CCRN Exam Verified Updated Questions &
Correct Detailed Answers With Rationale
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Terms in this set (41)
A 59 year old male is (B)Coronary artery reperfusion due to PCI or
admitted complaining of fibrinolysis results in an ELEVATION of creatinine
chest pain and dyspnea. kinase (CK) or troponin, not decrease. The theory is
ST elevation and T wave that the return of blood flow distal to the occlusion
inversion were seen on can result in 'reperfusion injury' of the muscle,
the EKG in V2,V3 and V4. elevating cardiac biomarkers.
IV thrombolytic therapy The other 3 choices are indicators of reperfusion:
was started in ED. Pain cessation, reversal of ST segment elevation with
Indications of successful return to baseline, short runs of ventricular
reperfusion would tachycardia.
include all of the
following except:
(A) pain cessation
(B) decrease in CK or
troponin
(C) reversal of ST
segment elevation with
return to baseline
(D) short runs of
ventricular tachycardia
, (C) The patient in the scenario is having an acute
anterior wall MI. A beta blocker is beneficial for an
Which of the following
acute MI as these agents decrease the work of the
medication orders should
heart and increase the threshold for ventricular
the nurse question for the
fibrillation. Propranolol, although a beta-
patient in question 1-
andrenergic blocker like metoprolol, is NOT a
reperfusion question-
cardioselective beta blocker. It affects beta
patient having an MI?
receptors in heart muscle AND lung tissue.
(A) metoprolol
Therefore, it is more likely to cause
(Lopressor)
bronchoconstriction than a cardioselective beta
(B) aspirin
blocker.
(C) propranolol (Inderal)
The other 3- cardioselective beta blocker,
(D) heparin
antiplatelet, and anticoagulation-are indicated in an
acute MI.
If heart block develops (C) The patient is having an acute anterior MI, which
while caring for the is generally due to LAD occlusion. The LAD supplies
patient in question 1 (pt the HIS bundle, which could result in a second-
with an MI who went degree, type II heart block. The other 3 types are
through reperfusion from due to SA node or AV node ischemia, which
PCI or fibrinolytic generally occur with an RCA occlusion — interior
therapy), which of the wall MI.
following would it most
likely be?
(A) sinoatrial block
(B) second degree, Type
I
(C) second degree, Type
II
(D) third degree,
complete
, Appropriate drug (D) Dilated cardiomyopathy is likely to result in
therapy for dilated systolic dysfunction, which decreases contractility,
cardiomyopathy is aimed causes compensatory arterial constriction , and
toward: results in a higher left ventricular preload. To treat
(A) decreasing this, therapy is aimed at increasing contractility,
contractility and decreasing afterload (arterial constriction), and
decreasing preload and decreasing preload that is too high.😃
afterload
(B) decreasing
contractility and
increasing preload and
afterload
(C) increasing
contractility and
increasing both preload
and afterload
(D) increasing
contractility and
decreasing both preload
and afterload
An 18 year old is (A) Abnormal sodium does NOT cause QT
admitted with a history of prolongation. In contrast, a low magnesium,
syncopal episode at the potassium, or calcium, may cause QT prolongation
mall and has a history of and may result in TORSADES DE POINTES
an eating disorder. The ventricular tachycardia and, if self-limiting, transient
nurse notes a prolonged syncopal episodes.
QT on the 12-lead EKG
and anticipates a
reduction in an
electrolyte to be the
cause. Which of the
following is LEAST likely
to cause this patient's
problems?
(A) sodium
(B) magnesium
(C) potassium
(D) calcium
Correct Detailed Answers With Rationale
Save
Terms in this set (41)
A 59 year old male is (B)Coronary artery reperfusion due to PCI or
admitted complaining of fibrinolysis results in an ELEVATION of creatinine
chest pain and dyspnea. kinase (CK) or troponin, not decrease. The theory is
ST elevation and T wave that the return of blood flow distal to the occlusion
inversion were seen on can result in 'reperfusion injury' of the muscle,
the EKG in V2,V3 and V4. elevating cardiac biomarkers.
IV thrombolytic therapy The other 3 choices are indicators of reperfusion:
was started in ED. Pain cessation, reversal of ST segment elevation with
Indications of successful return to baseline, short runs of ventricular
reperfusion would tachycardia.
include all of the
following except:
(A) pain cessation
(B) decrease in CK or
troponin
(C) reversal of ST
segment elevation with
return to baseline
(D) short runs of
ventricular tachycardia
, (C) The patient in the scenario is having an acute
anterior wall MI. A beta blocker is beneficial for an
Which of the following
acute MI as these agents decrease the work of the
medication orders should
heart and increase the threshold for ventricular
the nurse question for the
fibrillation. Propranolol, although a beta-
patient in question 1-
andrenergic blocker like metoprolol, is NOT a
reperfusion question-
cardioselective beta blocker. It affects beta
patient having an MI?
receptors in heart muscle AND lung tissue.
(A) metoprolol
Therefore, it is more likely to cause
(Lopressor)
bronchoconstriction than a cardioselective beta
(B) aspirin
blocker.
(C) propranolol (Inderal)
The other 3- cardioselective beta blocker,
(D) heparin
antiplatelet, and anticoagulation-are indicated in an
acute MI.
If heart block develops (C) The patient is having an acute anterior MI, which
while caring for the is generally due to LAD occlusion. The LAD supplies
patient in question 1 (pt the HIS bundle, which could result in a second-
with an MI who went degree, type II heart block. The other 3 types are
through reperfusion from due to SA node or AV node ischemia, which
PCI or fibrinolytic generally occur with an RCA occlusion — interior
therapy), which of the wall MI.
following would it most
likely be?
(A) sinoatrial block
(B) second degree, Type
I
(C) second degree, Type
II
(D) third degree,
complete
, Appropriate drug (D) Dilated cardiomyopathy is likely to result in
therapy for dilated systolic dysfunction, which decreases contractility,
cardiomyopathy is aimed causes compensatory arterial constriction , and
toward: results in a higher left ventricular preload. To treat
(A) decreasing this, therapy is aimed at increasing contractility,
contractility and decreasing afterload (arterial constriction), and
decreasing preload and decreasing preload that is too high.😃
afterload
(B) decreasing
contractility and
increasing preload and
afterload
(C) increasing
contractility and
increasing both preload
and afterload
(D) increasing
contractility and
decreasing both preload
and afterload
An 18 year old is (A) Abnormal sodium does NOT cause QT
admitted with a history of prolongation. In contrast, a low magnesium,
syncopal episode at the potassium, or calcium, may cause QT prolongation
mall and has a history of and may result in TORSADES DE POINTES
an eating disorder. The ventricular tachycardia and, if self-limiting, transient
nurse notes a prolonged syncopal episodes.
QT on the 12-lead EKG
and anticipates a
reduction in an
electrolyte to be the
cause. Which of the
following is LEAST likely
to cause this patient's
problems?
(A) sodium
(B) magnesium
(C) potassium
(D) calcium
