CCRN- CRITICAL CARE REGISTERED NURSE PRACTICE QUESTIONS GENERAL
CCRN- Critical Care Registered Nurse
Practice Questions General 2024/2025
Fully Solved/ Verified Pass
A 25 Y/O Woman Is Admitted With PSVT, Prior Medical History Confirmed Reentry
Tachycardia, No WPW. Heart Rate 180 Bpm, She Is SOB And Reports Palpitations.
Which Would Be The Next Most Appropriate Intervention?
A. DC Cardioversion
B. IV Dilitiazem
C. IV Propanolol
D. IV Adenosine [Correct Ans Is: - D. IV Adenosine
A 55 Y/O Male With Hx CHF & LBBB Develops Sustained Wide Complex Tachycardia
After An Episode Of Chest Pain Relieved By NTG. Which Of The Following Is The
Most Appropriate Initial Medication?
A. IV Lidocaine
B. IV Adenosine
C. IV Amiodarone
D. IV Verapamil [Correct Ans Is: - C. IV Amiodarone
Which Of The Following Pressures Are Within Normal Limits?
A. PAP 32/24 PCWP 12
B. PAP 30/20 PCWP 10
C. PAP 28/18 PCWP 20
D. PAP 24/14 PCWP 12 [Correct Ans Is: - D. PAP 24/14 PCWP 12
Which Of The Following Would Cause An Elevated Pulmonary Artery Pressure And
A Normal Wedge Pressure?
A. Pulmonary Hypertension
B. Pulmonary Edema
C. Left Ventricular Failure
, CCRN- CRITICAL CARE REGISTERED NURSE PRACTICE QUESTIONS GENERAL
D. Constrictive Pericarditis [Correct Ans Is: - A. Pulmonary Hypertension
A Large V Wave Appears On The PCWP Tracing Of A Patient With An Inferior Wall
Myocardial Infarction. This Finding Is Consistent With:
A. Cardiogenic Shock
B. Congestive Heart Failure
C. Mitral Regurgitation
D. Pericarditis [Correct Ans Is: - C. Mitral Regurgitation
ST Elevations And Absence Of An "R" Wave In V1-V4 Would Be Indicative Of:
A. Anterior-Septal Wall Infarction
B. Inferior Wall Ischemia
C. Anterior-Septal Wall Ischemia
D. Anterior-Lateral Wall Infarction [Correct Ans Is: - A. Anterior-Septal Wall
Infarction
Which Of The Following Hemodynamic Parameters Would Indicate Left Ventricular
Failure In A Patient With COPD?
A. PAP 54/22 PCWP 14 CVP 8
B. PAP 48/26 PCWP 16 CVP 6
C. PAP 22/12 PCWP 26 CVP 16
D. PAP 48/26 PCWP 20 CVP 16 [Correct Ans Is: - D. PAP 48/26 PCWP 20 CVP 16
The Reciprocal Changes That Occur With An Inferior Wall MI Are Seen As ST
Depressions In Leads:
A. II, III, Avf
B. V1 - V4
C. II, Avl
D. I, Avl [Correct Ans Is: - D. I, Avl
Which Of The Following Complications Is Most Likely To Occur In Acute Inferior
Myocardial Infarction?
A. Mobitz Type I Heart Block (Wenckebach)
, CCRN- CRITICAL CARE REGISTERED NURSE PRACTICE QUESTIONS GENERAL
B. Paroxsymal Atrial Tachycardia (PAT)
C. Right Bundle Branch Block (RBBB)
D. Cardiogenic Shock [Correct Ans Is: - A. Mobitz Type I Heart Block (Wenckebach)
Your Patient With An Inferior Wall MI Also Has A Right Ventricular Infarction &
Develops Right Ventricular Failure. Which Data Obtained Would Correlate With This
Patient's Condition?
A. PAP 28/10 PCWP 10. CVP 18
B. PAP 32/22 PCWP 20 CVP 6
C. PAP 54/28 PCWP 14 CVP 14
D. PAP 23/8 PCWP 19 CVP 29 [Correct Ans Is: - A. PAP 28/10 PCWP 10 CVP 18
The Treatment Modality For A Patient With RVF From An Inferior Wall MI Would
Include:
A. Nipride And Low Dose Dopamine
B. Normal Saline Fluid Challenges
C. Lasix And Preload Reducers
D. Lidocaine And Afterload Reducers [Correct Ans Is: - B. Normal Saline Fluid
Challenges
Which Of The Following Groups Of Hemodynamic Data Reflects Cardiogenic Shock
As Opposed To Hypovolemic Shock?
