AACN CCRN CARDIOVASCULAR STUDIES
EXAM QUESTIONS WITH 100% CORRECT
ANSWERS
Which is most consistent Acute elevation of left ventricular filling pressure? - Answer-
Bibasilar crackles.
When pressure in the left ventricle increases suddenly, fluid is forced into the alveoli by
an increase in hydrostatic pressure.
Why is aortic valve insufficiency a contraindication to the use of intra-aortic balloon
pump counterpulsation? - Answer- Balloon will increase aortic regurgitation and would
worsen heart failure.
What is the definitive treatment for a cerebral ischemia? - Answer- A carotid
endarterectomy is considered a definitive treatment.
Cerebral ischemia signs - Answer- facial numbness, right visual field blindness, and
confusion.
Computed tomography angiogram reveals percentages of stenosis of the left carotid
artery.
Cerebral blood flow (example is 18mL/100g/min [decreased]).
Whats are the signs of Abrupt reclosure after having a PCI? - Answer- Abrupt reclosure
is suspected with Marked hypotension and ST segment changes after PCI.
right coronary artery narrowing signs and symptoms. - Answer- Chest pain and
shortness of breath.
ST segment elevation in leads V1-V4. - Answer- ST segment elevation in V1-V4 is a
sign of an anterior wall MI.
What happens when PAOP waveform shows large V wave elevation on a patient with
an anterior MI? - Answer- Papillary muscle rupture.
Successful management of right ventricular failure. - Answer- Decreased CVP levels.
The goal is to decrease right-sided pressure.
Descending aorta dissection and ascending aorta dissection location of pain. - Answer-
Acute, intense pain, described as "ripping" pain is a classic sign of aortic dissection.
Pain location in intrascapular area is descending aorta dissection.
Pain location in centralized anterior is ascending aorta dissection.
, What dissection is an intrascapular pain and describes as "ripping" pain dyspnea and
syncope. - Answer- Descending aorta dissection.
Risk of nitroprusside administration on a patient with renal failure is? - Answer- Cyanide
toxicity.
A patient with new frequent multi-focal PVCs. Recovering from flu 2 weeks ago. What
diagnostic test is done, and what did the patient develop? - Answer- Echocardiogram.
Developed dilated cardiomyopathy from viral myocarditis.
Management of cardiogenic shock and how to decrease left ventricular workload -
Answer- Increase myocardial oxygen delivery.
Maximizing cardiac output and decreasing left ventricular workload.
Administer afterload reducers like vasodilators and improve contractility with positive
inotropic agents.
Descending aortic dissection signs/symptoms. - Answer- Descending aortic dissection
manifests with pain radiating down the back, abdomen, or legs.
Aortic valve replacement with a development of new atrial fibrillation and ventricular
heart rate of 100. What medication to administer? - Answer- Administer beta-blocker.
Digoxin, beta-blocker and calcium channel blockers are used to treat atrial dysrhythmia.
Which type of dysrhythmia is common following open-heart surgery? - Answer- Atrial
dysrhythmia.
If bleeding is in pericardial sac, what must be ruled out? - Answer- If bleeding is in
pericardial sac, cardiac tamponade must be ruled out.
Oxygen reperfusion injury - Answer- Oxygen promotes systemic vasodilation and is the
source of toxic metabolites and had been associated with poor outcomes.
Carotid artery stenosis risk factors, signs and symptoms, and priority intervention. -
Answer- Risk factors are Hypertension, Obesity, Diabetes, and hyperlipidemia.
EXAM QUESTIONS WITH 100% CORRECT
ANSWERS
Which is most consistent Acute elevation of left ventricular filling pressure? - Answer-
Bibasilar crackles.
When pressure in the left ventricle increases suddenly, fluid is forced into the alveoli by
an increase in hydrostatic pressure.
Why is aortic valve insufficiency a contraindication to the use of intra-aortic balloon
pump counterpulsation? - Answer- Balloon will increase aortic regurgitation and would
worsen heart failure.
What is the definitive treatment for a cerebral ischemia? - Answer- A carotid
endarterectomy is considered a definitive treatment.
Cerebral ischemia signs - Answer- facial numbness, right visual field blindness, and
confusion.
Computed tomography angiogram reveals percentages of stenosis of the left carotid
artery.
Cerebral blood flow (example is 18mL/100g/min [decreased]).
Whats are the signs of Abrupt reclosure after having a PCI? - Answer- Abrupt reclosure
is suspected with Marked hypotension and ST segment changes after PCI.
right coronary artery narrowing signs and symptoms. - Answer- Chest pain and
shortness of breath.
ST segment elevation in leads V1-V4. - Answer- ST segment elevation in V1-V4 is a
sign of an anterior wall MI.
What happens when PAOP waveform shows large V wave elevation on a patient with
an anterior MI? - Answer- Papillary muscle rupture.
Successful management of right ventricular failure. - Answer- Decreased CVP levels.
The goal is to decrease right-sided pressure.
Descending aorta dissection and ascending aorta dissection location of pain. - Answer-
Acute, intense pain, described as "ripping" pain is a classic sign of aortic dissection.
Pain location in intrascapular area is descending aorta dissection.
Pain location in centralized anterior is ascending aorta dissection.
, What dissection is an intrascapular pain and describes as "ripping" pain dyspnea and
syncope. - Answer- Descending aorta dissection.
Risk of nitroprusside administration on a patient with renal failure is? - Answer- Cyanide
toxicity.
A patient with new frequent multi-focal PVCs. Recovering from flu 2 weeks ago. What
diagnostic test is done, and what did the patient develop? - Answer- Echocardiogram.
Developed dilated cardiomyopathy from viral myocarditis.
Management of cardiogenic shock and how to decrease left ventricular workload -
Answer- Increase myocardial oxygen delivery.
Maximizing cardiac output and decreasing left ventricular workload.
Administer afterload reducers like vasodilators and improve contractility with positive
inotropic agents.
Descending aortic dissection signs/symptoms. - Answer- Descending aortic dissection
manifests with pain radiating down the back, abdomen, or legs.
Aortic valve replacement with a development of new atrial fibrillation and ventricular
heart rate of 100. What medication to administer? - Answer- Administer beta-blocker.
Digoxin, beta-blocker and calcium channel blockers are used to treat atrial dysrhythmia.
Which type of dysrhythmia is common following open-heart surgery? - Answer- Atrial
dysrhythmia.
If bleeding is in pericardial sac, what must be ruled out? - Answer- If bleeding is in
pericardial sac, cardiac tamponade must be ruled out.
Oxygen reperfusion injury - Answer- Oxygen promotes systemic vasodilation and is the
source of toxic metabolites and had been associated with poor outcomes.
Carotid artery stenosis risk factors, signs and symptoms, and priority intervention. -
Answer- Risk factors are Hypertension, Obesity, Diabetes, and hyperlipidemia.
