CCRN

CCRN practice questions, page 6 of 6, with answer review and explanations.

Question 26

Most anterior wall MIs are caused by an occlusion of which of the following coronary arteries?

  1. circumflex
  2. left anterior descending
  3. right coronary
  4. obtuse marginal

Question 27

A patient with a history of coronary artery disease develops right lower limb ischemic pain. The ECG reveals new-onset atrial fibrillation with rapid ventricular response. This patient is at risk for developing which of the following types of occlusion?

  1. venous
  2. arteriovenous
  3. arterial
  4. capillary

Question 28

A new nurse asks another staff member why patients undergoing a specific surgery are not given patient-controlled analgesia (PCA) pumps as part of their plan of care. The staff member responds, "Patients only get PRN pain medication for this procedure; that's how we've always done it here." Which step should the new nurse take first in the process of advocating for policy change?

  1. Address the issue during a monthly staff meeting.
  2. Email the nurse manager and ask her to speak to the surgeon.
  3. Conduct a literature review to evaluate current best practice.
  4. Speak to the surgeon face-to-face next time they are on the unit.

Question 29

A patient who has had a femoral popliteal bypass has reported not being able to feel his foot. A nurse is unable to obtain pulses in the affected leg. The nurse should anticipate which of the following orders?

  1. return to the operating room
  2. CT angiogram
  3. heparin IV infusion
  4. eptifibatide (Integrilin) IV infusion