CCRN Exam Cram Review UPDATED
ACTUAL Exam Questions and CORRECT
Answers
HTN Emergency - CORRECT ANSWER - BP 180/110 with end-organ damage.
S1 Heart Sound - CORRECT ANSWER - Heard at the apex of the heart.
S2 Heart Sound - CORRECT ANSWER - Heard at the base of the heart.
S3 Heart Sound - CORRECT ANSWER - Associated with heart failure.
S4 Heart Sound - CORRECT ANSWER - Related to MI, HTN, or aortic stenosis.
Acute Chest Pain Management - CORRECT ANSWER - Includes STAT EKG and 325mg
aspirin.
Nitroprusside Drip - CORRECT ANSWER - Reduces preload and afterload; monitor
cyanide toxicity.
PCI Preparation - CORRECT ANSWER - Door to balloon in 90 minutes.
NSTEMI - CORRECT ANSWER - + troponin, ST depression, unrelenting chest pain.
STEMI - CORRECT ANSWER - + troponin, ST elevation, unrelenting chest pain.
Torsades de Pointes - CORRECT ANSWER - Prolonged QT interval can lead to this
arrhythmia.
,QT Interval - CORRECT ANSWER - Normal range is 0.36 to 0.4 seconds.
Systolic Heart Failure - CORRECT ANSWER - EF < 40%, dilated ventricle, S3 sound.
Diastolic Heart Failure - CORRECT ANSWER - EF 50%, thick ventricle, S4 sound.
Cardiogenic Shock - CORRECT ANSWER - Extreme decrease in stroke volume.
Cardiac Tamponade Symptoms - CORRECT ANSWER - Hypotension, JVD, muffled
heart tones.
Pulsus Paradoxus - CORRECT ANSWER - Drop in SBP during inspiration.
Ventricular Assist Device (VAD) - CORRECT ANSWER - Supports heart failure patients
awaiting transplant.
Intra Aortic Balloon Pump (IABP) - CORRECT ANSWER - Inflates during diastole to
increase oxygen supply.
Prinzmetal's Angina - CORRECT ANSWER - Relieved by nitroglycerin, returns ST
segment to normal.
Labetalol IV Push - CORRECT ANSWER - Preferred over drip to avoid exceeding
300mg.
Acute Peripheral Vascular Insufficiency - CORRECT ANSWER - Normal ankle-brachial
index is >1.
, Mitral Stenosis - CORRECT ANSWER - Associated with atrial fibrillation due to
enlargement.
Medical Management of MI - CORRECT ANSWER - Includes tPA, thrombolytics,
heparin, anticoagulants.
Symptoms of Right-Sided Heart Failure - CORRECT ANSWER - Hepatomegaly,
splenomegaly, dependent edema.
Symptoms of Left-Sided Heart Failure - CORRECT ANSWER - Orthopnea, dyspnea,
pink/frothy sputum.
Valve Replacement Risks - CORRECT ANSWER - High risk for blood clots; requires
anticoagulation.
Complications of PCI - CORRECT ANSWER - Monitor for signs of re-occlusion.
PCO2 - CORRECT ANSWER - Clinical indicator of ventilation status.
Diaphragm - CORRECT ANSWER - Primary muscle responsible for ventilation.
Normal Ventilation Rate - CORRECT ANSWER - Approximately 4 L/min in healthy
adults.
SVO2 - CORRECT ANSWER - Normal value is 60-75% in healthy individuals.
Normal PO2 - CORRECT ANSWER - Ranges from 80-100 mmHg; <80 indicates
hypoxemia.
ACTUAL Exam Questions and CORRECT
Answers
HTN Emergency - CORRECT ANSWER - BP 180/110 with end-organ damage.
S1 Heart Sound - CORRECT ANSWER - Heard at the apex of the heart.
S2 Heart Sound - CORRECT ANSWER - Heard at the base of the heart.
S3 Heart Sound - CORRECT ANSWER - Associated with heart failure.
S4 Heart Sound - CORRECT ANSWER - Related to MI, HTN, or aortic stenosis.
Acute Chest Pain Management - CORRECT ANSWER - Includes STAT EKG and 325mg
aspirin.
Nitroprusside Drip - CORRECT ANSWER - Reduces preload and afterload; monitor
cyanide toxicity.
PCI Preparation - CORRECT ANSWER - Door to balloon in 90 minutes.
NSTEMI - CORRECT ANSWER - + troponin, ST depression, unrelenting chest pain.
STEMI - CORRECT ANSWER - + troponin, ST elevation, unrelenting chest pain.
Torsades de Pointes - CORRECT ANSWER - Prolonged QT interval can lead to this
arrhythmia.
,QT Interval - CORRECT ANSWER - Normal range is 0.36 to 0.4 seconds.
Systolic Heart Failure - CORRECT ANSWER - EF < 40%, dilated ventricle, S3 sound.
Diastolic Heart Failure - CORRECT ANSWER - EF 50%, thick ventricle, S4 sound.
Cardiogenic Shock - CORRECT ANSWER - Extreme decrease in stroke volume.
Cardiac Tamponade Symptoms - CORRECT ANSWER - Hypotension, JVD, muffled
heart tones.
Pulsus Paradoxus - CORRECT ANSWER - Drop in SBP during inspiration.
Ventricular Assist Device (VAD) - CORRECT ANSWER - Supports heart failure patients
awaiting transplant.
Intra Aortic Balloon Pump (IABP) - CORRECT ANSWER - Inflates during diastole to
increase oxygen supply.
Prinzmetal's Angina - CORRECT ANSWER - Relieved by nitroglycerin, returns ST
segment to normal.
Labetalol IV Push - CORRECT ANSWER - Preferred over drip to avoid exceeding
300mg.
Acute Peripheral Vascular Insufficiency - CORRECT ANSWER - Normal ankle-brachial
index is >1.
, Mitral Stenosis - CORRECT ANSWER - Associated with atrial fibrillation due to
enlargement.
Medical Management of MI - CORRECT ANSWER - Includes tPA, thrombolytics,
heparin, anticoagulants.
Symptoms of Right-Sided Heart Failure - CORRECT ANSWER - Hepatomegaly,
splenomegaly, dependent edema.
Symptoms of Left-Sided Heart Failure - CORRECT ANSWER - Orthopnea, dyspnea,
pink/frothy sputum.
Valve Replacement Risks - CORRECT ANSWER - High risk for blood clots; requires
anticoagulation.
Complications of PCI - CORRECT ANSWER - Monitor for signs of re-occlusion.
PCO2 - CORRECT ANSWER - Clinical indicator of ventilation status.
Diaphragm - CORRECT ANSWER - Primary muscle responsible for ventilation.
Normal Ventilation Rate - CORRECT ANSWER - Approximately 4 L/min in healthy
adults.
SVO2 - CORRECT ANSWER - Normal value is 60-75% in healthy individuals.
Normal PO2 - CORRECT ANSWER - Ranges from 80-100 mmHg; <80 indicates
hypoxemia.
