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CCRN Practice Test

1.	A 47-year-old male has been admitted to the CCU from the emergency room with a history of sudden diaphoresis, nausea, vomiting and radiating pain down his left arm. He reports no significant medical history, and has been a two PPD smoker since his early twenties. His admitting diagnosis is UA/NSTEMI and he is being prepped for cardiac catheterization for possible angioplasty with stent placement. What type of medication orders might the nurse see prior to his procedure?
		a. Clopidogrel and ASA
		b. Clopidogrel and prasugrel
		c. Clopidogrel and meperidine
		d. Prasugrel, ASA, and hyoscyamine

2.	Agnes is a 65-year-old white female who has a history of pulmonary fibrosis with steroid use for the past two years with concomitant hypertension. She has been on oxygen therapy at 4L per nasal cannula for the past 3 years. Recently, her first great-grandchild was born, and she decided to quit smoking. Three days ago, she experienced nausea and dizziness and was admitted to the CCU with a diagnosis of acute myocardial infarction. During shift change, Agnes' low blood pressure alarm sounds. Upon assessment, she is diaphoretic and has severe dyspnea. What is the most likely cause of her symptoms?
		a. Exacerbation of pulmonary fibrosis
		b. Pulmonary embolism
		c. Recurrent myocardial infarction
		d. Papillary muscle rupture

Authors

Sarah Morris

, RN, MSN, CCRN, is an adjunct instructor in the nursing program at The College of the Canyons. She also works in the neuro/trauma ICU at the UCLA Medical Center. Sarah has been in nursing for over ten years and a CCRN for over seven years.

Brynn Knibbe

, RN, BSN, CCRN, has lectured at the University of Arizona BSN-MSN program on advanced CCRN level topics and precepted and mentored many nurse graduates in the ICU setting. She works in an intensive care unit at the Cleveland Clinic.

Shamin Hampton

, RN, MSN, CCRN, worked as a critical care clinical unit leader in a hospital in Charlotte, North Carolina. She has worked in critical care for over ten years and is now an NP.

Sue Montgomery

is a medical writer who worked as a CCRN for six years. As a CCRN, she served as a staff nurse, clinical leader, preceptor and assistant nurse manager. She has been an RN for over 28 years.

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