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CCRN Exam With Verified Solutions 2024
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CCRN Exam With Verified Solutions 2024
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CCRN Exam With Verified Solutions 2024What .is .the .primary .hemodynamic .effect .of:
Dopamine .>10 .mcg/kg/min
(A) .Increase .preload
(B) .Decrease .preload
(C) .Increase .afterload
(D) .Decreased .afterload
(E) .Increase .contractility
(D) .Decrease .contractility .- .correct .answer."high .dose" .dopamine .causes
.vasoconstriction .and
.
(C) .Increase .afterload
What .causes .the .S3 .sound? .- .correct .answer.Pulmonary .HTN .and .cor .pulmonale; .
Mitral, .aortic, .or .tricuspid .insufficiency
When .are .coronary .arteries .perfused? .- .correct .answer.during .diastole
What .may .you .hear .before .crackles .when .a .patient .is .going .into .heart .failure? .- .correct
.answer.S3 .heart .sound
What .is .this .called? .
Unstable .angina .with .transient .ST .segment .elevation
Can .occur .at .rest .or .may .be .cyclic .(occurring .at .the .same .time .daily)
troponin .negative
Can .be .precipitated .by .nicotine, .coke, .or .ETOH .- .correct .answer.Variant .or .Prinzmetal's
.Angina
,There .are .changes .in .leads .II, .III, .aVF....what .type .of .MI? .- .correct .answer.RCA, .inferior
.LV
There .are .changes .in .leads .V1, .V3 .V3, .V4 .- .correct .answer.LAD, .anterior .LV
There .are .changes .in .leads .V5, .V6, .I, .aVL .- .correct .answer.circumflex, .lateral .LV
There .are .changes .in .leads .V5, .V6 .- .correct .answer.Low .lateral .LB
There .are .changes .in .leads .I .aVL .- .correct .answer.high .lateral .LB
There .are .changes .in .leads .V1 .and .V2 .- .correct .answer.RCA, .posterior .LV
There .are .changes .in .leads .V3R, .V4R .- .correct .answer.RCA, .right .ventricular .infarct
What .are .some .signs .of .reperfusion .following .fibrinolytic .treatment .of .a .STEMI? .- .correct
.answer.Marked .ELEVATION .of .troponin/CK-MB: .due .to .miocardial .stunning .when .vessel
.opens
reperfusion .arrhythmias: .VT, .Vfib, .accelerated .idioventricular .rhythm .(due .to .stunning)
resolution .of .ST .segment .deviations
Chest .pain .relief
Your .patient .just .had .a .percutaneous .coronary .intervention .(PCI) .(stenting) .less .than .24
.hours .ago:
He .is .experiencing .unrelenting .chest .pain, .his .EKG .shows .ST .elevation. .What .should .you
.do? .What .could .be .happening? .- .correct .answer.contact .the .physician. .Could .be
.coronary .artery .re-occlusion/stent .thrombosis.
Your .patient .just .had .a .percutaneous .coronary .intervention .(PCI) .(stenting) .less .than .24
.hours .ago:
He .is .experiencing .sudden .low .severe .back .pain .and .becomes .hypotensive. .What .is
.happening? .- .correct .answer.retroperitoneal .bleeding .is .most .likely. .Give .fluids/blood
what .is .a .normal .ankle-brachial .index .(ABI)? .- .correct .answer.>1 .(get .by .dividing .ankle
.pressure .by .brachial .pressure .on .the .same .side)
Your .patient .has .PAD .and .just .had .a .bypass .graft. .How .should .you .care .for .the
.extremity? .How .should .the .HOB .be? .- .correct .answer.do .not .elevate .the .affected
.extremity, .it .will .decrease .perfusion
, Put .bed .in .reverse .trendelenburg
prolonged .QT .can .lead .to .what .deadly .rhythm? .- .correct .answer.torsades
Causes .of .prolonged .QT .- .correct .answer.Amiodarone
Haldol
Quinidine
Procainamide
Low .mag, .calcium, .or .potassium
Your .patient .has .a .pacemaker .and .has .gone .into .Vtach. .The .pacemaker .does .not .correct
.the .rhythm .and .your .patient .goes .unresponsive. .What .do .you .do? .- .correct
.answer.Amiodarone .150 .mg .IV .over .10 .min; .Prepare .for .elective .synchronized
.cardioversion.
right .sided .heart .failure .- .correct .answer.1. .Jungular .Vein .Distention .
2. .Ascending .Dependent .Edema
3. .Weight .Gain .
4. .Hepatomegaly .(Liver .Enlargement)
Left .sided .heart .failure .- .correct .answer.1. .SOB
2. .Crackles
3. .Oliguria
4. .Frothy .Sputum
5. .Displaced .Apical .Pulse .(Hypertrophy)
*left .goes .away .from .lungs...takes .your .breath .away
Ventricular .assist .device .(VAD) .- .correct .answer.A .mechanical .pump .that .helps .the
.ventricles .pump .blood, .easing .the .workload .of .the .heart .in .patients .with .left .ventricular
.heart .failure, .cardiogenic .shock, .and .cardiac .myopathies.
IABP .- .correct .answer.inflates .(INCREASES .CORONARY .ARTERY .PERFUSION)
and .deflates .( .DECREASES .AFTERLOAD)
Inflates .at .dicrotic .notch .of .the .arterial .waveform, .beginning .of .diastole
Deflates .before .systole .begins, .determined .by .set .trigger .for .deflation, .R-wave .of .ECG .or
.upstroke .of .arterial .pressure .wave
CABG .(Coronary .Artery .Bypass .Graft) .complications .- .correct .answer.tamponade
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