8/8/25, 7:28 AM CMC Practice Questions - AACN
CMC TEST BANK (AACN) NEWEST VERSION WITH
COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS \VERIFIED SOLUTIONS ALREADY GRADED A+
The nurse is assisting with A. incorrect. hypovolemia causes a decrease in PAD less
bedside insertion of a than 8mmHg and PAOP less than 6mmHg.
pulmonary artery catheter. B. incorrect. volume overload causes and increase in
the PAD is 28mmHg and PAD greater than 15 mmHg and PAOP greater than 12
the PAOP is 15mmHg. mmHg.
which of the following C. correct. pulmonary HTN will cause an increase in
provides an explanation for PAD greater than 15mmHg and may cause an increase
the finding? in PAOP greater than 12 mmHg.
A. hypovolemia
D. incorrect. aortic stenosis will cause an increase in
B. fluid overload
PAOP greater than 12mmHg and may cause an increase
C. pulmonary HTN
in PAD 0-3mmHg above the PAOP.
D. aortic stenosis
A patient on strict bedrest A. incorrect. cardiogenic shock is associated with
develops sudden onset hypotension and pulmonary edema on CXRY.
dyspnea. CXRY is negative B. correct. bedrest increases the risk for PE, these
and vital signs are symptoms are consistent with this finding.
BP 140/89 ; HR 140 ; RR C. incorrect. papillary muscle rupture would result in
36 ; T 98.4 ; SpO2 80% hypotension and pulmonary edema on CXRY.
D. incorrect. changes would be seen on CXRY.
The nurse should suspect:
A. cardiogenic shock
B. pulmonary embolus
C. papillary muscle rupture
D. pulmonary edema
Following a STEMI, the A. incorrect. a RBBB would cause an electrical delay in
nurse auscultates a late conduction for a wide split S2.
systolic murmur at the apex. B. incorrect. a LBBB would cause and electrical delay in
The nurse should suspect ventricular conduction for a paroxical split S2.
the finding is r/t the new C. correct. a papillary muscle chord rupture results
onset of a: from ischemia to the tissue supplying the mitral
/ 1/49
,8/8/25, 7:28 AM CMC Practice Questions - AACN
A. right bundle branch block valve. a systolic murmur is heard due to mitral
B. left bundle branch block
regurgitation.
C. papillary muscle rupture
D. incorrect. plaque rupture would cause an occlusion
D. calcific plaque rupture
of the coronary artery that would not directly cause
a new systolic murmur.
The nurse is reviewing the A. correct. assessing daily weights is a noninvasive and
plan of care for a patient easy method to assess compliance with the
with systolic heart failure effectiveness of a medical regimen in patients with heart
who has enalapril failure, observing the patient's ability to maintain a
(Vasotec), furosemide consistent weight indicates compliance as well as the
(Lasix), metoprolol effectiveness of the medical regimen.
(Lopressor), and carvedilol B. incorrect. strict I&O is only one component of a plan of
(Coreg) ordered. Which of care but does not assess if a patient adheres to the
the following will provide medical regimen or if the regimen is effective.
the most accurate C. incorrect. a daily BMP would not help assess the
assessment of the effectiveness of the medical regimen as the majority
regimen? of the panel components are not affected by the
A. daily weights
drugs listed.
B. strict I&O
D. incorrect. serial CXRYs could reveal worsening heart
C. BMP every morning
failure, but assessing daily weights is far easier,
D. serial CXRYs
noninvasive and cost-effective.
/ 2/49
,8/8/25, 7:28 AM CMC Practice Questions - AACN
Which of the following A. incorrect. recurrent ventricular tachycardia refractory
patient situations might be to cardioversion would be best treated with the
best treated with the insertion of an automatic implantable cardioverter
maze procedure? defibrillator.
A. recurrent ventricular B. correct. in a maze procedure, numerous incisions are
tachycardia refractory made on the left and right atrium so that scar tissue
to cardioversion forms. this scar tissue does not conduct electricity,
B. recurrent atrial fibrillation which disrupts the path of abnormal electrical
refractory to drug impulses.
therapy C. incorrect. cardiomyopathy with an EF <20% would
C. cardiomyopathy with an EF
<20% be best treated with either inotropic or mechanical
D. coronary artery restenosis circulatory support.
following PCI D. incorrect. coronary artery restenosis following PCI
would be best treated with antiplatelet therapy.
A patient develops chest A. incorrect. an anterior wall MI would have EKG changes in leads
pain, nausea, vomiting and V1-V4
B. correct. in the standard lead setup, the EKG
diaphoresis. the 12-lead
typically does not look at the posterior wall; because
EKG is normal. a further
of the location of the occlusion, ECG changes would not
cardiac assessment is
be apparent.
warranted, as it is common
C. incorrect. a lateral wall MI would present changes in leads I,
for ST segment elevation to aVL, V5, and V6.
be absent in: D. incorrect. an inferior wall MI would present changes in leads II,
A. an anterior wall MI
III, aVF.
