CCRN/PCCN (ADULT) CERTIFICATION
FINAL EXAM NEWEST 2025 ACTUAL
EXAM QUESTIONS AND DETAILED
CORRECT (VERIFIED ANSWERS)|
ALREADY GRADED A+
A 70-year-old man is readmitted to the hospital five days
after a myocardial infarction. His assessment shows T-
wave inversion in leads V1 to V4 and ST segment
elevation. The patient has already received aspirin,
morphine 3-mgs and nitroglycerin infusion to relieve his
chest pain. The patient suddenly develops a loud,
holosystolic murmur at the lower left sternal border. A
pulmonary artery catheter is inserted. Which of the
following parameters would be noted in this patient?
A. Decreased pulmonary artery occlusion pressure
B. Increase in veneous oxygen saturation (SvO2)
C. Increase in systolic blood pressure
D. Decreased in cardiac output Correct Answer B.
Increase in veneous oxygen saturation (SvO2)
Fractures of the sternum, ribs and clavicle are most often
with which condition?
A. Cardiac arrest
B. Pneumothorax
C. Cardiac tamponade
,D. Myocardial contusions Correct 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
Correct 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 Correct 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 Correct 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 Correct 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 Correct Answer B. Bundle
of His
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