CCRN ACTUAL EXAM 2026 TEST
COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS
(DETAILED & ELABORATED)
100% SOLVED
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.
The other 3 choices are indicators of reperfusion: Pain cessation, reversal
of ST segment elevation with return to baseline, short runs of ventricular
tachycardia.
Which of the following medication orders should the nurse question for the
patient in question 1-reperfusion question-patient having an MI?
(A) metoprolol (Lopressor)
(B) aspirin
(C) propranolol (Inderal)
(D) heparin - 🧠 ANSWER ✔✔(C) The patient in the scenario is having an
acute anterior wall MI. A beta blocker is beneficial for an acute MI as these
agents decrease the work of the heart and increase the threshold for
, ventricular fibrillation. Propranolol, although a beta-andrenergic blocker like
metoprolol, is NOT a cardioselective beta blocker. It affects beta receptors
in heart muscle AND lung tissue. Therefore, it is more likely to cause
bronchoconstriction than a cardioselective beta blocker.
The other 3- cardioselective beta blocker, antiplatelet, and anticoagulation-
are indicated in an acute MI.
If heart block develops while caring for the patient in question 1 (pt with an
MI who went through reperfusion from PCI or fibrinolytic therapy), which of
the following would it most likely be?
(A) sinoatrial block
(B) second degree, Type I
(C) second degree, Type II
(D) third degree, complete - 🧠 ANSWER ✔✔(C) The patient is having an
acute anterior MI, which is generally due to LAD occlusion. The LAD
supplies the HIS bundle, which could result in a second-degree, type II
heart block. The other 3 types are due to SA node or AV node ischemia,
which generally occur with an RCA occlusion — interior wall MI.
Appropriate drug therapy for dilated cardiomyopathy is aimed toward:
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS
(DETAILED & ELABORATED)
100% SOLVED
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.
The other 3 choices are indicators of reperfusion: Pain cessation, reversal
of ST segment elevation with return to baseline, short runs of ventricular
tachycardia.
Which of the following medication orders should the nurse question for the
patient in question 1-reperfusion question-patient having an MI?
(A) metoprolol (Lopressor)
(B) aspirin
(C) propranolol (Inderal)
(D) heparin - 🧠 ANSWER ✔✔(C) The patient in the scenario is having an
acute anterior wall MI. A beta blocker is beneficial for an acute MI as these
agents decrease the work of the heart and increase the threshold for
, ventricular fibrillation. Propranolol, although a beta-andrenergic blocker like
metoprolol, is NOT a cardioselective beta blocker. It affects beta receptors
in heart muscle AND lung tissue. Therefore, it is more likely to cause
bronchoconstriction than a cardioselective beta blocker.
The other 3- cardioselective beta blocker, antiplatelet, and anticoagulation-
are indicated in an acute MI.
If heart block develops while caring for the patient in question 1 (pt with an
MI who went through reperfusion from PCI or fibrinolytic therapy), which of
the following would it most likely be?
(A) sinoatrial block
(B) second degree, Type I
(C) second degree, Type II
(D) third degree, complete - 🧠 ANSWER ✔✔(C) The patient is having an
acute anterior MI, which is generally due to LAD occlusion. The LAD
supplies the HIS bundle, which could result in a second-degree, type II
heart block. The other 3 types are due to SA node or AV node ischemia,
which generally occur with an RCA occlusion — interior wall MI.
Appropriate drug therapy for dilated cardiomyopathy is aimed toward:
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
