CMC Practice Questions - AACN EXAM WITH
QUESTIONS AND CORRECT DETAILED
ANSWERS/EXPERT VERIFIED FOR GUARANTEED
PASS!/LATEST UPDATE
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Terms in this set (100)
,While caring for a patient A. incorrect. decreasing urine output with increasing
with an IABP at 3:1, the BUN and CR levels with an IABP in place indicates
nurse notes: obstruction of the renal arteries. The nurse should
A. decreasing urine output plan for removal.
as well as increasing BUN B. incorrect. absent pulses distal to the insertion site
and CR levels; the nurse indicates complete occlusion of the femoral artery.
should increase timing to application of pressure to the insertion site will
2:1 worsen the obstruction.
B. absent pulses in the C. correct. blood in the IABP tubing indicates a
proximal extremity; the rupture of the balloon. Continuing to allow the IABP
nurse should apply to inflate and deflate will increase the size of the
pressure at the insertion rupture, causing more bleeding. the nurse should plan
site. for removal or exchange of the IABP catheter.
C. blood in the IABP D. incorrect. a fasciotomy would be indicated if the
tubing; the nurse should patient had an increase in fluid accumulation in the
disconnect the balloon extremities causing significant injury to the limb.
catheter from the IABP.
D. blood oozing from the
insertion site; the nurse
should anticipate the need
for an emergency
fasciotomy.
,An IABP is currently at 3:1 A. correct. the IABP will not be able to time correctly
when the patient suddenly when a patient is in V-Fib. by placing the system to
goes into ventricular trigger on internal or pressure support, it will
fibrillation. In addition to generate off the pressure created during
resuscitative measures, the compressions.
nurse should: B. incorrect. attempting to time the IABP back to 1:1
A. change the trigger to will be counterproductive, as it will not be able to
internal or pressure trigger correctly.
support resuscitative C. incorrect. there is significant risk of clot forming on
measures. the IABP when placed in stand for an indeterminate
B. increase timing back to amount of time.
1:1 to increase coronary D. incorrect. the primary goal during resuscitative
artery perfusion pressure. measures is to attempt to circulate blood volume as
C. put the pump on effectively as possible. assessing the timing of the
standby until the return of IABP is unnecessary.
spontaneous circulation.
D. assess the IABP timing
to chest compressions at
1:2.
The nurse is reviewing the A. correct. digitalis can cause false-positive EKG
home medications list for changes during a stress test. there is an association
a patient admitted c/o between the development of ST segment depression
severe chest pain. serial during stress testing. the mechanism of this EKG
EKGs and blood testing change is not clear. further, digitalis should be
are negative, so an withheld on the day of the test because of its negative
exercise stress test is chronotropic effects.
scheduled. which of the B. incorrect.
following medications may C & D. incorrect. beta-blockers and calcium channel
result in a false-positive blockers blunt the heart rate response to exercise and
finding on the stress test? may prevent achievement of maximum predicted
A. digitalis (Digoxin) heart rate. they should be withheld on the day of the
B. potassium chloride (K- test.
Dur)
C. sotalol (Betapace)
D. diltiazem (Cardiazem)
, A patient is admitted with A. incorrect. enoxaparin is an alternative to heparin in
elevated troponin levels patients with unstable angina, NSTEMI or DVT.
and ST segment elevation B. incorrect. streptokinase is indicated for acute
in leads II, III, and aVF. arterial thrombosis or embolism, or occluded AV
Administration of which of cannulas.
the following should the C. incorrect. alteplase in indicated for acute ischemic
nurse anticipate initially? stroke or acute massive pulmonary embolism.
A. enoxaparin (Lovenox) D. correct. reteplase is indicated for AMI when
B. streptokinase (Strepase) fibrinolytics are indicated.
C. alteplase (Activase)
D. reteplase (Retavase)
A. correct. with diastolic heart failure the left ventricle
is unable to relax, leading to signs and symptoms of
heart failure, but the patient maintains a preserved EF
Which of the following is a
as the muscle retains its ability to contract.
characteristic of diastolic
B. incorrect. dilation of the ventricular chambers is a
heart failure?
characteristic of systolic heart failure.
A. inability of the heart
C. incorrect. diastolic heart failure is an abnormality
muscle to relax.
with heart filling. the heart muscle does not relax
B. dilation of the
normally, and the heart may fill too slowly or
ventricular chambers.
asynchronously. if the left ventricle does not relax
C. increased filling of the
properly or is thick and stiff, it does not fill in the usual
left ventricle.
manner and blood is drawn back into the left atrium
D. decreased ability of the
and eventually into the lungs.
ventricle to contract.
D. incorrect. decreased ability of the ventricle to
contract is a symptom of overextension of the heart
muscle in patients with cardiomyopathy.
