AACN Practice Test Questions
AACN Practice Test Questions And
Answers.
which finding is most consistent with an acute elevation in left ventricular filling pressure? -
✔️✔️✔️bibasilar crackles
when pressure in the LV increases suddenly, fluid is forced into the alveoli by an increase in
hydrostatic pressure
following ACS affecting the anterior wall, a patient develops SOB. Assessment reveals moist
bibasilar crackles and a moderately loud S3. a PAC is inserted and a PAOP of 22 is obtained.
these findings are most indicative of - ✔️✔️✔️left ventricular decompensation
this patient has a risk factor for and signs of LV failure (anterior MI). A rise in the PAOP and
S3 is reflective of increased LVED pressure. when pressure in the LV increases suddenly,
fluid is forced into the alveoli by an increase in hydrostatic pressure
a patient with AMI develops a new 4/6 holosystolic murmur and quickly progresses to
cardiogenic shock. which should the nurse anticipate? - ✔️✔️✔️preparation for a TEE
the new onset of a murmur with AMI is a sign of papillary muscle rupture. an
echocardiogram will diagnose this rupture
a patient with WPW is given verapamil and becomes unconscious with a wide complex
tachycardia, a weak pulse, and hypotension. what should the nurse do initially? - ✔️✔️✔
️prepare for synchronized cardioversion
verapamil blocked the AV node but not the pathway of WPW. the S/E of verapamil is
hypotension and the patient has become unstable. emergency synchronized cardioversion
is necessary. the patient has a pulse so defibrillation is not required, amio is given for
patients without a pulse
AACN Practice Test Page 1
, AACN Practice Test Questions
a patient is admitted with chest heaviness, muffled heart sounds, JVD, and hypotension
following a stab wound to the chest. for which should the nurse initially prepare the patient?
- ✔️✔️✔️echocardiogram
this patient is at risk for and has symptoms for cardiac tamponade. the diagnosis is most
accurately made with an echocardiogram.
in the treatment of dilated cardiomyopathy, appropriate drug therapy should be aimed at -
✔️✔️✔️decreasing afterload and decreasing preload
the patient has systolic dysfunction. chronic heart failure due to dilated cardiomyopathy
(systolic dysfunction) is managed by diuresis, afterload reduction and inotropes as needed.
increased afterload will increase cardiac workload and worsen heart failure symptoms, as
will increasing preload
a patient is admitted following aortic valve replacement. for which rhythm should the nurse
monitor for? - ✔️✔️✔️second degree AV block type 2
following aortic valve replacement, patients may develop an AV block due to edema,
inflammation, hemorrhage, or suturing near node
a nurse is caring for a patient admitted with myocardial ischemia. the patient has a history of
anxiety and hypothyroidism and is currently taking cyclic antidepressants. the nurse
observes a QT interval of 0.48 seconds and should monitor closely for - ✔️✔️✔️torsades
torsades is a ife threatening dysrhythmia often associated with a prolonged QT interval and
can result in sudden death.
a patient is admitted complaining of crushing chest pain, which began 2 hours ago. an ekg
shows ST elevation in leads V2-V4 which is treated with a PCI procedure to the LAD.
AACN Practice Test Page 2
AACN Practice Test Questions And
Answers.
which finding is most consistent with an acute elevation in left ventricular filling pressure? -
✔️✔️✔️bibasilar crackles
when pressure in the LV increases suddenly, fluid is forced into the alveoli by an increase in
hydrostatic pressure
following ACS affecting the anterior wall, a patient develops SOB. Assessment reveals moist
bibasilar crackles and a moderately loud S3. a PAC is inserted and a PAOP of 22 is obtained.
these findings are most indicative of - ✔️✔️✔️left ventricular decompensation
this patient has a risk factor for and signs of LV failure (anterior MI). A rise in the PAOP and
S3 is reflective of increased LVED pressure. when pressure in the LV increases suddenly,
fluid is forced into the alveoli by an increase in hydrostatic pressure
a patient with AMI develops a new 4/6 holosystolic murmur and quickly progresses to
cardiogenic shock. which should the nurse anticipate? - ✔️✔️✔️preparation for a TEE
the new onset of a murmur with AMI is a sign of papillary muscle rupture. an
echocardiogram will diagnose this rupture
a patient with WPW is given verapamil and becomes unconscious with a wide complex
tachycardia, a weak pulse, and hypotension. what should the nurse do initially? - ✔️✔️✔
️prepare for synchronized cardioversion
verapamil blocked the AV node but not the pathway of WPW. the S/E of verapamil is
hypotension and the patient has become unstable. emergency synchronized cardioversion
is necessary. the patient has a pulse so defibrillation is not required, amio is given for
patients without a pulse
AACN Practice Test Page 1
, AACN Practice Test Questions
a patient is admitted with chest heaviness, muffled heart sounds, JVD, and hypotension
following a stab wound to the chest. for which should the nurse initially prepare the patient?
- ✔️✔️✔️echocardiogram
this patient is at risk for and has symptoms for cardiac tamponade. the diagnosis is most
accurately made with an echocardiogram.
in the treatment of dilated cardiomyopathy, appropriate drug therapy should be aimed at -
✔️✔️✔️decreasing afterload and decreasing preload
the patient has systolic dysfunction. chronic heart failure due to dilated cardiomyopathy
(systolic dysfunction) is managed by diuresis, afterload reduction and inotropes as needed.
increased afterload will increase cardiac workload and worsen heart failure symptoms, as
will increasing preload
a patient is admitted following aortic valve replacement. for which rhythm should the nurse
monitor for? - ✔️✔️✔️second degree AV block type 2
following aortic valve replacement, patients may develop an AV block due to edema,
inflammation, hemorrhage, or suturing near node
a nurse is caring for a patient admitted with myocardial ischemia. the patient has a history of
anxiety and hypothyroidism and is currently taking cyclic antidepressants. the nurse
observes a QT interval of 0.48 seconds and should monitor closely for - ✔️✔️✔️torsades
torsades is a ife threatening dysrhythmia often associated with a prolonged QT interval and
can result in sudden death.
a patient is admitted complaining of crushing chest pain, which began 2 hours ago. an ekg
shows ST elevation in leads V2-V4 which is treated with a PCI procedure to the LAD.
AACN Practice Test Page 2
