CCRN QUESTIONS V3
1. What causes a larger than normal A wave on a PAOP?: Mitral stenosis -causes increased
left atrial pressure during atrial contraction.
2. Pulmonary HTN will result in what?: Elevated PA pressures but have noimpact on PAOP.
3. Infective Endocarditis can cause what kind of impairment?: Neurologic impairment. One
of the risks of infective endocarditis is the bacterial strand breakingin the heart and throwing
bacterial emboli forward into the lungs from the right sideof the heart or to the brain/body
from the left side of the heart.
4. Neurologic impairment could be a sign?: Embolic ischemic stroke.
5. Post bariatric surgery should avoid what kind of meds?: Extended releasemeds due to
absorption concerns post-operatively
6. Chlorpropamide is a what?: sulfonylurea drug that is used in DI as an antidi-uretic. It is
primarily a glucose lowering agent. (hypoglycemia)
7. Will a cardiac transplant patient respond to atropine?: No - pacing is thebest instrument
for symptomatic bradycardia.
8. Elevated urine osmolality; decreased serum osmolality; and decreasedserum sodium is
what symptom?: SIADH - causes retention of water. Urine production is minimal and
concentrated & leads to an increased urine osmolality.
9. What does Neo drug increase?: SVR - Peripheral constriction
10. Treatment for narrow complex, regular rhythm?: Administer 6mg adenosinerapidly IVP
11. Half life of metformin?: 6 hours - close monitoring is required to ensure the blood
glucose level does not climb too quickly while dextrose is being administered.
12. Most accurate reflection of daily fluid balance?: Record a daily weight at thesame time
each day.
13. Wide mediastinum on chest x-ray, narrow pulse pressure, and hypotensionare signs of
what?: Cardiac tamponade
14. A patient with hyponatremia would need what?: Help maintaining a safeenvironment.
HypoNa impairs judgment, and causes confusion.
15. Peritoneal dialysis works on the principles of both?: Diffusion and osmosis.
16. HHNS leads to what?: Large fluid deficits and may require multiple liters of fluid,which is
determined by the patient's level of dehydration and hyperosmolality.
17. What parameters are consistent with Pulsus Paradoxes?: Decrease inSBP>10 during
inspiration.
18. Before administering rtPA what must happen?: Lower the BP to at least185/110. An
elevated BP prior to rtPA can cause hemorrhage.
, 19. Ibutilide can cause what?: Torsades
20. A person with disecting AAA would receive what drug?: PRN IV narcotic analgesia - BP
management is a priority in the care of a patient with a dissecting AAA. Pain is the primary
driver of HTN.
21. Autonomic hyperreflexia is what?: This disorder is seen with spinal injuries occurring
above the T6 spine.
22. Cause of autonomic hyperreflexia?: Bladder obstruction, constipation, pres- sure ulcers,
and pain. Usually when the noxious stimulus is identified and removed, the symptoms resolve.
Checking urinary catheter for obstruction is the most appro-priate next action.
23. MEDS for asymptomatic left ventricular systolic dysfunction?: ACE or(ARB), beta-
blockers and statins for all patients with a history of MI and for all patients with a reduced
ejection fraction.
24. What is the Z point technique?: is a method used to estimate ventricular end diastolic
pressure. It is taken just before the closure of the mitral valve and isespecially useful when an
A wave does not exist on the PAOP tracing such as inatrial fib.
25. Ascites position for relief?: Place pt on left side.
26. DIC lab values?: Fibrinogen decreasedFSP elevated
Platelets decreased
D-dimer elevated
27. Decreased Albumin is an indicator of what?: Protein deficiency and poornutrition, which
are major contributors to poor wound healing.
28. When the liver fails:: ammonia levels build causing encephalopathy. Bilirubin levels rise
causing jaundice and coagulation times often prolong putting patient atrisk for bleeding.
29. Patients with HIT may develop:: Thrombosis, DVT, PE, STROKE, MI, Renalimpairment
30. Vancomycin has a risk of nephrotoxicity and RN should monitor which labvalue:: Elevated
serum creatinine
31. Cerebral insults include:: ipsilateral pupil changes and contralateral motorextremity
changes.
32. Diuretic phase of ATN would include which lab value:: Decreased urineosmolality
33. Kernig's sign is indicative of:: Meningitis - pt cannot extend the knee when thehip is flexed.
1. What causes a larger than normal A wave on a PAOP?: Mitral stenosis -causes increased
left atrial pressure during atrial contraction.
