Adult CCRN Exam- cardiology 100+ Verified
Questions and Correct Answers 2025.
RV MIs - correct answer>>Treatment for these MIs include fluids and
positive intropes, avoiding preload reduction (nitrates and diuretics) and use
beta blockers with caution (most commonly cannot use due to
hypotension).
V1, V2, V3, V4 - correct answer>>Changes in these leads demonstrate a LAD
occlusion or Anterior MI
Inferior wall (III, III, aVF) - correct answer>>Reciprocal changes for an
anterior wall MI are seen here
Ominous sign - correct answer>>An anterior wall MI may lead to a second
degree type 2 AV block or a RBBB which is known as this
Systolic murmurs - correct answer>>An anterior MI may lead to this caused
by a VSD
Higher - correct answer>>An anterior MI has a ______ mortality rate when
compared to an inferior MI due to the development of heart failure.
V5, V6, I, AVL - correct answer>>EKG changes here signify a circumflex
occlusion or lateral wall MI
V5, V6 - correct answer>>Low lateral LV are seen here
,I, aVL - correct answer>>High lateral LV
V1, V2 - correct answer>>EKG changes signify a RCA infarct and posterior LV
V3R, V4R - correct answer>>EKG changes here signify a R ventricular infarct.
Reperfusion - correct answer>>If symptoms of infarct are <12 hours old this
is the primary treatment
90 minutes - correct answer>>The goal time for PCI (door to balloon)
30 minutes - correct answer>>The goal time for fibrinolytic drug therapy
(door to needle).
Treatment of STEMI - correct answer>>To get this you need to have ST
elevation in 2 or more leads, new onset LBBB, chest pain <12 hours and >30
minutes, chest pain unrelieved by NTG
20 minutes - correct answer>>How long should you hold pressure on a
sheath site after removal? (Minimum)
Myocardial stunning - correct answer>>This occurs after PCI or fibrinolytic
therapy was successful and the vessel is reopened. This will be seen as an
increase in troponin or myoglobin, and reperfusion arrhythmias (VT, VF,
AIVR).
Arrhythmias - correct answer>>This is the most common complication of an
MI. Treatment includes defibrillation of VF, medications for stable VT and to
prevent recurrent VF, Cardioversion for unstable VT
Hypertensive emergency - correct answer>>Elevated BP with evidence of
end organ damage (brain, heart, kidneys, retina) that can be related to acute
, hypertension. This requires admission and management in the critical care
setting.
Hypertensive urgency - correct answer>>Elevated BP without evidence of
end organ damage. This typically does not require admission and
management in the critical care setting.
Emergent lowering of BP - correct answer>>What is the primary goal for
treatment of a hypertensive emergency/crisis?
Nitroprusside - correct answer>>One of the medications used to treat
hypertensive emergency. This is a preload and after load reducer.
Cyanide toxicity - correct answer>>This can be a side effect of nitroprusside
use during hypertensive emergency due to the metabolization of the
medication. S/S include changes in mental status (restlessness/lethargy),
tachycardia, seizures, need for increase in dose, and unexplained metabolic
acidosis. Risk for this increases significantly in patients with renal
impairment who require nitroprusside use for >24 hours.
Labetalol - correct answer>>One of the medications used for treatment of a
hypertensive emergency. This medication should be given intermittently
versus a continuous infusion for risk of continuing the drug beyond the
maximum dose of 300 mg. The effects of this medication persist 4-6 hours
after the IV dose is administered.
Stroke - correct answer>>What is the highest risk when a patient is
expiriencing a hypertensive emergency/crisis.
Pain, pallor, pulse absent, parathesia, paralysis, poikilothermia - correct
answer>>Signs and symptoms of PAD
Questions and Correct Answers 2025.
RV MIs - correct answer>>Treatment for these MIs include fluids and
positive intropes, avoiding preload reduction (nitrates and diuretics) and use
beta blockers with caution (most commonly cannot use due to
hypotension).
V1, V2, V3, V4 - correct answer>>Changes in these leads demonstrate a LAD
occlusion or Anterior MI
Inferior wall (III, III, aVF) - correct answer>>Reciprocal changes for an
anterior wall MI are seen here
Ominous sign - correct answer>>An anterior wall MI may lead to a second
degree type 2 AV block or a RBBB which is known as this
Systolic murmurs - correct answer>>An anterior MI may lead to this caused
by a VSD
Higher - correct answer>>An anterior MI has a ______ mortality rate when
compared to an inferior MI due to the development of heart failure.
V5, V6, I, AVL - correct answer>>EKG changes here signify a circumflex
occlusion or lateral wall MI
V5, V6 - correct answer>>Low lateral LV are seen here
,I, aVL - correct answer>>High lateral LV
V1, V2 - correct answer>>EKG changes signify a RCA infarct and posterior LV
V3R, V4R - correct answer>>EKG changes here signify a R ventricular infarct.
Reperfusion - correct answer>>If symptoms of infarct are <12 hours old this
is the primary treatment
90 minutes - correct answer>>The goal time for PCI (door to balloon)
30 minutes - correct answer>>The goal time for fibrinolytic drug therapy
(door to needle).
Treatment of STEMI - correct answer>>To get this you need to have ST
elevation in 2 or more leads, new onset LBBB, chest pain <12 hours and >30
minutes, chest pain unrelieved by NTG
20 minutes - correct answer>>How long should you hold pressure on a
sheath site after removal? (Minimum)
Myocardial stunning - correct answer>>This occurs after PCI or fibrinolytic
therapy was successful and the vessel is reopened. This will be seen as an
increase in troponin or myoglobin, and reperfusion arrhythmias (VT, VF,
AIVR).
Arrhythmias - correct answer>>This is the most common complication of an
MI. Treatment includes defibrillation of VF, medications for stable VT and to
prevent recurrent VF, Cardioversion for unstable VT
Hypertensive emergency - correct answer>>Elevated BP with evidence of
end organ damage (brain, heart, kidneys, retina) that can be related to acute
, hypertension. This requires admission and management in the critical care
setting.
Hypertensive urgency - correct answer>>Elevated BP without evidence of
end organ damage. This typically does not require admission and
management in the critical care setting.
Emergent lowering of BP - correct answer>>What is the primary goal for
treatment of a hypertensive emergency/crisis?
Nitroprusside - correct answer>>One of the medications used to treat
hypertensive emergency. This is a preload and after load reducer.
Cyanide toxicity - correct answer>>This can be a side effect of nitroprusside
use during hypertensive emergency due to the metabolization of the
medication. S/S include changes in mental status (restlessness/lethargy),
tachycardia, seizures, need for increase in dose, and unexplained metabolic
acidosis. Risk for this increases significantly in patients with renal
impairment who require nitroprusside use for >24 hours.
Labetalol - correct answer>>One of the medications used for treatment of a
hypertensive emergency. This medication should be given intermittently
versus a continuous infusion for risk of continuing the drug beyond the
maximum dose of 300 mg. The effects of this medication persist 4-6 hours
after the IV dose is administered.
Stroke - correct answer>>What is the highest risk when a patient is
expiriencing a hypertensive emergency/crisis.
Pain, pallor, pulse absent, parathesia, paralysis, poikilothermia - correct
answer>>Signs and symptoms of PAD