A. BP 88/60 PA 18/8 PCWP 12
B. BP 70/40 PA 30/20 PCWP 22
C. BP 90/60 PA 24/18 PCWP 25
D. BP 94/56 PA 40/22. PCWP 20 [Correct Ans Is: - D. BP 94/56 PA 40/22 PCWP 20
Clinical Manifestations Of Cardiogenic Shock Following An Anterior Wall MI Include
All Of The Following Except:
A. Distended Neck Veins
B. Pulmonary Congestion, Rales
C. Presence Of An S3
D. Low CVP Reading [Correct Ans Is: - D. Low CVP Reading
, CCRN- CRITICAL CARE REGISTERED NURSE PRACTICE QUESTIONS GENERAL
"Unloading" Therapy By Nitroprusside Is Beneficial Because It:
A. Enhances Ventricular Emptying
B. Diminishes Peripheral Vascular Resistance Or "Afterload"
C. Relieves Pulmonary Congestion By Promoting Venous Pooling Of Blood
D. All Of The Above [Correct Ans Is: - D. All Of The Above
What Is The Affect Of ADH On Urine Formation?
A. Retention Of Sodium & Water, Excretion Of Potassium
B. Excretion Of Sodium & Water, Excretion Of Potassium
C. Retention Of Water, Concentration Of Urine
D. Excretion Of Water, Dilution Of Urine [Correct Ans Is: - C. Retention Of Water,
Concentration Of Urine
The Releasing Stimulus For ADH Is Normally?
A. Decreased Serum Wall Myocardial Infarction
B. Increased Serum Osmolarity (Dehydrated)
C. An Elevated Circulatory Cortisol Level
D. Increased Serum Potassium Levels [Correct Ans Is: - B. Increased Serum
Osmolarity (Dehydrated)
The Normal Serum Osmolarity Is Within The Range Of:
A. 145-155 Mos./L
B. 200-250 Mos./L
C. 275-295 Mos./L
D. 325-375 Mos./L [Correct Ans Is: - C. 275-295 Mos./L
> 295 = Dehydrated
< 275 = Dilute/Fluid Overload
The Syndrome Of Inappropriate Antidiuretic Hormone (SIADH) Is Manifested
Clinically As A:
A. Hyperosmolar State
CCRN- Critical Care Registered Nurse
Practice Questions General 2024/2025
Fully Solved/ Verified Pass
A 25 Y/O Woman Is Admitted With PSVT, Prior Medical History Confirmed Reentry
Tachycardia, No WPW. Heart Rate 180 Bpm, She Is SOB And Reports Palpitations.
Which Would Be The Next Most Appropriate Intervention?
A. DC Cardioversion
B. IV Dilitiazem
C. IV Propanolol
D. IV Adenosine [Correct Ans Is: - D. IV Adenosine
A 55 Y/O Male With Hx CHF & LBBB Develops Sustained Wide Complex Tachycardia
After An Episode Of Chest Pain Relieved By NTG. Which Of The Following Is The
Most Appropriate Initial Medication?
A. IV Lidocaine
B. IV Adenosine
C. IV Amiodarone
D. IV Verapamil [Correct Ans Is: - C. IV Amiodarone
Which Of The Following Pressures Are Within Normal Limits?
A. PAP 32/24 PCWP 12
B. PAP 30/20 PCWP 10
C. PAP 28/18 PCWP 20
D. PAP 24/14 PCWP 12 [Correct Ans Is: - D. PAP 24/14 PCWP 12
Which Of The Following Would Cause An Elevated Pulmonary Artery Pressure And
A Normal Wedge Pressure?
A. Pulmonary Hypertension
B. Pulmonary Edema
C. Left Ventricular Failure
, CCRN- CRITICAL CARE REGISTERED NURSE PRACTICE QUESTIONS GENERAL
D. Constrictive Pericarditis [Correct Ans Is: - A. Pulmonary Hypertension
A Large V Wave Appears On The PCWP Tracing Of A Patient With An Inferior Wall
Myocardial Infarction. This Finding Is Consistent With:
A. Cardiogenic Shock
B. Congestive Heart Failure
C. Mitral Regurgitation
D. Pericarditis [Correct Ans Is: - C. Mitral Regurgitation
ST Elevations And Absence Of An "R" Wave In V1-V4 Would Be Indicative Of:
A. Anterior-Septal Wall Infarction
B. Inferior Wall Ischemia
C. Anterior-Septal Wall Ischemia
D. Anterior-Lateral Wall Infarction [Correct Ans Is: - A. Anterior-Septal Wall
Infarction
Which Of The Following Hemodynamic Parameters Would Indicate Left Ventricular
Failure In A Patient With COPD?
