CCRNl Examl Reviewl (Latestl 2025/l 2026l
Update)l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)
Q:l Patientsl withl rightl ventricularl infarctionsl becomel preloadl dependent.l Medsl thatl
decreasel preloadl shouldl bel avoidedl -l whichl medsl arel these?
Answer:
Morphine,l Nitro,l Betal blockersl andl diuretics.
Q:l Polymorphicl ventricularl tachycardial akal Torsadesl isl treatedl by?
Answer:
Magnesium
Q:l Myocardiall contusionsl generallyl impactl whichl partsl ofl thel heart?l andl whatl wouldl
thel valuesl be?
Answer:
Atrial &l rightl ventriclel becausel ofl thel positionl ofl thel heartl inl thel chest.l
PAOPl 6,l PAl Pressurel 40/24,l RAl Pressurel 16
Q:l Neurogenicl shockl signs?
Answer:
CVP:l 3,l CI:l 2.5,l SVR:l 650,l SBP:l 88
Neurol shockl isl associatedl withl al lossl ofl sympatheticl tonel causingl extensivel peripherall
vasodilation.l Clinicall signsl andl symptomsl includel hypotension,l al lowl SVR,l lowl CVPl
andl lowl normall CI
Q:l Whatl causesl al largerl thanl normall Al wavel onl al PAOP?
,Answer:
Mitrall stenosisl -l causesl increasedl leftl atriall pressurel duringl atriall contraction.
Q:l Pulmonaryl HTNl willl resultl inl what?
Answer:
Elevatedl PAl pressuresl butl havel nol impactl onl PAOP.
Q:l Infectivel Endocarditisl canl causel whatl kindl ofl impairment?
Answer:
Neurologicl impairment.l Onel ofl thel risksl ofl infectivel endocarditisl isl thel bacteriall strandl
breakingl inl thel heartl andl throwingl bacteriall embolil forwardl intol thel lungsl froml thel
rightl sidel ofl thel heartl orl tol thel brain/bodyl froml thel leftl sidel ofl thel heart.
Q:l Neurologicl impairmentl couldl bel al sign?
Answer:
Embolicl ischemicl stroke.
Q:l Postl bariatricl surgeryl shouldl avoidl whatl kindl ofl meds?
Answer:
Extendedl releasel medsl duel tol absorptionl concernsl post-operatively
Q:l Chlorpropamidel isl al what?
Answer:
sulfonylureal drugl thatl isl usedl inl DIl asl anl antidiuretic.l Itl isl primarilyl al glucosel
loweringl agent.l (hypoglycemia)
Q:l Willl al cardiacl transplantl patientl respondl tol atropine?
,Answer:
Nol -l pacingl isl thel bestl instrumentl forl symptomaticl bradycardia.
Q:l Elevatedl urinel osmolality;l decreasedl seruml osmolality;l andl decreasedl seruml
sodiuml isl whatl symptom?
Answer:
SIADHl -l causesl retentionl ofl water.l Urinel productionl isl minimall andl concentratedl &l
leadsl tol anl increasedl urinel osmolality.
Q:l Whatl doesl Neol drugl increase?
Answer:
SVRl -l Peripherall constriction
Q:l Treatmentl forl narrowl complex,l regularl rhythm?
Answer:
Administerl 6mgl adenosinel rapidlyl IVP
Q:l Halfl lifel ofl metformin?
Answer:
6l hoursl -l closel monitoringl isl requiredl tol ensurel thel bloodl glucosel levell doesl notl
climbl tool quicklyl whilel dextrosel isl beingl administered.
Q:l Mostl accuratel reflectionl ofl dailyl fluidl balance?
Answer:
Recordl al dailyl weightl atl thel samel timel eachl day.
Q:l Widel mediastinuml onl chestl x-ray,l narrowl pulsel pressure,l andl hypotensionl arel
signsl ofl what?
, Answer:
Cardiacl tamponade
Q:l Al patientl withl hyponatremial wouldl needl what?
Answer:
Helpl maintainingl al safel environment.l HypoNal impairsl judgment,l andl causesl confusion.
Q:l Peritoneall dialysisl worksl onl thel principlesl ofl both?
Answer:
Diffusionl andl osmosis.
Q:l HHNSl leadsl tol what?
Answer:
Largel fluidl deficitsl andl mayl requirel multiplel litersl ofl fluid,l whichl isl determinedl byl thel
patient'sl levell ofl dehydrationl andl hyperosmolality.
Q:l Whatl parametersl arel consistentl withl Pulsusl Paradoxes?
Answer:
Decreasel inl SBP>10l duringl inspiration.
Q:l Beforel administeringl rtPAl whatl mustl happen?
Answer:
Lowerl thel BPl tol atl leastl 185/110.l Anl elevatedl BPl priorl tol rtPAl canl causel hemorrhage.
Q:l Ibutilidel canl causel what?
