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NEWEST CCRN EXAM/ CCRN ACTUAL EXAM COMPLETE REAL EXAM QUESTIONS AND CORRECT VERIFIED SOLUTIONS (FULL REVISED EXAM) A NEW UPDATED VERSION |ALREADY GRADED A+ (BRAND NEW!!)$20.49
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NEWEST CCRN EXAM/ CCRN ACTUAL EXAM COMPLETE REAL EXAM QUESTIONS AND CORRECT VERIFIED SOLUTIONS (FULL REVISED EXAM) A NEW UPDATED VERSION |ALREADY GRADED A+ (BRAND NEW!!)
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Course
2024 CCRN
Institution
2024 CCRN
NEWEST CCRN EXAM/ CCRN ACTUAL EXAM COMPLETE REAL EXAM QUESTIONS AND CORRECT VERIFIED SOLUTIONS (FULL REVISED EXAM) A NEW UPDATED VERSION |ALREADY GRADED A+ (BRAND NEW!!)
NEWEST CCRN EXAM/ CCRN ACTUAL EXAM 2024-2025
COMPLETE REAL EXAM QUESTIONS AND CORRECT
VERIFIED SOLUTIONS (FULL REVISED EXAM) A NEW
UPDATED VERSION |ALREADY GRADED A+ (BRAND
NEW!!)
A patient is admitted to the CCU after a PCI with stent. Femoral
sheath is in place, site is dry with no hematoma. He suddenly
complains of severe back pain. Neck veins are flat with head of
bed 30 degrees, heart sounds are normal. Vital signs are BP
78/48, HR 124 and RR 26. What should the nurse suspect?
(A) cardiac tamponade
(B) retroperitoneal bleeding
(C) coronary artery dissection
(D) acute closure of the stented coronary artery - Answer-(B)
Retroperitoneal bleeding may cause signs of hypovolemia and
hypovolemic shock as described in the scenario. It may be a
complication of a PCI if the femoral artery is the access site
during the procedure. Only this problem results in severe back
pain; none of the other 3 choices results in back pain
Your patient admitted with an NSTEMI develops acute
shortness of breath, recurrence of chest pain, and a loud
,systolic murmur at the apex of the heart. Which of the
following has most likely occurred?
(A) the patient has developed acute mitral valve regurgitation
(B) the patient has developed acute infarction
(C) the patient has developed acute mitral wave stenosis
(D) the patient has developed acute ventricular septal defect -
Answer-(A) The location of the murmur, at the apex of the
heart (midclavicular, 5th ICS), is one clue to this answer. In
addition, regurgitation occurs when the valve should be closed
and the mitral valve should be closed during systole. Mitral
stenosis, choice (C), occurs when the mitral valve is open.
Additionally, mitral stenosis cannot be acute, it develops
gradually.
A patient has just returned from the OR after insertion of a VVI
pacemaker. In order to assess function of this pacemaker
accurately, the nurse needs to understand that:
(A) both atrium and ventricle are paced and sensed and may
either inhibit or pace in response
to sensing
(B) the ventricle is paced, ventricular activity is sensed and
pacing is inhibited in response to
ventricular sensing.
, (C) both the atrium and ventricle are paced, but only ventricular
pacing can be inhibited by a
sensed intrinsic ventricular impulse.
(D) the ventricle is paced in response to a sensed intrinsic atrial
impulse or inhibited by a sensed
intrinsic ventricular impulse. - Answer-(B) the first letter
indicates chamber paced (ventricle). The second letter indicates
chamber sensed (ventricle). The third letter indicates the
response to sensing (inhibited in response to sensing).
A 59 year old male is admitted complaining of chest pain and
dyspnea. ST elevation and T wave inversion were seen on the
EKG in V2,V3 and V4. IV thrombolytic therapy was started in ED.
Indications of successful reperfusion would include all of the
following except:
(A) pain cessation
(B) decrease in CK or troponin
(C) reversal of ST segment elevation with return to baseline
(D) short runs of ventricular tachycardia - Answer-(B)Coronary
artery reperfusion due to PCI or fibrinolysis results in an
ELEVATION of creatinine kinase (CK) or troponin, not decrease.
The theory is that the return of blood flow distal to the
occlusion can result in 'reperfusion injury' of the muscle,
elevating cardiac biomarkers.
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