CCRNEXAMLATEST 202
g g g
4-2025 REAL EXAM g g
350WITHQUESTIONS AN
g g g
DACCURATE DETAILEDA
g g g
NSWERS WITH RATIONAL g g
ES|ALREADY GRADEDAS g g g
BESTEXAM A+
g g
,Which of the following medication orders should t
g g g g g g g
he nurse question for the patient in question 1-
g g g g g g g g
reperfusion question-patient having an MI?
g g g g g
(A) metoprolol (Lopressor) g
(B) aspirin
(C) propranolol (Inderal) g
(D) heparin - ANSWER- g g
(C) Rationale.
g
The patient in the scenario is having an acute anterior
g g g g g g g g g
wall MI. A beta blocker is beneficial for an acute MI as
g g g g g g g g g g g g g
these agents decrease the work of the heart and incre
g g g g g g g g g
ase the threshold for ventricular fibrillation. Propran
g g g g g g
olol, although a beta-
g g g
andrenergic blocker like metoprolol, is NOT a cardios
g g g g g g g g
elective beta blocker. It affects beta
g g g g g
,receptors in heart muscle AND lung tissue.
g g g g g g
Therefore, it is more likely to cause bronchoconst
g g g g g g g
riction than a cardioselective beta blocker.
g g g g g
The other 3-g g
cardioselective beta blocker, antiplatelet, and antico
g g g g g g
agulation-are indicated in an acute MI. g g g g g
If heart block develops while caring for the patient in
g g g g g g g g g g
question 1 (pt with an MI who went through reperfus
g g g g g g g g g
ion from PCI or fibrinolytic therapy), which of the follo
g g g g g g g g g
wing would it most likely be?
g g g g g
(A) sinoatrial block g
(B) second degree, Type I g g g
(C) second degree, Type II g g g
(D) third degree, complete - ANSWER-
g g g g
(C) Rationale.
g
The patient is having an acute anterior MI, which is ge
g g g g g g g g g g
nerally due to LAD occlusion. The LAD supplies
g g g g g g g
, the HIS bundle, which could result in a second-
g g g g g g g g
degree, type II heart block. The other 3 types are d
g g g g g g g g g g
ue to SA node or AV node ischemia, which general
g g g g g g g g g
ly occur with an RCA occlusion — interior wall MI.
g g g g g g g g g
Appropriate drug therapy for dilated cardiomyop g g g g g
athy is aimed toward:
g g g
(A) decreasing contractility and decreasing preload g g g g g
and afterloadg
(B) decreasing contractility and increasing preload g g g g g
and afterloadg
(C) increasing contractility and increasing both g g g g g
preload and afterload g g
D) increasing contractility and decreasing both pr
g g g g g g
eload and afterload - ANSWER-(D)
g g g g
Rationale.
(Dilated cardiomyopathy is likely to result in systolic d
g g g g g g g g
ysfunction, which decreases contractility, causes co
g g g g g
mpensatory arterial constriction , and results in a g g g g g g g
g g g
4-2025 REAL EXAM g g
350WITHQUESTIONS AN
g g g
DACCURATE DETAILEDA
g g g
NSWERS WITH RATIONAL g g
ES|ALREADY GRADEDAS g g g
BESTEXAM A+
g g
,Which of the following medication orders should t
g g g g g g g
he nurse question for the patient in question 1-
g g g g g g g g
reperfusion question-patient having an MI?
g g g g g
(A) metoprolol (Lopressor) g
(B) aspirin
(C) propranolol (Inderal) g
(D) heparin - ANSWER- g g
(C) Rationale.
g
The patient in the scenario is having an acute anterior
g g g g g g g g g
wall MI. A beta blocker is beneficial for an acute MI as
g g g g g g g g g g g g g
these agents decrease the work of the heart and incre
g g g g g g g g g
ase the threshold for ventricular fibrillation. Propran
g g g g g g
olol, although a beta-
g g g
andrenergic blocker like metoprolol, is NOT a cardios
g g g g g g g g
elective beta blocker. It affects beta
g g g g g
,receptors in heart muscle AND lung tissue.
g g g g g g
Therefore, it is more likely to cause bronchoconst
g g g g g g g
riction than a cardioselective beta blocker.
g g g g g
The other 3-g g
cardioselective beta blocker, antiplatelet, and antico
g g g g g g
agulation-are indicated in an acute MI. g g g g g
If heart block develops while caring for the patient in
g g g g g g g g g g
question 1 (pt with an MI who went through reperfus
g g g g g g g g g
ion from PCI or fibrinolytic therapy), which of the follo
g g g g g g g g g
wing would it most likely be?
g g g g g
(A) sinoatrial block g
(B) second degree, Type I g g g
(C) second degree, Type II g g g
(D) third degree, complete - ANSWER-
g g g g
(C) Rationale.
g
The patient is having an acute anterior MI, which is ge
g g g g g g g g g g
nerally due to LAD occlusion. The LAD supplies
g g g g g g g
, the HIS bundle, which could result in a second-
g g g g g g g g
degree, type II heart block. The other 3 types are d
g g g g g g g g g g
ue to SA node or AV node ischemia, which general
g g g g g g g g g
ly occur with an RCA occlusion — interior wall MI.
g g g g g g g g g
Appropriate drug therapy for dilated cardiomyop g g g g g
athy is aimed toward:
g g g
(A) decreasing contractility and decreasing preload g g g g g
and afterloadg
(B) decreasing contractility and increasing preload g g g g g
and afterloadg
(C) increasing contractility and increasing both g g g g g
preload and afterload g g
D) increasing contractility and decreasing both pr
g g g g g g
eload and afterload - ANSWER-(D)
g g g g
Rationale.
(Dilated cardiomyopathy is likely to result in systolic d
g g g g g g g g
ysfunction, which decreases contractility, causes co
g g g g g
mpensatory arterial constriction , and results in a g g g g g g g
