AACN ACNPC AG CERTIFICATION 5 EXAM
SCRIPT PREMIUM REVIEW ACCURATE
QUESTIONS AND CORRECT ANSWERS
◉ Pulmonary edema.
Answer: Pink/frothy sputum. Tachypnea, dyspnea, b/l wheeze. CXR
shows alveolar infiltrates, kerley B lines, and pleural effusions.
◉ Cardiac tamponade.
Answer: Becks Triad= muffled tones, JVD, HoTN. Narrow pulse
pressure. Low C.O., low BP, tachy, high RR, JVD, pulsus paradoxus.
Diagnose w/ Echo
◉ CPGs for hypertensive urgency BP reduction.
Answer: 10-25% in the 1st hour, then 160/100 within 6h, then to
normal over next 24h.
◉ Septal MI.
Answer: V1, V2
LAD
◉ Anterior MI.
,Answer: V3, V4
LAD
◉ Inferior/posterior MI.
Answer: II, III, aVF
RCA
◉ Lateral MI.
Answer: I, aVL, V5, V6
Circumflex
◉ Endocarditis.
Answer: Echo shows vegetation, abscess, or valve dysfunction. Tx
ABX
◉ Pulsus paradoxus.
Answer: Fall in SBP >10 mmHg during inspiration
◉ S4 gallop.
Answer: Common in aortic stenosis
◉ A-FIb ablation.
,Answer: >90% pulmonary veins. Anticoags for 2-3 months
following.
◉ NYHA HF Classification.
Answer: Stages of HF:
Class I (mild): no sx, no limitations
Class II (mild): no sx @ rest, slight limitation, ordinary activity leads
to sx
Class III (moderate): no sx @ rest, marked limitation w/ physical
activity, less than ordinary activity results in sx
Class IV (severe): sx @ rest, unable to do any physical activity w/o
discomfort
◉ Nitroglycerin.
Answer: Vasodilator, causes hypotension, HA.
◉ AHA guideline statin therapy.
Answer: Age 40-75 w/ DM and LDL >/= 70 should get moderate to
high intensity statin therapy
, ◉ Hyperkalemia ECG changes.
Answer: • Tall/peaked T wave
• Prolonged PR
• ST depression
• Wide QRS
• Loss of P wave
• V-FIb
• Ventricular standstill
◉ Common complication of carotid endarterectomy.
Answer: Hypoglossal nerve damage, tongue deviation ipsilateral side
of surgery.
◉ Common rhythm w/ TOF.
Answer: V-Tach
◉ Statin side effect.
Answer: Causes painful muscle spasms 2/2 skeletal muscle
breakdown, increased CK levels.
◉ ACS medications.
SCRIPT PREMIUM REVIEW ACCURATE
QUESTIONS AND CORRECT ANSWERS
◉ Pulmonary edema.
Answer: Pink/frothy sputum. Tachypnea, dyspnea, b/l wheeze. CXR
shows alveolar infiltrates, kerley B lines, and pleural effusions.
◉ Cardiac tamponade.
Answer: Becks Triad= muffled tones, JVD, HoTN. Narrow pulse
pressure. Low C.O., low BP, tachy, high RR, JVD, pulsus paradoxus.
Diagnose w/ Echo
◉ CPGs for hypertensive urgency BP reduction.
Answer: 10-25% in the 1st hour, then 160/100 within 6h, then to
normal over next 24h.
◉ Septal MI.
Answer: V1, V2
LAD
◉ Anterior MI.
,Answer: V3, V4
LAD
◉ Inferior/posterior MI.
Answer: II, III, aVF
RCA
◉ Lateral MI.
Answer: I, aVL, V5, V6
Circumflex
◉ Endocarditis.
Answer: Echo shows vegetation, abscess, or valve dysfunction. Tx
ABX
◉ Pulsus paradoxus.
Answer: Fall in SBP >10 mmHg during inspiration
◉ S4 gallop.
Answer: Common in aortic stenosis
◉ A-FIb ablation.
,Answer: >90% pulmonary veins. Anticoags for 2-3 months
following.
◉ NYHA HF Classification.
Answer: Stages of HF:
Class I (mild): no sx, no limitations
Class II (mild): no sx @ rest, slight limitation, ordinary activity leads
to sx
Class III (moderate): no sx @ rest, marked limitation w/ physical
activity, less than ordinary activity results in sx
Class IV (severe): sx @ rest, unable to do any physical activity w/o
discomfort
◉ Nitroglycerin.
Answer: Vasodilator, causes hypotension, HA.
◉ AHA guideline statin therapy.
Answer: Age 40-75 w/ DM and LDL >/= 70 should get moderate to
high intensity statin therapy
, ◉ Hyperkalemia ECG changes.
Answer: • Tall/peaked T wave
• Prolonged PR
• ST depression
• Wide QRS
• Loss of P wave
• V-FIb
• Ventricular standstill
◉ Common complication of carotid endarterectomy.
Answer: Hypoglossal nerve damage, tongue deviation ipsilateral side
of surgery.
◉ Common rhythm w/ TOF.
Answer: V-Tach
◉ Statin side effect.
Answer: Causes painful muscle spasms 2/2 skeletal muscle
breakdown, increased CK levels.
◉ ACS medications.
