ACCN/CCRN QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS GRADE A+ CERTIFIED

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ACCN/CCRN QUESTIONS WITH 100%
CORRECT AND VERIFIED ANSWERS
GRADE A+ CERTIFIED 2025-2026
AipatientiinitheiEDiwithicomplaintsiofichestipain.iThei12-
leadiEKGishowsiSTielevationiinileadsiV3iandiV4.iOcclusioniof
itheiaffectedicoronaryiarteryimostilikelyiwouldiaffectiperfusi

onitoiwhichiportioniofitheiconductionisystem?
A.iSinoatriali(SA)inode
iB.iBachmann'sibundle

iC.iAtrioventriculari(AV)inode

iD.iBundleiofiHisi

-icorrectianswerLADisoiD.ibundleiofihis

WhichiofitheifollowingiisitheipreferredileadiforiSTisegmenti
monitoringiforiaipatientiwithiaisuspectediRCAiocclusion?

iA.I
iB.iaVR

iC.iIII

iD.iV1i-icorrectianswerc.iIII



Whichiofitheifollowingiisinotiaimanifestationiofihypertrophic
icardiomyopathy?



A.iSyncope
B.iMurmurithatiincreasesiwithisquatting
C.iChestipain
D.iSuddenicardiacideathi
-icorrectianswer*B
Classicimanifestationsiofihypertrophicicardiomyopathyiareic
hestipain,isyncope,iandianiaorticistenosisitypeiofimurmurith
atidecreasesiwhenitheipatientiisiiniaisquattingiposition.iThei
firstimanifestationiofithisiconditioniisioccasionallyisuddenic
ardiacideathiduringiexercise.

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IniwhichiquadrantiisitheimeaniQRSicomplexiaxisilocatediifith
eiQRSicomplexiisipredominantlyipositiveiinileadiIiandinegati
veiinileadiaVF?

iA.iNormaliquadrant
iB.iLeftiaxisideviationiquadrant

iC.iRightiaxisideviationiquadrant

iD.iIndeterminantiquadrant

i-icorrectianswer*Bi

BecauseitheipositiveiofileadiIiisitheileftiarm,iifitheiQRSicompl
exiisiuprightiinileadiI,itheimeaniQRSiaxisiisitoitheileft.iBecaus
eitheipositiveiofileadiaVFi(aiunipolarilead)iisiatitheifoot,iifithe
iQRSicomplexiisinegativeiinileadiaVF,itheimeaniQRSiaxisiisiu

pwardiawayifromitheifoot.iThisiaxisiwouldibeiinitheiupperileft
iquadrant,idescribediasileftiaxisideviation.



Aipatientibecomesiapneiciandipulseless.iCPRihasibeeniinitiat
ed,ianditheimonitorishowsiasystoleiinitwoileads.iWhichiofithei
followingidrugsiwouldibeiusediinitially?

iA.iCalciumigluconate
iB.iAtropine

iC.iEpinephrine

iD.iAmiodaronei(Cordarone)

i-icorrectianswerC

AfteriCPRiisiinitiatediandianiintravenousiaccessiisiestablishe
d,iepinephrineishouldibeigiven.iCalciumiwasiusediinitheipasti
iniasystoleibutiisiuseditodayionlyiforihypocalcemia,icalciumic
hanneliblockeritoxicity,ihyperkalemia,iandihypermagnesemi
a.iAtropineiisinoilongerirecommendediforiasystole.iAmiodar
oneiisinotiindicatediiniasystoleibecauseiasystoleiisitheiabsolu
teiabsenceiofiirritability.

Whatiisiassociatediw/iMitraliStenosis
A.iPinkishidiscolorationiofitheicheeks
iB.iSystolicimurmur

iC.iWidenedipulseipressure

iD.iNarrowipulseipressure

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- correctianswerA
i i

Patientsiwithimitralistenosisimayiexhibitiaipinkishidiscolorat
ioniofitheicheeksi(i.e.,imalariblush).iMitralistenosisicausesiai
diastolicimurmur.iWidenedipulseipressureiisiassociatediwith
iaorticiregurgitation.iNarrowedipulseipressureiisiassociatedi

withimitraliregurgitation.

Fouridaysiafteriaimitralivalveireplacement,itheipatientidevel
opsiatrialifibrillation.iTheinurseiinitiallyiwould:

A.iorderiai12-leadiEKG
B.ievaluateitheipatientiforiclinicaliindicationsiofihypoperfusi
on.
C.inotifyitheiphysician.
D.iaskitheipatientitoibearidowniasiifihavingiaibowelimovemen
t
.i-icorrectianswerB
Theionsetiofiatrialifibrillationiresultsiinitheilossiofiatrialikick
.iLossiofiatrialikickimayireduceitheicardiacioutputibyiasimuch
iasi20-

30%.iThisiisiespeciallyitrueiinipatientsiwhoseicardiacioutputi
mayibeiaffectedibyilong-
standingicardiacidisease,isuchiasimitralivalveidisease.iAsses
sitheipatientiforiclinicaliindicationsiofihypoperfusioni(e.g.,ic
ooliskin,idecreasediurineioutput,inarrowedipulseipressure,ia
ndihypotension).

Aipatientihasijustireturnedifromitheicathilab.iSheihadianiangi
oplastyiforiocclusioniofiheriRCA.iSheistillihasifemoraliarteryi
andiveinisheathsiiniplace.iTheipatienticomplainsiofichestipai
nithatisheiratesi9/10iaboutianihouriafterisheireturnsifromithe
icathilab.iWhichiofitheifollowingiisiindicated?

iA.iAdministerimorphineiIV.

iB.iAdministerinitroglycerinisublingualispray.

iC.iStopitheiheparin.

iD.iNotifyitheiphysician

i-icorrectianswerD

New-
onsetisevereichestipainiafteripercutaneousicoronaryiinterve