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CCRN QUESTIONS / CCRN EXAM LATEST ACTUAL EXAM
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CCRN QUESTIONS / CCRN EXAM LATEST ACTUAL EXAM A 55-year-old man has had an anterior myocardial infarction. He developed a third-degree AV heart block and required insertion of a temporary transvenous pacemaker. The pacemaker is functioning in VVI mode. The rhythm strip shows pacing spikes landing...

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  • August 20, 2024
  • 39
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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CCRN QUESTIONS / CCRN
EXAM LATEST 2023-2024
ACTUAL EXAM




A 55-year-old man has had an anterior myocardial infarction. He developed a
third-degree AV heart block and required insertion of a temporary transvenous
pacemaker. The pacemaker is functioning in VVI mode. The rhythm strip shows
pacing spikes landing indiscriminately in relation to the patient's inherent rhythm.
Which of the following would be the best action to correct the situation? -
✔✔✔ANSWER-Increase the sensitivity


A patient is at the highest risk of developing aspiration pneumonia? -
✔✔✔ANSWER-Pt with endotracheal intubation with nasogastric tube

,A patient with a history of a-fib developed arm weakness, blurred vision, and facial
droop 5 hours ago. What should the nurse initially anticipate? - ✔✔✔ANSWER-a
non-contrast CT scan to determine if it is ischemic or hemorrhagic stroke


A patient with a history of HTN and renal failure reports a headache: BP: is
210/126 HR: 106 RR: 22 - Which drug is the preferred choice? - ✔✔✔ANSWER-
Labetalol (Trandate) is the drug of choice.


giving Nitroprusside would be bad due to patient having renal failure.


A patient with an inferior wall MI has sinus bradycardia with a BP 110/70 and HR
52. A nurse should plan to ? - ✔✔✔ANSWER-Continue to monitor vital signs


A patient with longstanding COPD is currently intubated and mechanically
ventilated, has a cardiac monitor, and has an arterial line in his left radial artery. A
nurse should be concerned with monitoring the ? - ✔✔✔ANSWER-Telemetry for
arrhythmias


A pt develops extreme dyspnea, anxiety and coughing, with expectoration of pink
frothy sputum. Also has s3 gallop. What do you think this is? - ✔✔✔ANSWER-
Pulmonary edema


A pt who is suspected to have developing SIRS, a nurse should monitor for? -
✔✔✔ANSWER-WBC of 14,000 and HR 123


Leukocytosis and tachycardia, along with hyper/hypothermia and tachypnea, are
the defining criteria for SIRS

,A pt with a diagnosis of small bowel obstruction has a Miller-Abbott tube in place.
A nurse's first priority in the management of this tube is to? - ✔✔✔ANSWER-
Connect the tube to low intermittent suction


A-sline, dicrotic notch is the closure of ? - ✔✔✔ANSWER-aortic valve.


ABG of early STATUS ASTHMATICUS? - ✔✔✔ANSWER-Respiratory Alkalosis


Acute pancreatitis causes elevations in serum amylase, serum lipase, and possibly
bilirubin, whereas calcium and albumin are decreased T/F? - ✔✔✔ANSWER-True


After load therapies: Decreases? - ✔✔✔ANSWER-Nitroprusside
ACE
Hydralazine
CCB
IABP
Nitro (high doses)


After load therapies: Increases? - ✔✔✔ANSWER-Levo
Neo
High-dose dopamine
Epi drip


Anterior MI


Reciprocal changes in LAD?

, May develop? - ✔✔✔ANSWER-reciprocal changes (ST depression) in inferior
wall (II, III, aVF)


may develop 2nd degree type II or RBBB (the LAD supplies the common bundle
of HIS)...ominous sign.


Higher mortality than inferior: Heart Failure


Apnea test: Positive or Negative to support brain death? - ✔✔✔ANSWER-Positive
supports brain death.


ARDS...Keep patient what?


Acidosis causes what? - ✔✔✔ANSWER-keep patient dry (decrease fluids)


Increased potassium levels


Bacterial vs Viral meningitis ? - ✔✔✔ANSWER-Bacterial is caused by staph
problem usually.


Has lower glucose
CSP is purulent
Leukocytes present


Viral is caused by entero virus or herpes virus

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