ADULT CCRN/PCCN CERTIFICATION PRACTICE TEST
QUESTIONS AND ANSWERS
Fractures of the sternum, ribs and clavicle are most often with which condition?
A. Cardiac arrest
B. Pneumothorax
C. Cardiac tamponade
D. Myocardial contusions - ANSWER D. Myocardial contusions
How does nesiritide as a vasodilator have an advantage over nitroglycerin?
A. Other vasodilators, such as nitroglycerin, decrease contractility
B. Other vasodilators, such as nitroglycerin, decrease heart rate
C. Nesiritide has a diuretic effect
D. Nesiritide may be used with hypotensive patients - ANSWER C. Nesiritide has a
diuretic effect
P-waves that are abnormally notched and wide may be seen in patients with
A. Myocardial infarction
B. Mitral stenosis
C. Heart failure
,D. Chronic obstructive pulmonary disease - ANSWER B. Mitral stenosis
What effect would the air fluid meniscus of the zero reference port of the
transducer of a pressure monitoring system have on the pressure measurement if
it was 2 inches below the phlebostatic axis?
A. The pressure recording would be falsely high by about 4 mmHg
B. The pressure recording would be falsely low by about 2 mmHg
C. The pressure recording would be falsely high by about 2 mmHg
D. The pressure recording would be falsely low by about 4 mmHg - ANSWER A.
The pressure recording would be falsely high by about 4 mmHg
Which indicator would be important in differentiating unstable angina from stable
angina?
A. Chest pain relived by nitroglycerin
B. Development of Q waves on the electrocardiogram
C. Chest pain at rest
D. Development of ST segment elevation or depression in affect leads - ANSWER
C. Chest pain at rest
A 62-year-old man arrives in the emergency department with the 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. Bachmann's Bundle
B. Bundle of His
C. Sinoatrial (SA) node
D. Atrioventricular (AV) nodes - ANSWER B. Bundle of His
A 44-year-old female patient is being suctioned through her endotracheal tube,
and her heart rate drops dramatically. What should you do?
A. Continue suctioning and then administer 100% oxygen
B. Turn the head to the left side
C. Instill saline down the endotracheal tube to loosen up the mucus plus
D. Stop suctioning and administer 100% oxygen - ANSWER D. Stop suctioning and
administer 100% oxygen
What location is used for an emergency decompression of a tension
pneumothorax with a 14-guage needle?
A. Fifth intercostal space at the midclavicular line on the affected side
B. Second intercostal space at the midaxillary line on the affected side
C. Second intercostal space at the midclavicular line on the affected side
D. Fifth intercostal space at the midaxillary line on the affected side - ANSWER C.
Second intercostal space at the midclavicular line on the affected side
A 46-year-old male developed an epidural hematoma after being in a motor
vehicle collison. He has had a craniotomy to evacuate the clot, and an
QUESTIONS AND ANSWERS
Fractures of the sternum, ribs and clavicle are most often with which condition?
A. Cardiac arrest
B. Pneumothorax
C. Cardiac tamponade
D. Myocardial contusions - ANSWER D. Myocardial contusions
How does nesiritide as a vasodilator have an advantage over nitroglycerin?
A. Other vasodilators, such as nitroglycerin, decrease contractility
B. Other vasodilators, such as nitroglycerin, decrease heart rate
C. Nesiritide has a diuretic effect
D. Nesiritide may be used with hypotensive patients - ANSWER C. Nesiritide has a
diuretic effect
P-waves that are abnormally notched and wide may be seen in patients with
A. Myocardial infarction
B. Mitral stenosis
C. Heart failure
,D. Chronic obstructive pulmonary disease - ANSWER B. Mitral stenosis
What effect would the air fluid meniscus of the zero reference port of the
transducer of a pressure monitoring system have on the pressure measurement if
it was 2 inches below the phlebostatic axis?
A. The pressure recording would be falsely high by about 4 mmHg
B. The pressure recording would be falsely low by about 2 mmHg
C. The pressure recording would be falsely high by about 2 mmHg
D. The pressure recording would be falsely low by about 4 mmHg - ANSWER A.
The pressure recording would be falsely high by about 4 mmHg
Which indicator would be important in differentiating unstable angina from stable
angina?
A. Chest pain relived by nitroglycerin
B. Development of Q waves on the electrocardiogram
C. Chest pain at rest
D. Development of ST segment elevation or depression in affect leads - ANSWER
C. Chest pain at rest
A 62-year-old man arrives in the emergency department with the 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. Bachmann's Bundle
B. Bundle of His
C. Sinoatrial (SA) node
D. Atrioventricular (AV) nodes - ANSWER B. Bundle of His
A 44-year-old female patient is being suctioned through her endotracheal tube,
and her heart rate drops dramatically. What should you do?
A. Continue suctioning and then administer 100% oxygen
B. Turn the head to the left side
C. Instill saline down the endotracheal tube to loosen up the mucus plus
D. Stop suctioning and administer 100% oxygen - ANSWER D. Stop suctioning and
administer 100% oxygen
What location is used for an emergency decompression of a tension
pneumothorax with a 14-guage needle?
A. Fifth intercostal space at the midclavicular line on the affected side
B. Second intercostal space at the midaxillary line on the affected side
C. Second intercostal space at the midclavicular line on the affected side
D. Fifth intercostal space at the midaxillary line on the affected side - ANSWER C.
Second intercostal space at the midclavicular line on the affected side
A 46-year-old male developed an epidural hematoma after being in a motor
vehicle collison. He has had a craniotomy to evacuate the clot, and an
