2024-2025 CCRN Pharmacology Real Exam With Answers (72 Solved Questions)

Name: 2024-2025 CCRN Pharmacology Real Exam With Answers (72 Solved Questions)
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CCRN EXAM LATEST
2024-2025 REAL EXAM
350 WITH QUESTIONS
AND ACCURATE
DETAILED ANSWERS
WITH
RATIONALES|ALREADY
GRADED AS BEST EXAM
A+

Which of the following medication orders should
the nurse question for the patient in question 1-
reperfusion question-patient having an MI?
(A) metoprolol (Lopressor)
(B) aspirin
(C) propranolol (Inderal)
(D) heparin - ANSWER-(C)
Rationale.
The patient in the scenario is having an acute
anterior wall MI. A beta blocker is beneficial for an
acute MI as these agents decrease the work of the
heart and increase the threshold for ventricular
fibrillation. Propranolol, although a beta-
andrenergic blocker like metoprolol, is NOT a
cardioselective beta blocker. It affects beta

receptors in heart muscle AND lung tissue.
Therefore, it is more likely to cause
bronchoconstriction than a cardioselective beta
blocker.
The other 3- cardioselective beta blocker,
antiplatelet, and anticoagulation-are indicated in an
acute MI.
If heart block develops while caring for the patient
in question 1 (pt with an MI who went through
reperfusion from PCI or fibrinolytic therapy), which
of the following would it most likely be?
(A) sinoatrial block
(B) second degree, Type I
(C) second degree, Type II
(D) third degree, complete - ANSWER-(C)
Rationale.
The patient is having an acute anterior MI, which is
generally due to LAD occlusion. The LAD supplies

the HIS bundle, which could result in a second-
degree, type II heart block. The other 3 types are
due to SA node or AV node ischemia, which
generally occur with an RCA occlusion — interior
wall MI.
Appropriate drug therapy for dilated
cardiomyopathy is aimed toward:
(A) decreasing contractility and decreasing preload
and afterload
(B) decreasing contractility and increasing preload
and afterload
(C) increasing contractility and increasing both
preload and afterload
D) increasing contractility and decreasing both
preload and afterload - ANSWER-(D)
Rationale.
(Dilated cardiomyopathy is likely to result in systolic
dysfunction, which decreases contractility, causes
compensatory arterial constriction , and results in a

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Critical Care Registered Nurse

2024-2025 CCRN Pharmacology Real Exam With Answers (72 Solved Questions)

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