A. PAP 54/22 PCWP 14 CVP 8
B. PAP 48/26 PCWP 16 CVP 6
C. PAP 22/12 PCWP 26 CVP 16
D. PAP 48/26 PCWP 20 CVP 16 [Correct Ans Is: - D. PAP 48/26 PCWP 20 CVP 16
The Reciprocal Changes That Occur With An Inferior Wall MI Are Seen As ST
Depressions In Leads:
A. II, III, Avf
B. V1 - V4
C. II, Avl
D. I, Avl [Correct Ans Is: - D. I, Avl
Which Of The Following Complications Is Most Likely To Occur In Acute Inferior
Myocardial Infarction?
A. Mobitz Type I Heart Block (Wenckebach)
, CCRN- CRITICAL CARE REGISTERED NURSE PRACTICE QUESTIONS GENERAL
B. Paroxsymal Atrial Tachycardia (PAT)
C. Right Bundle Branch Block (RBBB)
D. Cardiogenic Shock [Correct Ans Is: - A. Mobitz Type I Heart Block (Wenckebach)
Your Patient With An Inferior Wall MI Also Has A Right Ventricular Infarction &
Develops Right Ventricular Failure. Which Data Obtained Would Correlate With This
Patient's Condition?
A. PAP 28/10 PCWP 10. CVP 18
B. PAP 32/22 PCWP 20 CVP 6
C. PAP 54/28 PCWP 14 CVP 14
D. PAP 23/8 PCWP 19 CVP 29 [Correct Ans Is: - A. PAP 28/10 PCWP 10 CVP 18
The Treatment Modality For A Patient With RVF From An Inferior Wall MI Would
Include:
A. Nipride And Low Dose Dopamine
B. Normal Saline Fluid Challenges
C. Lasix And Preload Reducers
D. Lidocaine And Afterload Reducers [Correct Ans Is: - B. Normal Saline Fluid
Challenges
Which Of The Following Groups Of Hemodynamic Data Reflects Cardiogenic Shock
As Opposed To Hypovolemic Shock?
A. BP 88/60 PA 18/8 PCWP 12
B. BP 70/40 PA 30/20 PCWP 22
C. BP 90/60 PA 24/18 PCWP 25
D. BP 94/56 PA 40/22. PCWP 20 [Correct Ans Is: - D. BP 94/56 PA 40/22 PCWP 20
Clinical Manifestations Of Cardiogenic Shock Following An Anterior Wall MI Include
All Of The Following Except:
A. Distended Neck Veins
B. Pulmonary Congestion, Rales
C. Presence Of An S3
D. Low CVP Reading [Correct Ans Is: - D. Low CVP Reading
, CCRN- CRITICAL CARE REGISTERED NURSE PRACTICE QUESTIONS GENERAL
"Unloading" Therapy By Nitroprusside Is Beneficial Because It:
A. Enhances Ventricular Emptying
B. Diminishes Peripheral Vascular Resistance Or "Afterload"
C. Relieves Pulmonary Congestion By Promoting Venous Pooling Of Blood
D. All Of The Above [Correct Ans Is: - D. All Of The Above
What Is The Affect Of ADH On Urine Formation?
A. Retention Of Sodium & Water, Excretion Of Potassium
B. Excretion Of Sodium & Water, Excretion Of Potassium
C. Retention Of Water, Concentration Of Urine
D. Excretion Of Water, Dilution Of Urine [Correct Ans Is: - C. Retention Of Water,
Concentration Of Urine
The Releasing Stimulus For ADH Is Normally?
A. Decreased Serum Wall Myocardial Infarction
B. Increased Serum Osmolarity (Dehydrated)
C. An Elevated Circulatory Cortisol Level
D. Increased Serum Potassium Levels [Correct Ans Is: - B. Increased Serum
Osmolarity (Dehydrated)
The Normal Serum Osmolarity Is Within The Range Of:
A. 145-155 Mos./L
B. 200-250 Mos./L
C. 275-295 Mos./L
D. 325-375 Mos./L [Correct Ans Is: - C. 275-295 Mos./L
> 295 = Dehydrated
< 275 = Dilute/Fluid Overload
The Syndrome Of Inappropriate Antidiuretic Hormone (SIADH) Is Manifested
Clinically As A:
A. Hyperosmolar State
