CCRNl Examl Prepl (Latestl 2025/l 2026l Update)l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)
Q:l Al patientl hasl hadl anl inferiorl MI.l Hel nowl hasl al newl holosystolicl murmurl atl apex,l acutel severel dyspnea,l decreasedl cardiacl index,l andl al normall cardiacl silhouettel onl x-ray.l Whichl ofl thel followingl complicationsl mostl likelyl isl occurringl inl thisl patient?
A.l Acutel mitrall regurgitation B.l Rupturel ofl leftl ventricularl freel wall C.l Ventricularl septall rupture D.l Acutel aorticl stenosis
Answer:
A Withl anl inferiorl MI,l thel riskl ofl thel papillaryl musclesl beingl affectedl isl greater.l Thel papillaryl musclesl ofl thel LVl maintainl normall mitrall valvel fxn.l Ifl damaged,l acutel mitrall regurgitationl occursl andl isl manifestedl byl al newl holosystolicl murmurl atl thel apex,l acutel pulmonaryl edema,l andl decreasedl cardiacl output/index
Q:l Al patientl withl HFl causedl byl diastolicl dysfunctionl isl prescribedl carvediloll (Coreg).l Whatl typel ofl drugl isl carvedilol?
A.l Calciuml channell blocker B.l Angiotensin-convertingl enzymel inhibitor C.l Alpha-l andl noncardioselectivel beta-blocker D.l Cardioselectivel beta-blocker
Answer:
C.l Alpha-l andl noncardioselectivel beta-blocker
Q:l Al 52-year-oldl manl isl admittedl tol thel criticall carel unitl withl al diagnosisl ofl anl acutel MI.l EKGl showsl STl elevationl andl Tl wavel inversionl inl leadsl V2,l V3,l andl V4.l Hisl historyl includesl HTN,l 80l pack-yearsl ofl smoking,l COPD,l andl HLD.Anl IVl andl fibrinolyticl therapyl werel initiatedl inl thel ED.l Whichl ofl thel followingl wouldl notl bel anl indicationl ofl successfull reperfusion? 1 / 4
A.l Painl cessation B.l Absencel ofl creatinel kinasel (CK)l enzymel elevation C.l Reversall ofl STl segmentl elevationl withl returnl ofl STl segmentl tol baseline D.l Shortl runsl ofl ventricularl tachycardia
Answer:
B.l Absencel ofl creatinel kinasel (CK)l enzymel elevation
Q:l Substernall chestl pain,l low-gradel fever,l andl pericardiall frictionl rubl arel clinicall indicationsl ofl whichl ofl thel following?
A.l Pericarditis B.l Pericardiall tamponade C.l Pneumothorax D.l Pleurisy
Answer:
A.l Pericarditis
Q:l Al patientl sustainsl al myocardiall contusionl asl al resultl ofl al MVC.l Whichl ofl thel followingl signsl andl symptomsl wouldl bel mostl likely?
l A.l Jugularl venousl distention l B.l Crackles l C.l Bradycardia l D.l S3l atl thel apex
Answer:
A.l Jugularl venousl distention
Q:l Al patientl isl admittedl tol thel coronaryl carel unitl withl third-degreel AVl heartl block,l andl al transvenousl temporaryl ventricularl pacemakerl isl inserted.l Fourl hoursl laterl thel patientl complainsl ofl dizzinessl whilel lyingl inl bed.l Thel monitorl showsl third-degreel AVl blockl withl al ventricularl ratel ofl 52l andl nol pacingl spikes.l Thisl indicatesl whichl ofl thel following?
l A.l Failurel tol capture l B.l Failurel tol pace 2 / 4
l C.l Competitionl betweenl pacemakerl andl intrinsicl rhythm l D.l Failurel tol sense
Answer:
B.l Failurel tol pace
Q:l Whichl onel ofl thel followingl structuresl isl atl greatestl riskl forl traumal inl myocardiall contusion?
l A.l Rightl atrium l B.l Rightl ventricle l C.l Aorta l D.l Leftl ventricle
Answer:
B.l RV
Q:l Leadsl V8l andl V9l arel usedl tol evaluatel whichl ofl thel following?
l A.l Leftl ventricularl failure l B.l Posteriorl myocardiall infarctionl (MI) l C.l Laterall MI l D.l Leftl bundlel branchl block
Answer:
B.l posteriorl MI
Q:l Whichl ofl thel followingl isl thel majorl advantagel ofl minimallyl invasivel directl coronaryl arteryl bypassl graftingl (MIDCABG)?
l A.l Decreasedl cost l B.l Decreasedl lengthl ofl stay l C.l Avoidancel ofl cardiopulmonaryl bypass l D.l Lessl patientl pain
Answer:
C.l avoidancel ofl cardiopulmonaryl bypass
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Q:l Al patientl arrivesl tol thel EDl withl al knifel stickingl outl ofl hisl chest.l Hel isl stablel atl thisl timel butl complainingl ofl painl atl thel knifel insertionl site.l Thel physicianl isl busyl resuscitatingl anotherl patient.l Whatl shouldl bel done?
l A.l Removel thel knifel sol thatl thel woundl canl bel cleansed.l B.l Removel thel knifel andl applyl al sterile,l occlusivel dressing.l C.l Leavel thel knifel inl butl stabilizel itl withl adhesivel tape.l D.l Leavel thel knifel inl butl applyl al pressurel dressingl overl it.
Answer:
C.l Leavel thel knifel inl butl stabilizel itl withl adhesivel tape.
Q:l Al 57-year-oldl manl wasl admittedl tol thel criticall carel unitl withl al diagnosisl ofl anteroseptall MI.l Al PAl catheterl wasl inserted,l andl initiall readingsl werel withinl normall limits.l BPl 140/92,l HRl 110l andl regular,l RRl 24.l Breathl soundsl equall andl clear.l 3l hrsl afterl admission,l thel ptl becomesl restlessl withl cool,l palel skin.l Nowl BPl 110/72,l HRl 120,l RRl 28l andl labored.l Cracklesl arel audiblel atl thel lungl basesl BL.l Thel patientl isl givenl furosemidel (Lasix)l atl 8l am.l Atl 9l am,l thel PAOPl dropsl tol 8,l withl al dropl inl BP.l Whichl ofl thel followingl wouldl bel thel mostl appropriatel interventionl atl thisl time?
l A.l Administerl salinel bolus.l B.l Decreasel dobutaminel dripl rate.l C.l Increasel nitroglycerinl dripl rate.l D.l Replacel potassium.
Answer:
A.l Administerl salinel bolus.
Q:l Whatl typel ofl AVl blockl isl characterizedl byl al progressivel prolongationl ofl thel PRl intervall followedl byl al nonconductedl Pl wave?
l A.l First-degreel AVl block l B.l Second-degreel AVl block,l typel I l C.l Second-degreel AVl block,l typel II D.l Third-degreel AVl block
Answer:
B.Second-degreel AVl block,l typel I
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