AACN CMC (ACTUAL 2025) QUESTION AND
ANSWERS.
What percentage of ventricular filling is passive and what
percentage is atrial kick? -<<<Answers>>Passive - 75%
Atrial kick -- 25-35%
What drug decreases effect of Clopidogrel (Plavix) -
<<<Answers>>PPIs - inhibit enzyme that converts plavix
Direct Xa Inhibitors -- Anticoagulants -
<<<Answers>>apixaban (Eliquis)
rivaroxaban (Xeralto)
edoxaban (Savaysa)
Dose based on renal function
D/C 24-48 hours before intervention or surgery
Direct Thrombin inhibitors -<<<Answers>>argatroban
(Novastat)
bivalirudin (Angiomax)
, Why are statins recommended at night? -
<<<Answers>>Statins have a short half life and cholesterol
synthesis happens in the morning hours
Location of Alpha 1 Receptors -<<<Answers>>Blood vessels
-- cause vasoconstriction
Respond strongly to norepi and weakly to epi
Location of Beta Receptors -<<<Answers>>Beta 1 -- heart
and kidney -- increased HR, contractility, conduction velocity
and renin release
Respond equally to norepi and epi
Beta 2 -- blood vessels -- cause vasodilation
more sensitive to epi than norepi
Location of Dopaminergic Receptors -<<<Answers>>Renal,
mesenteric, coronary and cerebral blood vessels -- causes
vasodilation
What are the first 2 vitals sign changes in decompensation? -
<<<Answers>>Increased heart rate
Increased diastolic blood pressure
ANSWERS.
What percentage of ventricular filling is passive and what
percentage is atrial kick? -<<<Answers>>Passive - 75%
Atrial kick -- 25-35%
What drug decreases effect of Clopidogrel (Plavix) -
<<<Answers>>PPIs - inhibit enzyme that converts plavix
Direct Xa Inhibitors -- Anticoagulants -
<<<Answers>>apixaban (Eliquis)
rivaroxaban (Xeralto)
edoxaban (Savaysa)
Dose based on renal function
D/C 24-48 hours before intervention or surgery
Direct Thrombin inhibitors -<<<Answers>>argatroban
(Novastat)
bivalirudin (Angiomax)
, Why are statins recommended at night? -
<<<Answers>>Statins have a short half life and cholesterol
synthesis happens in the morning hours
Location of Alpha 1 Receptors -<<<Answers>>Blood vessels
-- cause vasoconstriction
Respond strongly to norepi and weakly to epi
Location of Beta Receptors -<<<Answers>>Beta 1 -- heart
and kidney -- increased HR, contractility, conduction velocity
and renin release
Respond equally to norepi and epi
Beta 2 -- blood vessels -- cause vasodilation
more sensitive to epi than norepi
Location of Dopaminergic Receptors -<<<Answers>>Renal,
mesenteric, coronary and cerebral blood vessels -- causes
vasodilation
What are the first 2 vitals sign changes in decompensation? -
<<<Answers>>Increased heart rate
Increased diastolic blood pressure
