CCRN Exam Prep Latest Update Practice Questions and

CCRN Exam Prep (Latest Update 2025 / 2026) Practice Questions and Answers | Grade A | 100% Correct (Verified Solutions)

Question:

While auscultating the patient's heart, an S3 is noted. What does this heart sound indicate?

• Atrial contraction and propulsion of blood into a noncompliant ventricle
• Inflammation of the pericardium
• Opening of a defective semilunar valve
• Rapid ventricular filling into an already distended ventricle

Answer:

• Rapid ventricular filling into an already distended ventricle

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Question:

Which of the following is the best hemodynamic parameter for assessing LV function?

• Pulmonary artery occlusive pressure (PAOP)
• Pulmonary artery diastolic pressure (PAd)
• Cardiac index (CI)
• Pulmonary artery systolic pressure (PAs)

Answer:

A. PAOP

Question:

Which of the following are therapeutic goals for drug therapy for dilated cardiomyopathy?

• Decreasing contractility, decreasing afterload and preload
• Decreasing contractility, increasing afterload and preload
• Increasing contractility, decreasing afterload and preload
• Increasing contractility, increasing afterload and preload

Answer:

• Increasing contractility, decreasing afterload and preload

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Question:

A 65-year-old black man comes to the ER with complaints of headache. His admission BP 220/150. A nitroprusside (Nipride) drip is initiated. Which of the following would not be an important aspect of care for a patient receiving nitroprusside?

• Closely assessing the patient for clinical indications of hypoxia
• Monitoring the patient's blood pressure every 1-2 minutes until it stabilizes

and dosage is established

• Checking the patient's serum glucose every 6 hours
• Monitoring the patient for signs of thiocyanate poisoning

Answer:

• Checking the patient's serum glucose every 6 hours

Question:

Occlusion of the RCA would cause ST elevation in which leads?

• I, aVL
• II, III, aVF

C. V1, V2

D. V5, V6

Answer:

• II, III, aVF
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Question:

A patient has just arrived in the ED with severe dyspnea. His history includes an inferior MI approximately 1 week ago. Physical assessment reveals a loud, blowing holosystolic murmur that is loudest at the apex and radiates to the axilla. Crackles are audible throughout the lung fields, and pulse oximetry reveals hypoxemia. What is the most likely cause of the patient's deterioration?

• Ruptured ventricular septum
• Acute left ventricular failure
• Reinfarction
• Ruptured papillary muscle

Answer:

• Ruptured papillary muscle

Question:

Which of the following correlates with brain natriuretic peptide (BNP) levels?

• Venous oxygen saturation
• Pulmonary artery pressure
• Pulmonary artery occlusive pressure (PAOP)
• Systemic vascular resistance

Answer:

• Pulmonary artery occlusive pressure (PAOP)
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