captopril
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V. (capoten) and Spironolactone (Aldactone). These drugs decrease afterload
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V. and minimize remodeling in HF.
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18. Left ventricular failure can be caused by: Aortic regurgitation and
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V. hypertension.
19. Surgical repair is needed for thoracic aortic aneurysms if:: theV. V. V. V. V. V. V. V. V.




V. aneurysm diameter is 5.5 cm or more. V. V. V. V. V. V.




20. Chest pain associated with dissecting aortic aneurysm is usually:
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V. sharp stabbing and tearing pain. sudden and intense and not relieved with
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V. rest.
21. Early invasive PCI therapy is indicated in pts with NSTEMI who also have::
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Refractory V . angina, V . hemodynamic V . or V . electric V . instability, V . severe V . heart
failure
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