CCRN EXAM
QUESTION S AND
ANSWERS UPDATED
2026
# Term Definition
1
“Lub” - beginning of systole (Tricuspid and Mitral valve
S1 sound and where it comes from
snapping shut)
2 S2 sound and where it comes from
“Dub” - beginning of diastole, (pulmonic and aortic aka
semilunar valves snapping shut) *louder with Pulm HTN
3
Heart failure (may occur before crackles) Pulmonary
S3 is associated with ______
HTN, Cor Pulmonale, Mitral, Aortic, or Tricuspid
_________, and is also caused by (5)
insufficiency
4 How to calculate pulse pressure Systolic - Diastolic = pulse pressure
5 Normal pulse pressure 40-60mmHg
6 Diastole
Coronary arteries are perfused during
________
7 Closed
Murmurs of insufficiency occur when
the valve is ________
, CCRN EXAM
8 Open
Murmurs of stenosis occur when the
valve is _______
9 Apex
Papillary muscle murmur loudest at
_______
10 Unstable angina
Chest pain at rest and unpredictable
11 NSTEMI
Troponin positive, ST depression, T-
wave inversion
12 NSTEMI
Troponin positive, ST depression, T-
wave inversion
13 STEMI
Troponin positive, ST elevation in two
or more leads
# Term Definition
14 Unstable Coronary artery spasm Troponin NEGATIVE
Variant/Prinzmetal’s angina is a type of
_______ angina due to what? Troponin
positive or negative?
15 Arrhythmias
Most common complication of acute
MI
16 Complication of PCI (2)
Stent thrombosis (within first 24 hours - 30 days)
Retroperitoneal bleed
17 Vasovagal
During PCI sheath removal, watch for
__________ response
QUESTION S AND
ANSWERS UPDATED
2026
# Term Definition
1
“Lub” - beginning of systole (Tricuspid and Mitral valve
S1 sound and where it comes from
snapping shut)
2 S2 sound and where it comes from
“Dub” - beginning of diastole, (pulmonic and aortic aka
semilunar valves snapping shut) *louder with Pulm HTN
3
Heart failure (may occur before crackles) Pulmonary
S3 is associated with ______
HTN, Cor Pulmonale, Mitral, Aortic, or Tricuspid
_________, and is also caused by (5)
insufficiency
4 How to calculate pulse pressure Systolic - Diastolic = pulse pressure
5 Normal pulse pressure 40-60mmHg
6 Diastole
Coronary arteries are perfused during
________
7 Closed
Murmurs of insufficiency occur when
the valve is ________
, CCRN EXAM
8 Open
Murmurs of stenosis occur when the
valve is _______
9 Apex
Papillary muscle murmur loudest at
_______
10 Unstable angina
Chest pain at rest and unpredictable
11 NSTEMI
Troponin positive, ST depression, T-
wave inversion
12 NSTEMI
Troponin positive, ST depression, T-
wave inversion
13 STEMI
Troponin positive, ST elevation in two
or more leads
# Term Definition
14 Unstable Coronary artery spasm Troponin NEGATIVE
Variant/Prinzmetal’s angina is a type of
_______ angina due to what? Troponin
positive or negative?
15 Arrhythmias
Most common complication of acute
MI
16 Complication of PCI (2)
Stent thrombosis (within first 24 hours - 30 days)
Retroperitoneal bleed
17 Vasovagal
During PCI sheath removal, watch for
__________ response