QUESTIONS AND CORRECT DETAILED
ANSWERS/EXPERT VERIFIED FOR GUARANTEED
PASS!/LATEST UPDATE
Save
Terms in this set (100)
,While caring for a patient A. incorrect. decreasing urine output with increasing
with an IABP at 3:1, the BUN and CR levels with an IABP in place indicates
nurse notes: obstruction of the renal arteries. The nurse should
A. decreasing urine output plan for removal.
as well as increasing BUN B. incorrect. absent pulses distal to the insertion site
and CR levels; the nurse indicates complete occlusion of the femoral artery.
should increase timing to application of pressure to the insertion site will
2:1 worsen the obstruction.
B. absent pulses in the C. correct. blood in the IABP tubing indicates a
proximal extremity; the rupture of the balloon. Continuing to allow the IABP
nurse should apply to inflate and deflate will increase the size of the
pressure at the insertion rupture, causing more bleeding. the nurse should plan
site. for removal or exchange of the IABP catheter.
C. blood in the IABP D. incorrect. a fasciotomy would be indicated if the
tubing; the nurse should patient had an increase in fluid accumulation in the
disconnect the balloon extremities causing significant injury to the limb.
catheter from the IABP.
D. blood oozing from the
insertion site; the nurse
should anticipate the need
for an emergency
fasciotomy.
,An IABP is currently at 3:1 A. correct. the IABP will not be able to time correctly
when the patient suddenly when a patient is in V-Fib. by placing the system to
goes into ventricular trigger on internal or pressure support, it will
fibrillation. In addition to generate off the pressure created during
resuscitative measures, the compressions.
nurse should: B. incorrect. attempting to time the IABP back to 1:1
A. change the trigger to will be counterproductive, as it will not be able to
internal or pressure trigger correctly.
support resuscitative C. incorrect. there is significant risk of clot forming on
measures. the IABP when placed in stand for an indeterminate
B. increase timing back to amount of time.
1:1 to increase coronary D. incorrect. the primary goal during resuscitative
artery perfusion pressure. measures is to attempt to circulate blood volume as
C. put the pump on effectively as possible. assessing the timing of the
standby until the return of IABP is unnecessary.
spontaneous circulation.
D. assess the IABP timing
to chest compressions at
1:2.
The nurse is reviewing the A. correct. digitalis can cause false-positive EKG
home medications list for changes during a stress test. there is an association
a patient admitted c/o between the development of ST segment depression
severe chest pain. serial during stress testing. the mechanism of this EKG
EKGs and blood testing change is not clear. further, digitalis should be
are negative, so an withheld on the day of the test because of its negative
exercise stress test is chronotropic effects.
scheduled. which of the B. incorrect.
following medications may C & D. incorrect. beta-blockers and calcium channel
result in a false-positive blockers blunt the heart rate response to exercise and
finding on the stress test? may prevent achievement of maximum predicted
A. digitalis (Digoxin) heart rate. they should be withheld on the day of the
B. potassium chloride (K- test.
Dur)
C. sotalol (Betapace)
D. diltiazem (Cardiazem)
, A patient is admitted with A. incorrect. enoxaparin is an alternative to heparin in
elevated troponin levels patients with unstable angina, NSTEMI or DVT.
and ST segment elevation B. incorrect. streptokinase is indicated for acute
in leads II, III, and aVF. arterial thrombosis or embolism, or occluded AV
Administration of which of cannulas.
the following should the C. incorrect. alteplase in indicated for acute ischemic
nurse anticipate initially? stroke or acute massive pulmonary embolism.
A. enoxaparin (Lovenox) D. correct. reteplase is indicated for AMI when
B. streptokinase (Strepase) fibrinolytics are indicated.
C. alteplase (Activase)
D. reteplase (Retavase)
A. correct. with diastolic heart failure the left ventricle
is unable to relax, leading to signs and symptoms of
heart failure, but the patient maintains a preserved EF
Which of the following is a
as the muscle retains its ability to contract.
characteristic of diastolic
B. incorrect. dilation of the ventricular chambers is a
heart failure?
characteristic of systolic heart failure.
A. inability of the heart
C. incorrect. diastolic heart failure is an abnormality
muscle to relax.
with heart filling. the heart muscle does not relax
B. dilation of the
normally, and the heart may fill too slowly or
ventricular chambers.
asynchronously. if the left ventricle does not relax
C. increased filling of the
properly or is thick and stiff, it does not fill in the usual
left ventricle.
manner and blood is drawn back into the left atrium
D. decreased ability of the
and eventually into the lungs.
ventricle to contract.
D. incorrect. decreased ability of the ventricle to
contract is a symptom of overextension of the heart
muscle in patients with cardiomyopathy.
