Crni New Exam Questions And Answers 2026/2027 Solution | Graded A+

CRNI NEW EXAM QUESTIONS AND ANSWERS 2026/2027 SOLUTION
| GRADED A+


A. Pain management (Anesthesia - Local) - ANSWER -Lidocaine (Buffered, hydrochloride, Lidocaine-
prilocaine mix

-Routinely used for PICC or CVC insertion



A. Pain management (Anesthesia - Epidural uses) - ANSWER -Block for surgery (Lower body)

-OB



A. Pain management (Anesthesia - Epidural analgesia) - ANSWER Dose = 1/10th of IV

-Morphine = Longest onset/duration

-Methadone = Shortest onset/duration

-Hydromorphone = Intermediate onset/duration

-Fentanyl = 10 minutes onset, 4-6 hour duration



A. Pain management (Anesthesia - Intrathecal analgesia) - ANSWER -Dose should be 1/10th of
epidural dose

-May be for acute, short or long term pain management



A. Pain management (Analgesia - opiate agents) - ANSWER -morphine, also fentanyl, dliaudid,
methadone, demerol, etc

-Severe, acute or moderate-severe pain

-Doseage varies

-Side effects: Constipation, respiratory depression, circulatory depression and hypersensitivity

-Caution with head injuries or increased ICP, implement bowel regimen



A. Pain management (Analgesia - opiate antagonists) - ANSWER -Narcan (Naloxone)

-indication: Opiate OD

-Dose = 0.2mg - 0.4mg

-Sid effects: N/V, hypotension or HTN reversal of analgesia

,A. Pain management (Pediatric - Procedural) - ANSWER -Physiologic changes = Increased HR,
decreased O2 Saturation

-Facial cues = grimacing, crying and body movements



A. Pain management (Pediatric - Analgesia (nonpharmacolgical)) - ANSWER -Swaddling
(Neonate/infant), sucrose water, modification of environment

-Toddler = Reassurance, parents provide support, calm soothing voice

-Preschooler = Diversional activity and parental support

-School age child = Distraction and parental support



A. Pain management (Pediatric - Analgesia (Pharmacological)) - ANSWER -Requires order

-Opioids = Reserve for moderate and severe/prolonged pain



B. Cardiac Infusion therapies (Sympathetic -Dopamine) - ANSWER -Indications: Hypotension/shock

-Dose = Weight based, titration

-Mode = Continuous

-Major SE's = ectopic beats, hyper/hypotension, vasoconstriction, widened QRS, aberrant

-Nursing = Monitor UoP, BP, central pressure, use CVAD, antidote is phentolamine



B. Cardiac Infusion therapies (Sympathetic - norepinephrine) - ANSWER -Indications =
Hypotension/Shock

-Dose = weight based, usual titrate to goal BP

-Mode = Continuous

-Side effects = Bradycardia, chest pain, vomiting, photophobia, tissue necrosis with extravisation

-Nursing = Monitor BP q 2 mins until stable, then q 5 mins, use CVAD, Antidose is phentolamine,
electronic pump



B. Cardiac Infusion therapies (Sympathetic - Dobutamine) - ANSWER -Indications: Short term
inotropic , long-term while waiting heart transplant, palliative care

-Dose = Weight based, 2-20 max of 40

-Mode = continuous

-SE's = anginal chest pain, palpitations, headache and nausea

-Nursing = Monitor HR, BP, UoP, electronic device

,B. Cardiac Infusion therapies (Sympathetic - Epinephrine) - ANSWER -Indications = Anaphylactic
shock, cardiac arrest

-Dose = 0.1 to 0.25mg of 1:10,000 solution

-Mode = Push

-SE's = Anxiety, vertigo, palpatations

-Nursing = administer with caution, check BP every 5 minutes to 1 hour



B. Cardiac Infusion therapies (Sympathetic - Isoproterenol Hydrochloride) - ANSWER -Indications =
Atrioventricular heartblock

-Dose = bolus and infusion

-Mode = Push or continuous

-SE's = Angina, flushing, palpatations, sweating and nausea/vomiting

-Nursing = Monitor rate of infusion and titrate to HR/rhythm, electronic device



B. Cardiac Infusion therapies (Cardiotonic - Digoxin) - ANSWER -Indications = Heart failure,
Aflutter/Fib

-Mode = push, PO

-SE's = Color vision changes, diarrhea, N/V, anorexia

-Nursing = Monitor dig level, lytes (Hyperkalemia)



B. Cardiac Infusion therapies (Cardiotonic - Mitrinone lactate) - ANSWER -Indiactions = CHF (short
term), heart transplant (long term)

-Mode = Push, continuous

-SE's = Vfib/Vtach, hypotension, chest pain, headache and pain at IV site

-Nursing = Caution w/ renal and hepatic disease, monitor Bp/HR



B. Cardiac Infusion therapies (Antiarrhythmic agents - Quinidine) - ANSWER -Indications = Malaria,
cardiac arrhythmias

-Mode = continuous

-SE's = Cramps, N, hypotension, QT prolongation, apprehension, rash, tinnitus

-Nursing = Caution with Heart block or hepatic dysfunction, monitor BP/heart rhythm, electronic
device

, B. Cardiac Infusion therapies (Anti-Arrhythmic agents - Procanimide) - ANSWER -Indications =
Ventricular arrhythmias, wide complex tachy, use of lido contraindicated

-Mode = Push, intermittent continuous

-SE's =Drug induced lupus, hypotension, vfib/vtach, asytole

Nursing =Monitor ECG/VS continuously



B. Cardiac Infusion therapies (Anti-Arrhythmic agents - Lidocaine) - ANSWER -Indications =
Ventricular arrhythmias

-Mode = Push, Continuous

-SE's = Blurred vision, vertigo, twitching, vomiting, hypotension, bradycardia, seizures

-Nursing = Caution in renal/hepatic function, hypovolemia, heart block, electronic device



B. Cardiac Infusion therapies (Anti-Arrhythmic agents - Ibiutilide) - ANSWER -Indications =
Afib/Flutter

-Mode = Push, intermittent in 10 min injection

-SE's = QT prolongation, hypertension, N/V, palpitations

-Nursing = Assess baseline ECG, and QT interval



B. Cardiac Infusion therapies (Anti-Arrhythmic agents - Amiodarone) - ANSWER -Indications =
Ventricular and Supra-ventricular Arrhythmias

-Mode = Intermittent, continuous

-SE's = Pulmonary/hepato/thyroid-toxicity, worsening arrhythmia (especially with lyte imbalance,
injection site reactions (phlebitis/tissue necrosis)

-Nursing = Baseline ECG/QT, LFT and thyroid panel, monitor lytes, assess for extravasation



B. Cardiac Infusion therapies (Anti-Arrhythmic agents - Adenosine) - ANSWER -Indications = SVT,
stress tests

-Mode = Fast push, continuous

-SE's = SOB, Facial flushing, chest pain, hypotension, asytole

-Nursing = Monitor HR/ECG/BP