AACN Test Questions CCRN review 2024/2025 EXAM
QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+
PROFESSOR VERIFIED
1. A patient with mitral regurg suddenly develops A Fib. BP normal, HR 156.
Anticipate Orders for:: cardiac glycosides (e.g. digoxin) and calcium channel
blockers. Glycosides will increase contractility and decrease HR in new onset acute
phase. Calcium channel blockers will help control ventricular response.
2. What rhythm should the nurse watch out for following aortic valve
replacement?: 2nd degree AV block type II. Due to edema, inflammation,
hemorrhage, or suturing near the node.
3. What finding is the most consistent with an acute elevation in left
ventricular filling pressure?: Bibasilar crackles. When pressures in the left
ventricle increase suddenly fluid is forced into the alveoli by an increase in
hydrostatic pressure. This could lead to acute heart failure and acute
decompensation.
, 4. Patient with suspected abdominal aortic aneurysm reports paresthesia
in both legs, diaphoresis and tachypnea. Pt has diminished pedal pulses and
increasing anxiety. What should the next steps be?: Activate emergency
response team and initiate resuscitation. Provide supplemental oxygen and place
two large bore IVs. Do not palpate the abdomen!
5. What rhythm is a risk when administering Haldol?: Torsades de pointes.
The med can cause a prolonged QT.
6. For a pt with a hx of cocaine use what medication should the RN consult
the provider about before givinge?`: Beta blockers. This drug can cause
vasoconstriction,. increased HR, BP and temp. With the added med this puts the
patient at risk for coronary vasospasm due to alpha-adrenergic receptor activity that
is otherwise unopposed.
7. A patient with ACS of the anterior wall and elevated PAOP + S3 heart
sounds is at risk for: Left ventricular failure. These findings are reflective of
increased left ventricular end-diastolic pressure.
8. A patient experiencing sharp and tearing chest pain with low BP, high
HR, and tachypnia may be experiencing: thoracic aortic dissection. RN should
check BP between arms to see if there is a discrepancy. The patient will need
surgical intervention.
9. A patient post prosthetic heart valve surgery with new hematuria, bloody
stools, and epistaxis 2 days after starting warfarin with an INR of 8.0 should
be treated with: Fresh frozen plasma
10. What hemodynamic findings are consistent with cardiac tamponade?:
Hypotension, tachycardia, tachypnea, decreased CO, and decreased stroke
volume.
QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+
PROFESSOR VERIFIED
1. A patient with mitral regurg suddenly develops A Fib. BP normal, HR 156.
Anticipate Orders for:: cardiac glycosides (e.g. digoxin) and calcium channel
blockers. Glycosides will increase contractility and decrease HR in new onset acute
phase. Calcium channel blockers will help control ventricular response.
2. What rhythm should the nurse watch out for following aortic valve
replacement?: 2nd degree AV block type II. Due to edema, inflammation,
hemorrhage, or suturing near the node.
3. What finding is the most consistent with an acute elevation in left
ventricular filling pressure?: Bibasilar crackles. When pressures in the left
ventricle increase suddenly fluid is forced into the alveoli by an increase in
hydrostatic pressure. This could lead to acute heart failure and acute
decompensation.
, 4. Patient with suspected abdominal aortic aneurysm reports paresthesia
in both legs, diaphoresis and tachypnea. Pt has diminished pedal pulses and
increasing anxiety. What should the next steps be?: Activate emergency
response team and initiate resuscitation. Provide supplemental oxygen and place
two large bore IVs. Do not palpate the abdomen!
5. What rhythm is a risk when administering Haldol?: Torsades de pointes.
The med can cause a prolonged QT.
6. For a pt with a hx of cocaine use what medication should the RN consult
the provider about before givinge?`: Beta blockers. This drug can cause
vasoconstriction,. increased HR, BP and temp. With the added med this puts the
patient at risk for coronary vasospasm due to alpha-adrenergic receptor activity that
is otherwise unopposed.
7. A patient with ACS of the anterior wall and elevated PAOP + S3 heart
sounds is at risk for: Left ventricular failure. These findings are reflective of
increased left ventricular end-diastolic pressure.
8. A patient experiencing sharp and tearing chest pain with low BP, high
HR, and tachypnia may be experiencing: thoracic aortic dissection. RN should
check BP between arms to see if there is a discrepancy. The patient will need
surgical intervention.
9. A patient post prosthetic heart valve surgery with new hematuria, bloody
stools, and epistaxis 2 days after starting warfarin with an INR of 8.0 should
be treated with: Fresh frozen plasma
10. What hemodynamic findings are consistent with cardiac tamponade?:
Hypotension, tachycardia, tachypnea, decreased CO, and decreased stroke
volume.
