CCRN Practice Exam Questions with Complete
Answers.
The emergency drug therapy of choice for polymorphic ventricular tachycardia is:
A) Atropine
B) Amiodarone
C) Adenosine
D) Magnesium - ANS D) Magnesium (Correct)
You are caring for a patient post cardiac arrest who is receiving Targeted Temperature
Management (TTM). Which of the following clinical findings should you be concerned
about?
A) Heart rate of 30 bpm with a wide QRS and prolonged QT interval
B) Increasing diuresis
C) Increasing insulin requirements
D) Core body temperature of 34 C - ANS A) Heart rate of 30 bpm with a wide QRS and
prolonged QT interval (Correct)
The nurse is caring for a patient admitted for medical management of a dissecting
abdominal aortic aneurysm (AAA). The patient describes sudden onset severe
abdominal and back pain. Patient data: HR 120, BP 138/78 (98), RR 26, 94% SpO2 on
RA. Which of the following interventions is a priority of care for the registered nurse?
A) Administer PRN IV narcotic analgesia
B) Provide oxygen via nasal cannula
C) Administer PRN IV Beta-Blocker
D) Complete assessment of peripheral movement and sensation - ANS A) Administer
PRN IV narcotic analgesia (Correct)
Pharmaceutical management of hypertrophic cardiomyopathy should include:
,A) Metoprolol (Lopressor)
B) Furosemide (Lasix)
C) Digoxin (Lanoxin)
D) Nitroprusside (Nipride) - ANS A) Metoprolol (Lopressor) (Correct)
The nurse is caring for a patient admitted for medical management of a dissecting
abdominal aortic aneurysm (AAA). The patient describes sudden onset severe
abdominal and back pain. Patient data: HR 120, BP 138/78 (98), RR 26, 94% SpO2 on
RA. Which of the following interventions is a priority of care for the registered nurse?
A) Provide oxygen via nasal cannula
B) Administer PRN IV narcotic analgesia
C) Administer PRN IV Beta-Blocker |
D) Complete assessment of peripheral movement and sensation - ANS B) Administer
PRN IV narcotic analgesia (Correct)
Which set of hemodynamic parameters is associated with right sided heart failure?
A) Increased CO/CI, increased CVP, increased PAOP, increased SVR
B) Increased CO/CI, decreased CVP, increased PAOP, decreased SVR
C) Decreased CO/CI, increased CVP, decreased/normal PAOP, increased SVR
D) Decreased CO/CI, decreased CVP, decreased/normal PAOP, decreased SVR - ANS
C) Decreased CO/CI, increased CVP, decreased/normal PAOP, increased SVR
(Correct)
A patient returns to your unit after implantation of a permanent dual chamber pacemaker.
You note the patient is in atrial fibrillation. What would be the pacing mode indicated for
this patient?
A) DDD
B) VVI
C) DVI
D) VAT - ANS B) VVI (Correct)
,Clinical signs of cardiogenic shock secondary to acute left ventricular failure include:
A) Hypotension, S4 heart sound, pericardial friction rub
B) S3 heart sound, Hypotension, systolic murmur
C) Diastolic murmur, S4 heart sound, Hypertension
D) Crackles, S3 heart sound, hypotension (Correct) - ANS D) Crackles, S3 heart sound,
hypotension (Correct)
A patient with an acute anterior wall MI develops 2nd Degree Type II heart block. A
temporary transvenous pacing wire is inserted. You notice pacing spikes indiscriminately
during all phases of the cardiac cycle. Your best action would be:
A) Increase the sensitivity by lowering the mV
B) Decrease the sensitivity by raising the mV
C) Increase the milliamps (mA)
D) Decreased the milliamps (mA) - ANS A) Increase the sensitivity by lowering the mV
(Correct)
A patient is post-op day 3 for a cardiac transplant. During the night the patient develops
symptomatic bradycardia. Your best action to treat the bradycardia should include:
A) Administer Atropine 1 mg IV and apply 100% O2
B) Connect epicardial pacing wires to a generator and pace the patient
C) Give Atropine and start and Isuprel infusion
D) Start a Dopamine infusion - ANS B) Connect epicardial pacing wires to a generator
and pace the patient (Correct)
A 55-year-old female presents to the ED anxious and SOB. Her 12 lead ECG reveals a
STEMI. Which of the following findings suggests an absolute contraindication for
thrombolytic therapy?
