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Exam (elaborations)

CCRN Exam Cram Review 2025

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CCRN Exam Cram Review 2025

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CCRN Exam Cram Review 2025
Update | COMPLETE QUESTIONS
AND ANSWERS | 100% CORRECT!!!
HTN Emergency - ANSWER-BP 180/110 with end-organ damage.

S1 Heart Sound - ANSWER-Heard at the apex of the heart.

S2 Heart Sound - ANSWER-Heard at the base of the heart.

S3 Heart Sound - ANSWER-Associated with heart failure.

S4 Heart Sound - ANSWER-Related to MI, HTN, or aortic stenosis.

Acute Chest Pain Management - ANSWER-Includes STAT EKG and 325mg
aspirin.

Nitroprusside Drip - ANSWER-Reduces preload and afterload; monitor cyanide
toxicity.

PCI Preparation - ANSWER-Door to balloon in 90 minutes.

NSTEMI - ANSWER-+ troponin, ST depression, unrelenting chest pain.

STEMI - ANSWER-+ troponin, ST elevation, unrelenting chest pain.

Torsades de Pointes - ANSWER-Prolonged QT interval can lead to this
arrhythmia.

QT Interval - ANSWER-Normal range is 0.36 to 0.4 seconds.

Systolic Heart Failure - ANSWER-EF < 40%, dilated ventricle, S3 sound.

Diastolic Heart Failure - ANSWER-EF 50%, thick ventricle, S4 sound.

Cardiogenic Shock - ANSWER-Extreme decrease in stroke volume.

Cardiac Tamponade Symptoms - ANSWER-Hypotension, JVD, muffled heart
tones.

, Pulsus Paradoxus - ANSWER-Drop in SBP during inspiration.

Ventricular Assist Device (VAD) - ANSWER-Supports heart failure patients
awaiting transplant.

Intra Aortic Balloon Pump (IABP) - ANSWER-Inflates during diastole to increase
oxygen supply.

Prinzmetal's Angina - ANSWER-Relieved by nitroglycerin, returns ST segment to
normal.

Labetalol IV Push - ANSWER-Preferred over drip to avoid exceeding 300mg.

Acute Peripheral Vascular Insufficiency - ANSWER-Normal ankle-brachial index
is >1.

Mitral Stenosis - ANSWER-Associated with atrial fibrillation due to enlargement.

Medical Management of MI - ANSWER-Includes tPA, thrombolytics, heparin,
anticoagulants.

Symptoms of Right-Sided Heart Failure - ANSWER-Hepatomegaly,
splenomegaly, dependent edema.

Symptoms of Left-Sided Heart Failure - ANSWER-Orthopnea, dyspnea,
pink/frothy sputum.

Valve Replacement Risks - ANSWER-High risk for blood clots; requires
anticoagulation.

Complications of PCI - ANSWER-Monitor for signs of re-occlusion.

PCO2 - ANSWER-Clinical indicator of ventilation status.

Diaphragm - ANSWER-Primary muscle responsible for ventilation.

Normal Ventilation Rate - ANSWER-Approximately 4 L/min in healthy adults.

SVO2 - ANSWER-Normal value is 60-75% in healthy individuals.

Normal PO2 - ANSWER-Ranges from 80-100 mmHg; <80 indicates hypoxemia.

NIV Contraindications - ANSWER-Includes hemodynamic instability and life-
threatening arrhythmias.

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