2. Pulmonary HTN will result in what?: Elevated PA pressures but have noimpact on PAOP.
3. Infective Endocarditis can cause what kind of impairment?: Neurologic impairment. One
of the risks of infective endocarditis is the bacterial strand breakingin the heart and throwing
bacterial emboli forward into the lungs from the right sideof the heart or to the brain/body
from the left side of the heart.
4. Neurologic impairment could be a sign?: Embolic ischemic stroke.
5. Post bariatric surgery should avoid what kind of meds?: Extended releasemeds due to
absorption concerns post-operatively
6. Chlorpropamide is a what?: sulfonylurea drug that is used in DI as an antidi-uretic. It is
primarily a glucose lowering agent. (hypoglycemia)
7. Will a cardiac transplant patient respond to atropine?: No - pacing is thebest instrument
for symptomatic bradycardia.
8. Elevated urine osmolality; decreased serum osmolality; and decreasedserum sodium is
what symptom?: SIADH - causes retention of water. Urine production is minimal and
concentrated & leads to an increased urine osmolality.
9. What does Neo drug increase?: SVR - Peripheral constriction
10. Treatment for narrow complex, regular rhythm?: Administer 6mg adenosinerapidly IVP
11. Half life of metformin?: 6 hours - close monitoring is required to ensure the blood
glucose level does not climb too quickly while dextrose is being administered.
12. Most accurate reflection of daily fluid balance?: Record a daily weight at thesame time
each day.
13. Wide mediastinum on chest x-ray, narrow pulse pressure, and hypotensionare signs of
what?: Cardiac tamponade
14. A patient with hyponatremia would need what?: Help maintaining a safeenvironment.
HypoNa impairs judgment, and causes confusion.
15. Peritoneal dialysis works on the principles of both?: Diffusion and osmosis.
16. HHNS leads to what?: Large fluid deficits and may require multiple liters of fluid,which is
determined by the patient's level of dehydration and hyperosmolality.
17. What parameters are consistent with Pulsus Paradoxes?: Decrease inSBP>10 during
inspiration.
18. Before administering rtPA what must happen?: Lower the BP to at least185/110. An
elevated BP prior to rtPA can cause hemorrhage.
, 19. Ibutilide can cause what?: Torsades
20. A person with disecting AAA would receive what drug?: PRN IV narcotic analgesia - BP
management is a priority in the care of a patient with a dissecting AAA. Pain is the primary
driver of HTN.
21. Autonomic hyperreflexia is what?: This disorder is seen with spinal injuries occurring
above the T6 spine.
22. Cause of autonomic hyperreflexia?: Bladder obstruction, constipation, pres- sure ulcers,
and pain. Usually when the noxious stimulus is identified and removed, the symptoms resolve.
Checking urinary catheter for obstruction is the most appro-priate next action.
23. MEDS for asymptomatic left ventricular systolic dysfunction?: ACE or(ARB), beta-
blockers and statins for all patients with a history of MI and for all patients with a reduced
ejection fraction.
24. What is the Z point technique?: is a method used to estimate ventricular end diastolic
pressure. It is taken just before the closure of the mitral valve and isespecially useful when an
A wave does not exist on the PAOP tracing such as inatrial fib.
25. Ascites position for relief?: Place pt on left side.
26. DIC lab values?: Fibrinogen decreasedFSP elevated
Platelets decreased
D-dimer elevated
27. Decreased Albumin is an indicator of what?: Protein deficiency and poornutrition, which
are major contributors to poor wound healing.
28. When the liver fails:: ammonia levels build causing encephalopathy. Bilirubin levels rise
causing jaundice and coagulation times often prolong putting patient atrisk for bleeding.
29. Patients with HIT may develop:: Thrombosis, DVT, PE, STROKE, MI, Renalimpairment
30. Vancomycin has a risk of nephrotoxicity and RN should monitor which labvalue:: Elevated
serum creatinine
31. Cerebral insults include:: ipsilateral pupil changes and contralateral motorextremity
changes.
32. Diuretic phase of ATN would include which lab value:: Decreased urineosmolality
33. Kernig's sign is indicative of:: Meningitis - pt cannot extend the knee when thehip is flexed.
