CCRN PRACTICE QUESTIONS And Answers
Exam Latest Version Update
Save
Terms in this set (87)
A patient in the ED with LAD so D. bundle of his
complaints of chest pain.
The 12-lead EKG shows
ST elevation in leads V3
and V4. Occlusion of the
affected coronary artery
most likely would affect
perfusion to which
portion of the
conduction system?
A. Sinoatrial (SA) node
B. Bachmann's bundle
C. Atrioventricular (AV)
node
D. Bundle of His
Which of the following is c. III
the preferred lead for ST
segment monitoring for a
patient with a suspected
RCA occlusion?
A.I
B. aVR
C. III
D. V1
,Which of the following is *B
not a manifestation of Classic manifestations of hypertrophic
hypertrophic cardiomyopathy are chest pain, syncope, and an
cardiomyopathy? aortic stenosis type of murmur that decreases when
the patient is in a squatting position. The first
A. Syncope manifestation of this condition is occasionally
B. Murmur that increases sudden cardiac death during exercise.
with squatting
C. Chest pain
D. Sudden cardiac death
In which quadrant is the *B
mean QRS complex axis Because the positive of lead I is the left arm, if the
located if the QRS QRS complex is upright in lead I, the mean QRS axis
complex is is to the left. Because the positive of lead aVF (a
predominantly positive in unipolar lead) is at the foot, if the QRS complex is
lead I and negative in negative in lead aVF, the mean QRS axis is upward
lead aVF? away from the foot. This axis would be in the upper
left quadrant, described as left axis deviation.
A. Normal quadrant
B. Left axis deviation
quadrant
C. Right axis deviation
quadrant
D. Indeterminant
quadrant
,A patient becomes C
apneic and pulseless. After CPR is initiated and an intravenous access is
CPR has been initiated, established, epinephrine should be given. Calcium
and the monitor shows was used in the past in asystole but is used today
asystole in two leads. only for hypocalcemia, calcium channel blocker
Which of the following toxicity, hyperkalemia, and hypermagnesemia.
drugs would be used Atropine is no longer recommended for asystole.
initially? Amiodarone is not indicated in asystole because
asystole is the absolute absence of irritability.
A. Calcium gluconate
B. Atropine
C. Epinephrine
D. Amiodarone
(Cordarone)
What is associated w/ A
Mitral Stenosis Patients with mitral stenosis may exhibit a pinkish
A. Pinkish discoloration of discoloration of the cheeks (i.e., malar blush). Mitral
the cheeks stenosis causes a diastolic murmur. Widened pulse
B. Systolic murmur pressure is associated with aortic regurgitation.
C. Widened pulse Narrowed pulse pressure is associated with mitral
pressure regurgitation.
D. Narrow pulse pressure
Four days after a mitral B
valve replacement, the The onset of atrial fibrillation results in the loss of
patient develops atrial atrial kick. Loss of atrial kick may reduce the cardiac
fibrillation. The nurse output by as much as 20-30%. This is especially true
initially would: in patients whose cardiac output may be affected
by long-standing cardiac disease, such as mitral
A. order a 12-lead EKG valve disease. Assess the patient for clinical
B. evaluate the patient for indications of hypoperfusion (e.g., cool skin,
clinical indications of decreased urine output, narrowed pulse pressure,
hypoperfusion. and hypotension).
C. notify the physician.
D. ask the patient to bear
down as if having a
bowel movement.
, A patient has just D
returned from the cath New-onset severe chest pain after percutaneous
lab. She had an coronary intervention suggests acute closure of the
angioplasty for occlusion dilated coronary artery. The patient needs to be
of her RCA. She still has returned to the cardiac catheterization laboratory
femoral artery and vein for repeat dilation and probable insertion of stent.
sheaths in place. The
patient complains of
chest pain that she rates
9/10 about an hour after
she returns from the cath
lab. Which of the
following is indicated?
A. Administer morphine
IV.
B. Administer
nitroglycerin sublingual
spray.
