CCRN 87 COMPREHENSIVE PRACTICE QUESTIONS WITH 100% CORRECT ANSWERS|33 PAGES
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Course
CCRN
Institution
CCRN
Which of the following type of drug would be prescribed after a MI to aid in prevention of remodeling?
A. Beta-blockers
B. Calcium channel blockers
C. Angiotensin-converting enzyme (ACE) inhibitors
D. Anticoagulants - ️️C. ACE inhibitors
Which of the following types of drugs can caus...
Which of the following type of drug would be prescribed after a MI to aid in
prevention of remodeling?
A. Beta-blockers
B. Calcium channel blockers
C. Angiotensin-converting enzyme (ACE) inhibitors
D. Anticoagulants - ✔ ✔ C. ACE inhibitors
Which of the following types of drugs can cause hypotension, hyperkalemia,
angioedema, proteinuria, and cough?
A. Beta-blockers
B. Loop diuretics
C. Calcium channel blockers
D. Angiotensin-converting enzyme (ACE) inhibitors - ✔ ✔ D. Angiotensin-
converting enzyme (ACE) inhibitors
Which of the following would be a contraindication to the use of fibrinolytic drugs,
such as recombinant tissue plasminogen activator?
A. Hypotension
B. Heart block
C. Uncontrolled hypertension
,D. Pain lasting more than 6 hours - ✔ ✔ C. uncontrolled hypertension
Which of the following would be contraindicated in a patient with Wolff-
Parkinson-White (WPW) syndrome?
A. Amiodarone (Cordarone)
B. Lidocaine (Xylocaine)
C. Adenosine (Adenocard)
D. Verapamil (Calan) - ✔ ✔ D. Verapamil (Calan)
Which of the following would not be associated with a false-positive result for an
acute MI using the total creatine kinase (CK)?
A. Hypothyroidism
B. Hemorrhagic stroke
C. Cardioversion
D. Ulcerative colitis - ✔ ✔ D. Ulcerative colitis
A 40-year-old patient has been admitted to the critical care unit after sustaining
multiple injuries from a cave-in accident this morning. X-ray confirm multiple
fractures, including the left femur. During the afternoon he was taken to surgery
for internal fixation of the left femur. It is now 10 pm, and the patient is
complaining of severe throbbing pain in his thigh. The patient received 5 mg of
morphine sulfate IV 30 minutes ago. The anterior left thigh is firm to touch, and
the pain increases when the patient flexes his left leg. The nurse should suspect
which of the following?
A. Normal pain related to fractured femur
B. Abnormal pain related to compartment syndrome
,C. Abnormal pain related to infection
D. Abnormal pain related to lumbosacral plexus injury - ✔ ✔ B. Abnormal
pain related to compartment syndrome
A 52-year-old man is admitted to the critical care unit with a diagnosis of an acute
MI. EKG shows ST elevation and T wave inversion in leads V2, V3, and V4. His
history includes HTN, 80 pack-years of smoking, COPD, and HLD.
An IV and fibrinolytic therapy were initiated in the ED. Which of the following
would not be an indication of successful reperfusion?
A. Pain cessation
B. Absence of creatine kinase (CK) enzyme elevation
C. Reversal of ST segment elevation with return of ST segment to baseline
D. Short runs of ventricular tachycardia - ✔ ✔ B. Absence of creatine kinase
(CK) enzyme elevation
A 52-year-old woman arrives in the ED. started having fluttering in her chest about
1 hour ago and now is having chest pain. She has a history of HTN. The EKG
monitor shows paroxysmal atrial tachycardia with HR 150, BP 130/88. Verapamil
5 mg is given via slow IV push. What would be a desirable therapeutic outcome?
A. Decrease in blood pressure
B. Decrease in heart rate
C. Change in rhythm to atrial fibrillation
D. A decrease in the fluttering feeling in her chest - ✔ ✔ B. Decrease in heart
rate
A 55-year-old man had a heart transplant 10 hours ago. Present assessment
includes cold, clammy skin, jugular venous distention, bilateral crackles, and
, tachycardia. Vital signs are temperature 98.6° F, BP 80/60, HR 120 and RR 24 .
Mediastinal tube drainage is approximately 50 mL/hr. He is diagnosed with
decreased cardiac contractility. Which of the following would be an appropriate
treatment for this patient?
A. Beta-adrenergic stimulant (e.g., dobutamine)
B. Diuretic (e.g., furosemide)
C. Normal saline bolus
D. Antibiotics - ✔ ✔ A. Beta-adrenergic stimulant (e.g., dobutamine)
A 55-year-old man with a long history of alcoholism continues to drink alcohol
and now has alcoholic cardiomyopathy, a form of dilated cardiomyopathy. Which
of the following would this patient not be expected to receive?
A. Angiotensin-converting enzyme inhibitors
B. Cardiac transplant referral
C. Diuretics
D. Inotropes - ✔ ✔ B. Cardiac transplant referral
A 57-year-old man was admitted to the critical care unit with a diagnosis of
anteroseptal MI. A PA catheter was inserted, and initial readings were within
normal limits. BP 140/92, HR 110 and regular, RR 24. Breath sounds equal and
clear. 3 hrs after admission, the pt becomes restless with cool, pale skin. Now BP
110/72, HR 120, RR 28 and labored. Crackles are audible at the lung bases BL.
The patient is given furosemide (Lasix) at 8 am. At 9 am, the PAOP drops to 8,
with a drop in BP. Which of the following would be the most appropriate
intervention at this time?
A. Administer saline bolus.
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