B. a posterior wall MI
C. a lateral wall MI
D. an inferior wall MI
While reviewing the 12-lead A. correct. the ST segment elevation and reciprocal
EKG, the nurse notes new changes are indicative of occlusion of the left anterior
changes with ST-segment descending and left circumflex arteries. these will affect
elevation in leads 1, aVL, the anterior and lateral walls.
and V2-V6, plus reciprocal B. incorrect. an infarct in the posterior and inferior walls
changes in III, aVF, and would present via EKG with changes in the II, III, and
aVR. The nurse should aVF leads.
realize that the area of C. incorrect. an infarct in the lateral and septal walls
infarct involve the: would present via EKG changes in leads I, aVL, V5,
A. anterior and lateral walls
and V6.
B. posterior and inferior walls
D. incorrect. an infarct in the septal and posterior
C. lateral and septal walls
/ 3/49
, 8/8/25, 7:28 AM CMC Practice Questions - AACN
D. septal and posterior walls walls would present via EKG changes in V1-V4.
A patient is being A. incorrect.
discharged on aspirin B. incorrect.
therapy following C. correct. there is an increased risks of bleeding in
recovery from an AMI. kidney failure. this tendency is attributed to impaired
Which of the following platelet aggregation and adhesion and an altered
comorbidities puts the response to clotting factor VII.
D. incorrect.
patient at greatest risk for
developing a bleeding
complication?
A. asthma
B. transient ischemic attack
C. chronic kidney failure
D. cor pulmonale
A patient is to undergo A. incorrect. dalteparin is low molecular weight heparin.
PCI. in a previous the patient likely manifested HIT in the past. heparin
admission the patient is contraindicated.
received heparin. the B. correct. bivalirudin is a direct thrombin inhibitor and
patient initially had a may be administered as an alternative to heparin in
platelet count of 250,000; patients with HIT.
C. incorrect. contraindicated.
the platelet count was
D. incorrect. alteplase is indicated for acute ischemic stroke.
115,000 a few days later.
which of the following
should the nurse anticipate
administering for the
current procedure?
A. dalteparin (Fragmin)
B. bivalirudin (Angiomax)
C. enoxaparin (Lovenox)
D. alteplase (Activase)
/ 4/49
CMC TEST BANK (AACN) NEWEST VERSION WITH
COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS \VERIFIED SOLUTIONS ALREADY GRADED A+
The nurse is assisting with A. incorrect. hypovolemia causes a decrease in PAD less
bedside insertion of a than 8mmHg and PAOP less than 6mmHg.
pulmonary artery catheter. B. incorrect. volume overload causes and increase in
the PAD is 28mmHg and PAD greater than 15 mmHg and PAOP greater than 12
the PAOP is 15mmHg. mmHg.
which of the following C. correct. pulmonary HTN will cause an increase in
provides an explanation for PAD greater than 15mmHg and may cause an increase
the finding? in PAOP greater than 12 mmHg.
A. hypovolemia
D. incorrect. aortic stenosis will cause an increase in
B. fluid overload
PAOP greater than 12mmHg and may cause an increase
C. pulmonary HTN
in PAD 0-3mmHg above the PAOP.
D. aortic stenosis
A patient on strict bedrest A. incorrect. cardiogenic shock is associated with
develops sudden onset hypotension and pulmonary edema on CXRY.
dyspnea. CXRY is negative B. correct. bedrest increases the risk for PE, these
and vital signs are symptoms are consistent with this finding.
BP 140/89 ; HR 140 ; RR C. incorrect. papillary muscle rupture would result in
36 ; T 98.4 ; SpO2 80% hypotension and pulmonary edema on CXRY.
D. incorrect. changes would be seen on CXRY.
The nurse should suspect:
A. cardiogenic shock
B. pulmonary embolus
C. papillary muscle rupture
D. pulmonary edema
Following a STEMI, the A. incorrect. a RBBB would cause an electrical delay in
nurse auscultates a late conduction for a wide split S2.
systolic murmur at the apex. B. incorrect. a LBBB would cause and electrical delay in
The nurse should suspect ventricular conduction for a paroxical split S2.
the finding is r/t the new C. correct. a papillary muscle chord rupture results
onset of a: from ischemia to the tissue supplying the mitral
/ 1/49
,8/8/25, 7:28 AM CMC Practice Questions - AACN
A. right bundle branch block valve. a systolic murmur is heard due to mitral
B. left bundle branch block
regurgitation.
C. papillary muscle rupture
D. incorrect. plaque rupture would cause an occlusion
D. calcific plaque rupture
of the coronary artery that would not directly cause
a new systolic murmur.