C. Stop the heparin.
D. Notify the physician
Exam Latest Version Update
Save
Terms in this set (87)
A patient in the ED with LAD so D. bundle of his
complaints of chest pain.
The 12-lead EKG shows
ST elevation in leads V3
and V4. Occlusion of the
affected coronary artery
most likely would affect
perfusion to which
portion of the
conduction system?
A. Sinoatrial (SA) node
B. Bachmann's bundle
C. Atrioventricular (AV)
node
D. Bundle of His
Which of the following is c. III
the preferred lead for ST
segment monitoring for a
patient with a suspected
RCA occlusion?
A.I
B. aVR
C. III
D. V1
,Which of the following is *B
not a manifestation of Classic manifestations of hypertrophic
hypertrophic cardiomyopathy are chest pain, syncope, and an
cardiomyopathy? aortic stenosis type of murmur that decreases when
the patient is in a squatting position. The first
A. Syncope manifestation of this condition is occasionally
B. Murmur that increases sudden cardiac death during exercise.
with squatting
C. Chest pain
D. Sudden cardiac death
In which quadrant is the *B
mean QRS complex axis Because the positive of lead I is the left arm, if the
located if the QRS QRS complex is upright in lead I, the mean QRS axis
complex is is to the left. Because the positive of lead aVF (a
predominantly positive in unipolar lead) is at the foot, if the QRS complex is
lead I and negative in negative in lead aVF, the mean QRS axis is upward
lead aVF? away from the foot. This axis would be in the upper
left quadrant, described as left axis deviation.
A. Normal quadrant
B. Left axis deviation
quadrant
C. Right axis deviation
quadrant
D. Indeterminant
quadrant
,A patient becomes C
apneic and pulseless. After CPR is initiated and an intravenous access is
CPR has been initiated, established, epinephrine should be given. Calcium
and the monitor shows was used in the past in asystole but is used today
asystole in two leads. only for hypocalcemia, calcium channel blocker
Which of the following toxicity, hyperkalemia, and hypermagnesemia.
drugs would be used Atropine is no longer recommended for asystole.
initially? Amiodarone is not indicated in asystole because
asystole is the absolute absence of irritability.
A. Calcium gluconate
B. Atropine
C. Epinephrine
D. Amiodarone
(Cordarone)
What is associated w/ A
Mitral Stenosis Patients with mitral stenosis may exhibit a pinkish
A. Pinkish discoloration of discoloration of the cheeks (i.e., malar blush). Mitral
the cheeks stenosis causes a diastolic murmur. Widened pulse
B. Systolic murmur pressure is associated with aortic regurgitation.
C. Widened pulse Narrowed pulse pressure is associated with mitral
pressure regurgitation.
D. Narrow pulse pressure
Four days after a mitral B
valve replacement, the The onset of atrial fibrillation results in the loss of
patient develops atrial atrial kick. Loss of atrial kick may reduce the cardiac
fibrillation. The nurse output by as much as 20-30%. This is especially true
initially would: in patients whose cardiac output may be affected
by long-standing cardiac disease, such as mitral
A. order a 12-lead EKG valve disease. Assess the patient for clinical
B. evaluate the patient for indications of hypoperfusion (e.g., cool skin,
clinical indications of decreased urine output, narrowed pulse pressure,
hypoperfusion. and hypotension).
C. notify the physician.
D. ask the patient to bear
down as if having a
bowel movement.
, A patient has just D
returned from the cath New-onset severe chest pain after percutaneous
lab. She had an coronary intervention suggests acute closure of the
angioplasty for occlusion dilated coronary artery. The patient needs to be
of her RCA. She still has returned to the cardiac catheterization laboratory
femoral artery and vein for repeat dilation and probable insertion of stent.
sheaths in place. The
patient complains of
chest pain that she rates
9/10 about an hour after
she returns from the cath
lab. Which of the
following is indicated?
A. Administer morphine
IV.
B. Administer
nitroglycerin sublingual
spray.
C. Stop the heparin.
D. Notify the physician