A) Dull chest pain, ST elevation in V4, V5, V6, new left bundle branch block |
B) History of cholecystectomy 2 weeks ago, ST elevation in V3, V4, V5 |
, C) Sudden onset severe chest and back pain, uncontrolled BP 195/115, ST elevation II,
III, aVF, and a new diastolic murmur over the left sternal border
D) Left arm pain, BP 180/100 easily controlled on antihypertensive meds, ST elevation in
V1, V2 V3 - ANS C) Sudden onset severe chest and back pain, uncontrolled BP 195/115,
ST elevation II, III, aVF, and a new diastolic murmur over the left sternal border (Correct)
A 68-year-old patient presents to your unit 9 days after a 3 vessel CABG complaining of
chest pain. A 12-lead ECG reveals non-specific ST elevation in leads V1 â€" V6. Cardiac
enzymes are not elevated. He states the pain is better when he sits up and leans forward.
This scenario is most consistent with:
A) Acute inferior wall MI
B) Post-operative cardiac tamponade
C) Pleural effusions
D) Pericarditis - ANS D) Pericarditis (Correct)
Signs of cardiac tamponade include:
A) Increased CVP, narrow pulse pressure, hypertension
B) Wide mediastinum on chest x-ray, narrow pulse pressure, hypotension
C) Widening pulse pressure, hypotension, elevated CVP
D) A fall in SBP > 10 mm Hg during inspiration, decreased CVP, hypotension - ANS B)
Wide mediastinum on chest x-ray, narrow pulse pressure, hypotension (Correct)
A patient is admitted complaining of chest pain and nausea. The ECG monitor reveals
second-degree AV heart block, Type II. These findings are probably a result of occlusion
of which one of the following coronary arteries?
A) LAD
B) Circumflex
C) Posterior descending
D) RCA - ANS A) LAD (Correct)
Answers.
The emergency drug therapy of choice for polymorphic ventricular tachycardia is:
A) Atropine
B) Amiodarone
C) Adenosine
D) Magnesium - ANS D) Magnesium (Correct)
You are caring for a patient post cardiac arrest who is receiving Targeted Temperature
Management (TTM). Which of the following clinical findings should you be concerned
about?
A) Heart rate of 30 bpm with a wide QRS and prolonged QT interval
B) Increasing diuresis
C) Increasing insulin requirements
D) Core body temperature of 34 C - ANS A) Heart rate of 30 bpm with a wide QRS and
prolonged QT interval (Correct)
The nurse is caring for a patient admitted for medical management of a dissecting
abdominal aortic aneurysm (AAA). The patient describes sudden onset severe
abdominal and back pain. Patient data: HR 120, BP 138/78 (98), RR 26, 94% SpO2 on
RA. Which of the following interventions is a priority of care for the registered nurse?
A) Administer PRN IV narcotic analgesia
B) Provide oxygen via nasal cannula
C) Administer PRN IV Beta-Blocker
D) Complete assessment of peripheral movement and sensation - ANS A) Administer
PRN IV narcotic analgesia (Correct)
Pharmaceutical management of hypertrophic cardiomyopathy should include:
,A) Metoprolol (Lopressor)
B) Furosemide (Lasix)
C) Digoxin (Lanoxin)
D) Nitroprusside (Nipride) - ANS A) Metoprolol (Lopressor) (Correct)
The nurse is caring for a patient admitted for medical management of a dissecting
abdominal aortic aneurysm (AAA). The patient describes sudden onset severe
abdominal and back pain. Patient data: HR 120, BP 138/78 (98), RR 26, 94% SpO2 on
RA. Which of the following interventions is a priority of care for the registered nurse?
A) Provide oxygen via nasal cannula
B) Administer PRN IV narcotic analgesia
C) Administer PRN IV Beta-Blocker |
D) Complete assessment of peripheral movement and sensation - ANS B) Administer
PRN IV narcotic analgesia (Correct)
Which set of hemodynamic parameters is associated with right sided heart failure?
