AACN practice Study Guide Exam
2024/2025 Verified Questions and
Answers
alnurselislcaringlforlalpatientladmittedlwithlmyocardiallischemia.lthelpatientlhaslalhistoryloflan
xietylandlhypothyroidismlandlislcurrentlyltakinglcycliclantidepressants.lthelnurselobserveslal
QTlintervallofl0.48lsecondslandlshouldlmonitorlcloselylforl-lCORRECTlANSWER-torsades
torsadeslislalifelthreateningldysrhythmialoftenlassociatedlwithlalprolongedlQTlintervallandlca
nlresultlinlsuddenldeath.
alnurselislcaringlforlalpostoperativelpatientlwholislonlmechanicallventilation,lreceivinglIVlfluid
s,landlenteralltubelfeedings.lcrackleslandlwheezinglarelheardlinlthelrightllunglfieldslwithlincre
asedlWOB.lHRl124lislnoted.lthelnurselshouldlINITIALLYl-lCORRECTlANSWER-
verifylthellocationloflthelfeedingltube
thelpatientslsymptomslarelconsistentlwithlaspirationlPNA:lcough,ldyspnea,lwheezing.lwithlfl
uidlorlsolidlobjectlaspiration,ltherelcanlbelanlabruptlonsetloflacutelrespiratoryldistress.lAlllinte
rventionslshouldlbelperformed,lbutlverifyinglfeedingltubelplacementlwilllassistlwithldiagnosis
landlexpeditelappropriateltreatment
alnurselislpreparinglalpatientlwithlaltracheallperforationlforlsurgerylandlnoticeslsuddenlhypot
ension,ltachycardia,lLOClandlauscultateslalloudlmachinery-
likelheartlmurmurl(milllwheellheartlmurmur).lwhatlshouldlthelnurseldolinitially?l-
lCORRECTlANSWER-placelthelpatientlinltrendelenberglwithlleftldecubitusltilt
thelpatientlwithltracheallperforationlhaslalhighlriskloflairlembolismlandlwilllsuddenlylbecomel
hypotensivelwithoutlbleeding.ltrendelenburglpositionlwilllhelplthelairlfloatltolthelleftlatriumlan
dlpreventlalstroke.
alpatientlisladmittedlcomplainingloflcrushinglchestlpain,lwhichlbeganl2lhourslago.lanlekglsho
wslSTlelevationlinlleadslV2-
V4lwhichlisltreatedlwithlalPCIlprocedureltolthelLAD.lfollowinglthelprocedurelthelpatientldevel
opsloligurialandlbilateral,ldiffuselcrackles.lwhichlhemodynamiclfindingslshouldlbelexpectedl
atlthislpoint?l-lCORRECTlANSWER-BPl80/50,lCOl3.8,lSVRl2200,lPAPl40/24
thelpatientlhadlanlanteriorlinfarction,lwhichlpredisposesltheldevelopmentloflLVlfailure/cardio
geniclshock.lthelhemodynamicldataloflBPl80/50,lCOl3.8,lSVRl2200,landlPAPl40/24larelconsi
stentlwithlLVlfailure/cardiogeniclshock
, alpatientlisladmittedlfollowinglaorticlvalvelreplacement.lforlwhichlrhythmlshouldlthelnurselmo
nitorlfor?l-lCORRECTlANSWER-secondldegreelAVlblockltypel2
followinglaorticlvalvelreplacement,lpatientslmayldeveloplanlAVlblockldueltoledema,linflamm
ation,lhemorrhage,lorlsuturinglnearlnode
alpatientlisladmittedlinlrespiratoryldistresslafterlNSAIDladministration.lbreathlsoundslandlex
piratorylwheezeslarelnollongerlaudible.lthelABGlresultslare:lpHl7.31,lPaCO2l51,lPaO2l58,lH
CO3l23,lSaO2l88%.lWhichlislthelMOSTlappropriatelinitiallinterventionl-
lCORRECTlANSWER-mechanicallylventilatelwithlprolongedlexpiration
forlpatientslwholarelhavinglanlemergentlexacerbationloflasthma,lmanagementlfocuseslonls
upportlofloxygenationlandlventilation.lstatuslasthmaticuslresultslinldifficultylwithlexpiration,la
ndltherefore,lairltrapping.lrespiratorylacidosislislseenldueltoldecreasedlCO2lremoval.lalpatie
ntlwithlnolbreathlsoundslislanlemergencylsituationlandlfocuslshouldlbelonlassistinglwithlventi
lation.lprolongedlexpirationlwilllnotlonlylincreaseloxygenationlbutlcanlreverselthelacidosis
alpatientlisladmittedlwithlchestlheaviness,lmuffledlheartlsounds,lJVD,landlhypotensionlfollo
winglalstablwoundltolthelchest.lforlwhichlshouldlthelnurselinitiallylpreparelthelpatient?l-
lCORRECTlANSWER-echocardiogram
thislpatientlislatlrisklforlandlhaslsymptomslforlcardiacltamponade.ltheldiagnosislislmostlaccur
atelylmadelwithlanlechocardiogram.