Answer:
Torsades
Update)l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)
Q:l Patientsl withl rightl ventricularl infarctionsl becomel preloadl dependent.l Medsl thatl
decreasel preloadl shouldl bel avoidedl -l whichl medsl arel these?
Answer:
Morphine,l Nitro,l Betal blockersl andl diuretics.
Q:l Polymorphicl ventricularl tachycardial akal Torsadesl isl treatedl by?
Answer:
Magnesium
Q:l Myocardiall contusionsl generallyl impactl whichl partsl ofl thel heart?l andl whatl wouldl
thel valuesl be?
Answer:
Atrial &l rightl ventriclel becausel ofl thel positionl ofl thel heartl inl thel chest.l
PAOPl 6,l PAl Pressurel 40/24,l RAl Pressurel 16
Q:l Neurogenicl shockl signs?
Answer:
CVP:l 3,l CI:l 2.5,l SVR:l 650,l SBP:l 88
Neurol shockl isl associatedl withl al lossl ofl sympatheticl tonel causingl extensivel peripherall
vasodilation.l Clinicall signsl andl symptomsl includel hypotension,l al lowl SVR,l lowl CVPl
andl lowl normall CI
Q:l Whatl causesl al largerl thanl normall Al wavel onl al PAOP?
,Answer:
Mitrall stenosisl -l causesl increasedl leftl atriall pressurel duringl atriall contraction.
Q:l Pulmonaryl HTNl willl resultl inl what?
Answer:
Elevatedl PAl pressuresl butl havel nol impactl onl PAOP.
Q:l Infectivel Endocarditisl canl causel whatl kindl ofl impairment?
Answer:
Neurologicl impairment.l Onel ofl thel risksl ofl infectivel endocarditisl isl thel bacteriall strandl
breakingl inl thel heartl andl throwingl bacteriall embolil forwardl intol thel lungsl froml thel
rightl sidel ofl thel heartl orl tol thel brain/bodyl froml thel leftl sidel ofl thel heart.
Q:l Neurologicl impairmentl couldl bel al sign?
Answer:
Embolicl ischemicl stroke.
Q:l Postl bariatricl surgeryl shouldl avoidl whatl kindl ofl meds?
Answer:
Extendedl releasel medsl duel tol absorptionl concernsl post-operatively
Q:l Chlorpropamidel isl al what?
Answer:
sulfonylureal drugl thatl isl usedl inl DIl asl anl antidiuretic.l Itl isl primarilyl al glucosel
loweringl agent.l (hypoglycemia)
Q:l Willl al cardiacl transplantl patientl respondl tol atropine?
,Answer:
Nol -l pacingl isl thel bestl instrumentl forl symptomaticl bradycardia.
Q:l Elevatedl urinel osmolality;l decreasedl seruml osmolality;l andl decreasedl seruml
sodiuml isl whatl symptom?
Answer:
SIADHl -l causesl retentionl ofl water.l Urinel productionl isl minimall andl concentratedl &l
leadsl tol anl increasedl urinel osmolality.
Q:l Whatl doesl Neol drugl increase?
Answer:
SVRl -l Peripherall constriction
Q:l Treatmentl forl narrowl complex,l regularl rhythm?
Answer:
Administerl 6mgl adenosinel rapidlyl IVP
Q:l Halfl lifel ofl metformin?
Answer:
6l hoursl -l closel monitoringl isl requiredl tol ensurel thel bloodl glucosel levell doesl notl
climbl tool quicklyl whilel dextrosel isl beingl administered.
Q:l Mostl accuratel reflectionl ofl dailyl fluidl balance?
Answer:
Recordl al dailyl weightl atl thel samel timel eachl day.
Q:l Widel mediastinuml onl chestl x-ray,l narrowl pulsel pressure,l andl hypotensionl arel
signsl ofl what?
, Answer:
Cardiacl tamponade
Q:l Al patientl withl hyponatremial wouldl needl what?
Answer:
Helpl maintainingl al safel environment.l HypoNal impairsl judgment,l andl causesl confusion.
Q:l Peritoneall dialysisl worksl onl thel principlesl ofl both?
Answer:
Diffusionl andl osmosis.
Q:l HHNSl leadsl tol what?
Answer:
Largel fluidl deficitsl andl mayl requirel multiplel litersl ofl fluid,l whichl isl determinedl byl thel
patient'sl levell ofl dehydrationl andl hyperosmolality.
Q:l Whatl parametersl arel consistentl withl Pulsusl Paradoxes?
Answer:
Decreasel inl SBP>10l duringl inspiration.
Q:l Beforel administeringl rtPAl whatl mustl happen?
Answer:
Lowerl thel BPl tol atl leastl 185/110.l Anl elevatedl BPl priorl tol rtPAl canl causel hemorrhage.
Q:l Ibutilidel canl causel what?
Answer:
Torsades
