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CCRN PRACTICE QUESTIONS WITH CORRECT ANSWERS
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CCRN PRACTICE QUESTIONS WITH CORRECT ANSWERS A patient in the ED with complaints of chest pain. The 12-lead EKG shows ST 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. Sinoatrial (SA) node...

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  • November 3, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • ccrn practice questions with correct answers

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  • CCRN
  • CCRN

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Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024




CCRN PRACTICE QUESTIONS WITH

CORRECT ANSWERS


A patient in the ED with complaints of chest pain. The 12-lead EKG shows ST 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. Sinoatrial (SA) node


B. Bachmann's bundle


C. Atrioventricular (AV) node


D. Bundle of His - ANSWER✔✔-LAD so D. bundle of his


Which of the following is the preferred lead for ST segment monitoring for a patient with a suspected

RCA occlusion?




A.I


B. aVR


C. III


D. V1 - ANSWER✔✔-c. III


Which of the following is not a manifestation of hypertrophic cardiomyopathy?




Copyright ©Stuvia International BV 2010-2024 Page 1/37

,Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024




A. Syncope


B. Murmur that increases with squatting


C. Chest pain


D. Sudden cardiac death - ANSWER✔✔-*B


Classic manifestations of hypertrophic cardiomyopathy are chest pain, syncope, and an aortic stenosis

type of murmur that decreases when the patient is in a squatting position. The first manifestation of this

condition is occasionally sudden cardiac death during exercise.


In which quadrant is the mean QRS complex axis located if the QRS complex is predominantly positive in

lead I and negative in lead aVF?




A. Normal quadrant


B. Left axis deviation quadrant


C. Right axis deviation quadrant


D. Indeterminant quadrant - ANSWER✔✔-*B


Because the positive of lead I is the left arm, if the QRS complex is upright in lead I, the mean QRS axis is

to the left. Because the positive of lead aVF (a unipolar lead) is at the foot, if the QRS complex is negative

in lead aVF, the mean QRS axis is upward away from the foot. This axis would be in the upper left

quadrant, described as left axis deviation.




Copyright ©Stuvia International BV 2010-2024 Page 2/37

,Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


A patient becomes apneic and pulseless. CPR has been initiated, and the monitor shows asystole in two

leads. Which of the following drugs would be used initially?




A. Calcium gluconate


B. Atropine


C. Epinephrine


D. Amiodarone (Cordarone) - ANSWER✔✔-C


After CPR is initiated and an intravenous access is established, epinephrine should be given. Calcium was

used in the past in asystole but is used today only for hypocalcemia, calcium channel blocker toxicity,

hyperkalemia, and hypermagnesemia. Atropine is no longer recommended for asystole. Amiodarone is

not indicated in asystole because asystole is the absolute absence of irritability.


What is associated w/ Mitral Stenosis


A. Pinkish discoloration of the cheeks


B. Systolic murmur


C. Widened pulse pressure


D. Narrow pulse pressure - ANSWER✔✔-A


Patients with mitral stenosis may exhibit a pinkish discoloration of the cheeks (i.e., malar blush). Mitral

stenosis causes a diastolic murmur. Widened pulse pressure is associated with aortic regurgitation.

Narrowed pulse pressure is associated with mitral regurgitation.




Copyright ©Stuvia International BV 2010-2024 Page 3/37

, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


Four days after a mitral valve replacement, the patient develops atrial fibrillation. The nurse initially

would:




A. order a 12-lead EKG


B. evaluate the patient for clinical indications of hypoperfusion.


C. notify the physician.


D. ask the patient to bear down as if having a bowel movement. - ANSWER✔✔-B


The onset of atrial fibrillation results in the loss of atrial kick. Loss of atrial kick may reduce the cardiac

output by as much as 20-30%. This is especially true in patients whose cardiac output may be affected by

long-standing cardiac disease, such as mitral valve disease. Assess the patient for clinical indications of

hypoperfusion (e.g., cool skin, decreased urine output, narrowed pulse pressure, and hypotension).


A patient has just returned from the cath lab. She had an angioplasty for occlusion of her RCA. She still

has femoral artery and vein sheaths in place. The patient complains of chest pain that she rates 9/10

about an hour after she returns from the cath lab. Which of the following is indicated?


A. Administer morphine IV.


B. Administer nitroglycerin sublingual spray.


C. Stop the heparin.


D. Notify the physician - ANSWER✔✔-D




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