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April 2005, Volume 35 Number 4 , p 32cc6 - 32cc8




  • Answers and rationales

  • Source

    Thinking of taking the CCRN certification exam? This self-test can help you prepare by providing a review of key concepts in the CCRN exam offered by the American Association of Critical-Care Nurses. Answers and rationales appear at the end.

    1. To optimize the outcome for a patient with symptomatic complete heart block, prepare for

    a. administering adenosine.

    b. administering lidocaine.

    c. defibrillation.

    d. temporary pacemaker insertion.

    2. You're caring for a patient recently admitted with an inferior-wall myocardial infarction. Which combination of 12-lead electrocardiogram findings would you anticipate seeing?

    a. T-wave inversion in leads I, aVL, V 5 , and V 6

    b. ST-segment elevation and Q-wave formation in leads II, III, and aVF

    c. QRS duration of less than 0.12 second in all 12 leads

    d. an R wave of 30 mm or more in lead V 5 or V 6

    3. When managing a patient with heart failure, which action isn't appropriate?

    a. enhancing cardiac workload

    b. monitoring fluid balance

    c. preventing skin breakdown

    d. teaching the patient lifestyle changes

    4. The best definition of hypertrophic cardiomyopathy is

    a. abnormal diastolic filling secondary to excessively rigid ventricular walls.

    b. diminished myocardial contractility.

    c. disproportionate thickening of the interventricular septum.

    d. death of myocardial muscle cells.

    5. Priority nursing interventions for a patient with pericarditis include all of the following except

    a. monitoring for signs of cardiac tamponade.

    b. evaluating the effectiveness of pain relief strategies.

    c. maintaining a bowel regimen.

    d. providing emotional support.

    6. The principal contributing factors to deep vein thrombosis (DVT) include all of the following ...

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