CCRN Critical Care Nursing Exam 2026 ICU Review:
Hemodynamics, Ventilators, Sepsis, Cardiac
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✔ Cardiovascular System ✔ Neurological System
✔ Pulmonary System ✔ Gastrointestinal System
✔ Endocrine System ✔ Multisystem Organ Failure
✔ Renal System ✔ Professional Caring & Ethics
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CCRN Critical Care Nursing Exam 2026 ICU Review: Hemodynamics, Ventilators, Sepsis, Cardiac - 2026/2027 | Passing Score: 75% | Page 1 of 28
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CCRN Critical Care Nursing Exam 2026 ICU Review:
Hemodynamics, Ventilators, Sepsis, Cardiac 2026/2027
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CCRN Critical Care Nursing Exam 2026 ICU Review: Hemodynamics, Ventilators, Sepsis, Cardiac - 2026/2027 | Passing Score: 75% | Page 2 of 28
, SECTION 1 | Cardiovascular System | Q1-Q7 | CCRN Critical Care Nursing Exam 2026 ICU Review: Hemodynamics,
Ventilators, Sepsis, Cardiac 2026/2027
Q1 Question 1 of 50
Q1. A 58-year-old male is admitted to the cardiac ICU after an acute myocardial infarction with ST
elevation in leads V1 through V4. His blood pressure is 88/52 mmHg, heart rate is 122 bpm, and
pulmonary artery catheter shows a cardiac index of 1.8 L/min/m2 and a PCWP of 22 mmHg. Which
intervention should the nurse implement first?
A. Begin a dobutamine infusion at 5 mcg/kg/min
B. Administer furosemide 40 mg IV push
C. Give a 500 mL normal saline bolus
D. Initiate intra-aortic balloon pump therapy
Correct Answer: A
Rationale:
This patient presents with cardiogenic shock following an anterior MI, evidenced by hypotension,
tachycardia, low cardiac index, and elevated PCWP. Dobutamine is the first-line inotrope for cardiogenic
shock with elevated filling pressures because it increases myocardial contractility and cardiac output.
Furosemide would reduce preload but does not address the primary problem of poor contractility, and the
patient is already hypotensive.
Q2 Question 2 of 50
Q2. A 67-year-old female is two days post-coronary artery bypass graft surgery and suddenly
develops wide-complex tachycardia at a rate of 180 bpm with hemodynamic instability. Blood
pressure drops to 74/48 mmHg and she becomes unresponsive. What is the most appropriate
immediate nursing action?
A. Administer amiodarone 150 mg IV over 10 minutes
B. Give adenosine 6 mg rapid IV push
C. Perform synchronized cardioversion at 100 joules
D. Begin cardiopulmonary resuscitation and defibrillate at 200 joules
Correct Answer: B
Rationale:
This patient is experiencing unstable wide-complex tachycardia with hemodynamic compromise, and
synchronized cardioversion is the immediate treatment of choice per ACLS guidelines. Amiodarone is
used for stable wide-complex tachycardia but is not appropriate when the patient is hemodynamically
unstable. Adenosine is primarily used for stable narrow-complex regular tachycardia, and defibrillation is
reserved for pulseless VT or VF.
CCRN Critical Care Nursing Exam 2026 ICU Review: Hemodynamics, Ventilators, Sepsis, Cardiac - 2026/2027 | Passing Score: 75% | Page 3 of 28