alpatientlisladmittedlwithlpulmonarylhypertension.lwhichlshouldlleadlthelnurseltolsuspectlpul
monarylfibrosis?l-lCORRECTlANSWER-dyspnealatlrest
dyspnealatlrestlislspecificltolinterstitialllungldisease
alpatientlislreceivinglalunitloflPRBCslfollowinglalGIlhemorrhage.ltwolhourslfollowingltheltrans
fusion,ldatalare:lBPl126/70,lHRl100,lRRl34,lCVPl2,lnewlcrackleslarelaudiblelbilaterally.lchest
lx-raylrevealslnewlpatchylinfiltrates.lthelnurselshouldlsuspectltheldevelopmentlofl-
lCORRECTlANSWER-transfusionlrelatedlacutellunglinjury
transfusionlrelatedlacutellunglinjurylshouldlalwayslbelsuspectedlwhenlalpatientlreceiveslblo
odlandldevelopslacutelrespiratoryldistresslwithinl6lhourslofltheltransfusion
alpatientlwithlalhistoryloflHTNlandlrenallfailurelreportslalheadachelthatldidlnotlrespondltolOT
Clmedication.lVSlarelBPl210/126,lHRl106,lRRl22.lwhichlshouldlthelnurselanticipate?l-
lCORRECTlANSWER-labetalol
labetalollislbeneficiallinltheltreatmentloflHTNlemergencieslandldoeslnotlhavelwarningslassoc
iatedlwithlrenallfailure.lnitroprussidelputslthelpatientlatlrisklforlcyanideltoxicity.
alpatientlwithlAMIldevelopslalnewl4/6lholosystoliclmurmurlandlquicklylprogressesltolcardiog
eniclshock.lwhichlshouldlthelnurselanticipate?l-lCORRECTlANSWER-preparationlforlalTEE
2024/2025 Verified Questions and
Answers
alnurselislcaringlforlalpatientladmittedlwithlmyocardiallischemia.lthelpatientlhaslalhistoryloflan
xietylandlhypothyroidismlandlislcurrentlyltakinglcycliclantidepressants.lthelnurselobserveslal
QTlintervallofl0.48lsecondslandlshouldlmonitorlcloselylforl-lCORRECTlANSWER-torsades
torsadeslislalifelthreateningldysrhythmialoftenlassociatedlwithlalprolongedlQTlintervallandlca
nlresultlinlsuddenldeath.
alnurselislcaringlforlalpostoperativelpatientlwholislonlmechanicallventilation,lreceivinglIVlfluid
s,landlenteralltubelfeedings.lcrackleslandlwheezinglarelheardlinlthelrightllunglfieldslwithlincre
asedlWOB.lHRl124lislnoted.lthelnurselshouldlINITIALLYl-lCORRECTlANSWER-
verifylthellocationloflthelfeedingltube
thelpatientslsymptomslarelconsistentlwithlaspirationlPNA:lcough,ldyspnea,lwheezing.lwithlfl
uidlorlsolidlobjectlaspiration,ltherelcanlbelanlabruptlonsetloflacutelrespiratoryldistress.lAlllinte
rventionslshouldlbelperformed,lbutlverifyinglfeedingltubelplacementlwilllassistlwithldiagnosis
landlexpeditelappropriateltreatment
alnurselislpreparinglalpatientlwithlaltracheallperforationlforlsurgerylandlnoticeslsuddenlhypot
ension,ltachycardia,lLOClandlauscultateslalloudlmachinery-
likelheartlmurmurl(milllwheellheartlmurmur).lwhatlshouldlthelnurseldolinitially?l-
lCORRECTlANSWER-placelthelpatientlinltrendelenberglwithlleftldecubitusltilt
thelpatientlwithltracheallperforationlhaslalhighlriskloflairlembolismlandlwilllsuddenlylbecomel
hypotensivelwithoutlbleeding.ltrendelenburglpositionlwilllhelplthelairlfloatltolthelleftlatriumlan
dlpreventlalstroke.