The nurse is reviewing the A. correct. assessing daily weights is a noninvasive and
plan of care for a patient easy method to assess compliance with the
with systolic heart failure effectiveness of a medical regimen in patients with heart
who has enalapril failure, observing the patient's ability to maintain a
(Vasotec), furosemide consistent weight indicates compliance as well as the
(Lasix), metoprolol effectiveness of the medical regimen.
(Lopressor), and carvedilol B. incorrect. strict I&O is only one component of a plan of
(Coreg) ordered. Which of care but does not assess if a patient adheres to the
the following will provide medical regimen or if the regimen is effective.
the most accurate C. incorrect. a daily BMP would not help assess the
assessment of the effectiveness of the medical regimen as the majority
regimen? of the panel components are not affected by the
A. daily weights
drugs listed.
B. strict I&O
D. incorrect. serial CXRYs could reveal worsening heart
C. BMP every morning
failure, but assessing daily weights is far easier,
D. serial CXRYs
noninvasive and cost-effective.
/ 2/49
,8/8/25, 7:28 AM CMC Practice Questions - AACN
Which of the following A. incorrect. recurrent ventricular tachycardia refractory
patient situations might be to cardioversion would be best treated with the
best treated with the insertion of an automatic implantable cardioverter
maze procedure? defibrillator.
A. recurrent ventricular B. correct. in a maze procedure, numerous incisions are
tachycardia refractory made on the left and right atrium so that scar tissue
to cardioversion forms. this scar tissue does not conduct electricity,
B. recurrent atrial fibrillation which disrupts the path of abnormal electrical
refractory to drug impulses.
therapy C. incorrect. cardiomyopathy with an EF <20% would
C. cardiomyopathy with an EF
<20% be best treated with either inotropic or mechanical
D. coronary artery restenosis circulatory support.
following PCI D. incorrect. coronary artery restenosis following PCI
would be best treated with antiplatelet therapy.
A patient develops chest A. incorrect. an anterior wall MI would have EKG changes in leads
pain, nausea, vomiting and V1-V4
B. correct. in the standard lead setup, the EKG
diaphoresis. the 12-lead
typically does not look at the posterior wall; because
EKG is normal. a further
of the location of the occlusion, ECG changes would not
cardiac assessment is
be apparent.
warranted, as it is common
C. incorrect. a lateral wall MI would present changes in leads I,
for ST segment elevation to aVL, V5, and V6.
be absent in: D. incorrect. an inferior wall MI would present changes in leads II,
A. an anterior wall MI
III, aVF.
B. a posterior wall MI
C. a lateral wall MI
D. an inferior wall MI
While reviewing the 12-lead A. correct. the ST segment elevation and reciprocal
EKG, the nurse notes new changes are indicative of occlusion of the left anterior
changes with ST-segment descending and left circumflex arteries. these will affect
elevation in leads 1, aVL, the anterior and lateral walls.
and V2-V6, plus reciprocal B. incorrect. an infarct in the posterior and inferior walls
changes in III, aVF, and would present via EKG with changes in the II, III, and
aVR. The nurse should aVF leads.
realize that the area of C. incorrect. an infarct in the lateral and septal walls
infarct involve the: would present via EKG changes in leads I, aVL, V5,
A. anterior and lateral walls
and V6.
B. posterior and inferior walls
D. incorrect. an infarct in the septal and posterior
C. lateral and septal walls
/ 3/49
, 8/8/25, 7:28 AM CMC Practice Questions - AACN
D. septal and posterior walls walls would present via EKG changes in V1-V4.
A patient is being A. incorrect.
discharged on aspirin B. incorrect.
therapy following C. correct. there is an increased risks of bleeding in
recovery from an AMI. kidney failure. this tendency is attributed to impaired
Which of the following platelet aggregation and adhesion and an altered
comorbidities puts the response to clotting factor VII.
D. incorrect.
patient at greatest risk for
developing a bleeding
complication?
A. asthma
B. transient ischemic attack
C. chronic kidney failure
D. cor pulmonale
A patient is to undergo A. incorrect. dalteparin is low molecular weight heparin.
PCI. in a previous the patient likely manifested HIT in the past. heparin
admission the patient is contraindicated.
received heparin. the B. correct. bivalirudin is a direct thrombin inhibitor and
patient initially had a may be administered as an alternative to heparin in
platelet count of 250,000; patients with HIT.
C. incorrect. contraindicated.
the platelet count was
D. incorrect. alteplase is indicated for acute ischemic stroke.
115,000 a few days later.
which of the following
should the nurse anticipate
administering for the
current procedure?
A. dalteparin (Fragmin)
B. bivalirudin (Angiomax)
C. enoxaparin (Lovenox)
D. alteplase (Activase)
/ 4/49
