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CCRN Questions with Correct Answers 100% Pass A patient has had a large anterior myocardial infarction last month and developed a ventricular aneurysm. He now has episodes of ventricular tachycardia that are not prevented or converted with antidysrhythmic $13.49   Add to cart

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CCRN Questions with Correct Answers 100% Pass A patient has had a large anterior myocardial infarction last month and developed a ventricular aneurysm. He now has episodes of ventricular tachycardia that are not prevented or converted with antidysrhythmic

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CCRN Questions with Correct Answers 100% Pass A patient has had a large anterior myocardial infarction last month and developed a ventricular aneurysm. He now has episodes of ventricular tachycardia that are not prevented or converted with antidysrhythmic agents. An implantable cardioverter- d...

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  • November 18, 2024
  • 76
  • 2024/2025
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CCRN Questions with Correct
Answers 100% Pass

A patient has had a large anterior myocardial infarction last month and developed a

ventricular aneurysm. He now has episodes of ventricular tachycardia that are not

prevented or converted with antidysrhythmic agents. An implantable cardioverter-

defibrillator (ICD) is implanted. Four days after surgery he develops ventricular

tachycardia. The ICD has delivered three shocks but has not converted the rhythm. He

is pulseless and apneic. Cardiopulmonary resuscitation is in progress. What is the

priority action now?




A.


Administer epinephrine IV.




B.


Administer amiodarone.




C.

Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 1/76

,Defibrillate.




D.


Reset the ICD. - ANSWER✔✔-Defibrillate


A 28-year-old woman is admitted to the critical care unit from the emergency

department with a diagnosis of asthma. Her initial arterial blood gases on a 28%

Venturi mask are as follows:




pH 7.48


PaCO2 30 mm Hg


HCO3 24 mEq/L


PaO2 64 mm Hg




Which of the following repeat arterial blood gases on 40% oxygen indicate that the

patient's condition is worsening?




A.


pH 7.48, PaCO2 30 mm Hg, PaO2 68 mm Hg

Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/76

,B.


pH 7.46, PaCO2 32 mm Hg, PaO2 61 mm Hg




C.


pH 7.40, PaCO2 40 mm Hg, PaO2 62 mm Hg




D.


pH 7.39, PaCO2 30 mm Hg, PaO2 60 mm Hg - ANSWER✔✔-C.


pH 7.40, PaCO2 40 mm Hg, PaO2 62 mm Hg




The case study shows stage II asthma. Option c shows stage III asthma. The patient is

still breathing at a fast rate, but carbon dioxide is starting to be retained as evidenced by

the increase of the PaCO2 into normal range. Options a and b are still stage II. Option d

shows a respiratory alkalosis with a metabolic acidosis because you would have

expected the pH to be in an alkalotic range with the PaCO2 of 30.


A patient experiencing alcohol withdrawal syndrome describes the swirls in the

wallpaper as being worms. This is an example of which of the following?



Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 3/76

, A.


Delusion




B.


Hallucination




C.


Illusion




D.


Visual impairment - ANSWER✔✔-C.


Illusion




An illusion is a misperception or misinterpretation of an actual external stimulus.

Illusions and hallucinations (a perception that has no actual external stimulus) are

common during alcohol withdrawal syndrome.




Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 4/76

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