alpatientlisladmittedlcomplainingloflcrushinglchestlpain,lwhichlbeganl2lhourslago.lanlekglsho
wslSTlelevationlinlleadslV2-
V4lwhichlisltreatedlwithlalPCIlprocedureltolthelLAD.lfollowinglthelprocedurelthelpatientldevel
opsloligurialandlbilateral,ldiffuselcrackles.lwhichlhemodynamiclfindingslshouldlbelexpectedl
atlthislpoint?l-lCORRECTlANSWER-BPl80/50,lCOl3.8,lSVRl2200,lPAPl40/24
thelpatientlhadlanlanteriorlinfarction,lwhichlpredisposesltheldevelopmentloflLVlfailure/cardio
geniclshock.lthelhemodynamicldataloflBPl80/50,lCOl3.8,lSVRl2200,landlPAPl40/24larelconsi
stentlwithlLVlfailure/cardiogeniclshock
, alpatientlisladmittedlfollowinglaorticlvalvelreplacement.lforlwhichlrhythmlshouldlthelnurselmo
nitorlfor?l-lCORRECTlANSWER-secondldegreelAVlblockltypel2
followinglaorticlvalvelreplacement,lpatientslmayldeveloplanlAVlblockldueltoledema,linflamm
ation,lhemorrhage,lorlsuturinglnearlnode
alpatientlisladmittedlinlrespiratoryldistresslafterlNSAIDladministration.lbreathlsoundslandlex
piratorylwheezeslarelnollongerlaudible.lthelABGlresultslare:lpHl7.31,lPaCO2l51,lPaO2l58,lH
CO3l23,lSaO2l88%.lWhichlislthelMOSTlappropriatelinitiallinterventionl-
lCORRECTlANSWER-mechanicallylventilatelwithlprolongedlexpiration
forlpatientslwholarelhavinglanlemergentlexacerbationloflasthma,lmanagementlfocuseslonls
upportlofloxygenationlandlventilation.lstatuslasthmaticuslresultslinldifficultylwithlexpiration,la
ndltherefore,lairltrapping.lrespiratorylacidosislislseenldueltoldecreasedlCO2lremoval.lalpatie
ntlwithlnolbreathlsoundslislanlemergencylsituationlandlfocuslshouldlbelonlassistinglwithlventi
lation.lprolongedlexpirationlwilllnotlonlylincreaseloxygenationlbutlcanlreverselthelacidosis
alpatientlisladmittedlwithlchestlheaviness,lmuffledlheartlsounds,lJVD,landlhypotensionlfollo
winglalstablwoundltolthelchest.lforlwhichlshouldlthelnurselinitiallylpreparelthelpatient?l-
lCORRECTlANSWER-echocardiogram
thislpatientlislatlrisklforlandlhaslsymptomslforlcardiacltamponade.ltheldiagnosislislmostlaccur
atelylmadelwithlanlechocardiogram.
alpatientlisladmittedlwithlpulmonarylhypertension.lwhichlshouldlleadlthelnurseltolsuspectlpul
monarylfibrosis?l-lCORRECTlANSWER-dyspnealatlrest
dyspnealatlrestlislspecificltolinterstitialllungldisease
alpatientlislreceivinglalunitloflPRBCslfollowinglalGIlhemorrhage.ltwolhourslfollowingltheltrans
fusion,ldatalare:lBPl126/70,lHRl100,lRRl34,lCVPl2,lnewlcrackleslarelaudiblelbilaterally.lchest
lx-raylrevealslnewlpatchylinfiltrates.lthelnurselshouldlsuspectltheldevelopmentlofl-
lCORRECTlANSWER-transfusionlrelatedlacutellunglinjury
transfusionlrelatedlacutellunglinjurylshouldlalwayslbelsuspectedlwhenlalpatientlreceiveslblo
odlandldevelopslacutelrespiratoryldistresslwithinl6lhourslofltheltransfusion
alpatientlwithlalhistoryloflHTNlandlrenallfailurelreportslalheadachelthatldidlnotlrespondltolOT
Clmedication.lVSlarelBPl210/126,lHRl106,lRRl22.lwhichlshouldlthelnurselanticipate?l-
lCORRECTlANSWER-labetalol
labetalollislbeneficiallinltheltreatmentloflHTNlemergencieslandldoeslnotlhavelwarningslassoc
iatedlwithlrenallfailure.lnitroprussidelputslthelpatientlatlrisklforlcyanideltoxicity.
alpatientlwithlAMIldevelopslalnewl4/6lholosystoliclmurmurlandlquicklylprogressesltolcardiog
eniclshock.lwhichlshouldlthelnurselanticipate?l-lCORRECTlANSWER-preparationlforlalTEE