A) Increased CO/CI, increased CVP, increased PAOP, increased SVR
B) Increased CO/CI, decreased CVP, increased PAOP, decreased SVR
C) Decreased CO/CI, increased CVP, decreased/normal PAOP, increased SVR
D) Decreased CO/CI, decreased CVP, decreased/normal PAOP, decreased SVR - ANS
C) Decreased CO/CI, increased CVP, decreased/normal PAOP, increased SVR
(Correct)
A patient returns to your unit after implantation of a permanent dual chamber pacemaker.
You note the patient is in atrial fibrillation. What would be the pacing mode indicated for
this patient?
A) DDD
B) VVI
C) DVI
D) VAT - ANS B) VVI (Correct)
,Clinical signs of cardiogenic shock secondary to acute left ventricular failure include:
A) Hypotension, S4 heart sound, pericardial friction rub
B) S3 heart sound, Hypotension, systolic murmur
C) Diastolic murmur, S4 heart sound, Hypertension
D) Crackles, S3 heart sound, hypotension (Correct) - ANS D) Crackles, S3 heart sound,
hypotension (Correct)
A patient with an acute anterior wall MI develops 2nd Degree Type II heart block. A
temporary transvenous pacing wire is inserted. You notice pacing spikes indiscriminately
during all phases of the cardiac cycle. Your best action would be:
A) Increase the sensitivity by lowering the mV
B) Decrease the sensitivity by raising the mV
C) Increase the milliamps (mA)
D) Decreased the milliamps (mA) - ANS A) Increase the sensitivity by lowering the mV
(Correct)
A patient is post-op day 3 for a cardiac transplant. During the night the patient develops
symptomatic bradycardia. Your best action to treat the bradycardia should include:
A) Administer Atropine 1 mg IV and apply 100% O2
B) Connect epicardial pacing wires to a generator and pace the patient
C) Give Atropine and start and Isuprel infusion
D) Start a Dopamine infusion - ANS B) Connect epicardial pacing wires to a generator
and pace the patient (Correct)
A 55-year-old female presents to the ED anxious and SOB. Her 12 lead ECG reveals a
STEMI. Which of the following findings suggests an absolute contraindication for
thrombolytic therapy?
A) Dull chest pain, ST elevation in V4, V5, V6, new left bundle branch block |
B) History of cholecystectomy 2 weeks ago, ST elevation in V3, V4, V5 |
, C) Sudden onset severe chest and back pain, uncontrolled BP 195/115, ST elevation II,
III, aVF, and a new diastolic murmur over the left sternal border
D) Left arm pain, BP 180/100 easily controlled on antihypertensive meds, ST elevation in
V1, V2 V3 - ANS C) Sudden onset severe chest and back pain, uncontrolled BP 195/115,
ST elevation II, III, aVF, and a new diastolic murmur over the left sternal border (Correct)
A 68-year-old patient presents to your unit 9 days after a 3 vessel CABG complaining of
chest pain. A 12-lead ECG reveals non-specific ST elevation in leads V1 â€" V6. Cardiac
enzymes are not elevated. He states the pain is better when he sits up and leans forward.
This scenario is most consistent with:
A) Acute inferior wall MI
B) Post-operative cardiac tamponade
C) Pleural effusions
D) Pericarditis - ANS D) Pericarditis (Correct)
Signs of cardiac tamponade include:
A) Increased CVP, narrow pulse pressure, hypertension
B) Wide mediastinum on chest x-ray, narrow pulse pressure, hypotension
C) Widening pulse pressure, hypotension, elevated CVP
D) A fall in SBP > 10 mm Hg during inspiration, decreased CVP, hypotension - ANS B)
Wide mediastinum on chest x-ray, narrow pulse pressure, hypotension (Correct)
A patient is admitted complaining of chest pain and nausea. The ECG monitor reveals
second-degree AV heart block, Type II. These findings are probably a result of occlusion
of which one of the following coronary arteries?
A) LAD
B) Circumflex
C) Posterior descending
D) RCA - ANS A) LAD (Correct)
