CCRN Exam 1 with Questions and Answers

CCRN Exam 1 with Questions and Answers A 47-year-old male has been admitted to the CCU from the emergency room with a history of sudden diaphoresis, nausea, vomiting and radiating pain down his left arm. He reports no significant medical history, and has been a two PPD smoker since his early twenties. His admitting diagnosis is UA/NSTEMI and he is being prepped for cardiac catheterization for possible angioplasty with stent placement. What type of medication orders might the nurse see prior to his procedure? a. Clopidogrel and ASA b. Clopidogrel and prasugrel c. Clopidogrel and meperidine d. Prasugrel, ASA, and hyoscyamine ANSWER a. Clopidogrel and ASA Agnes is a 65-year-old white female who has a history of pulmonary fibrosis with steroid use for the past two years with concomitant hypertension. She has been on oxygen therapy at 4L per nasal cannula for the past 3 years. Recently, her first great-grandchild was born, and she decided to quit smoking. Three days ago, she experienced nausea and dizziness and was admitted to the CCU with a diagnosis of acute myocardial infarction. During shift change, Agnes' low blood pressure alarm sounds. Upon assessment, she is diaphoretic and has severe dyspnea. What is the most likely cause of her symptoms? a. Exacerbation of pulmonary fibrosis b. Pulmonary embolism c. Recurrent myocardial infarction d. Papillary muscle rupture ANSWER d. Papillary muscle rupture