CCRN PRACTICE QUESTIONS
WITH ANSWERS
A 62-year-old man is admitted with chest pain. His electrocardiogram reveals ST
segment elevation and T wave inversion in leads V1 to V4. Aspirin has been given,
and morphine titration and nitroglycerin infusion are used to relieve his chest pain.
The patient suddenly develops a loud holosystolic murmur at the lower left sternal
border, chest pain, and hypotension 5 days after his myocardial infarction. A
pulmonary artery catheter is inserted. Which of the following parameters would be
noted in this patient?
A.
Increase in venous oxygen saturation (SvO2)
B.
Decrease in pulmonary artery occlusive pressure (PAOP)
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,C.
Decrease in cardiac output
D.
Increase in systolic blood pressure (BP) - ANSWER-.
A patient arrived in the emergency department with complaints of chest pain. The
12-lead electrocardiogram shows ST segment 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
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,D.
Bundle of His - ANSWER-
Which of the following would not be expected in a postoperative cardiac surgery
patient with a cardiac tamponade?
A.
Muffled heart sounds
B.
Increase in drainage from the mediastinal tube
C.
Jugular venous distention (JVD)
D.
Pulsus paradoxus - ANSWER-
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, A patient with acute anterior myocardial infarction develops a third-degree
atrioventricular block with a ventricular escape rhythm with a rate of 38 beats/min.
What would be the best immediate intervention?
A.
Atropine 1 mg
B.
Transcutaneous pacemaker
C.
Transvenous pacemaker
D.
Epinephrine 1 mg - ANSWER-
An aortic tear commonly is associated with which of the following?
A.
Acceleration-deceleration injury
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WITH ANSWERS
A 62-year-old man is admitted with chest pain. His electrocardiogram reveals ST
segment elevation and T wave inversion in leads V1 to V4. Aspirin has been given,
and morphine titration and nitroglycerin infusion are used to relieve his chest pain.
The patient suddenly develops a loud holosystolic murmur at the lower left sternal
border, chest pain, and hypotension 5 days after his myocardial infarction. A
pulmonary artery catheter is inserted. Which of the following parameters would be
noted in this patient?
A.
Increase in venous oxygen saturation (SvO2)
B.
Decrease in pulmonary artery occlusive pressure (PAOP)
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,C.
Decrease in cardiac output
D.
Increase in systolic blood pressure (BP) - ANSWER-.
A patient arrived in the emergency department with complaints of chest pain. The
12-lead electrocardiogram shows ST segment 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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,D.
Bundle of His - ANSWER-
Which of the following would not be expected in a postoperative cardiac surgery
patient with a cardiac tamponade?
A.
Muffled heart sounds
B.
Increase in drainage from the mediastinal tube
C.
Jugular venous distention (JVD)
D.
Pulsus paradoxus - ANSWER-
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, A patient with acute anterior myocardial infarction develops a third-degree
atrioventricular block with a ventricular escape rhythm with a rate of 38 beats/min.
What would be the best immediate intervention?
A.
Atropine 1 mg
B.
Transcutaneous pacemaker
C.
Transvenous pacemaker
D.
Epinephrine 1 mg - ANSWER-
An aortic tear commonly is associated with which of the following?
A.
Acceleration-deceleration injury
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