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AACN CSC Review Course – Session 1 – 2025/2026 Exam (60+ Questions with Answers) – Cardiac Surgery, CPB Physiology, Coronary Circulation

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This document is a comprehensive study guide for the AACN Cardiac Surgery Certification (CSC) Review Course – Session 1, specifically designed for the 2025/2026 examination cycle. It contains over 60 practice questions with correct answers, carefully curated to reflect the actual structure, depth, and complexity of questions encountered on the CSC exam. Key topics covered in this session include: Coronary artery anatomy and perfusion physiology Cardiopulmonary bypass (CPB) mechanics and complications Electrolyte and fluid shifts post-CPB Myocardial oxygen consumption and EKG lead correlations Graft selection and patency rates for CABG procedures Protamine reactions, SIRS, neurocognitive outcomes post-op Renal perfusion, ATN, and hormonal responses to surgery The document provides clinical context and evidence-based reasoning behind correct answers, making it a valuable tool not only for exam preparation but also for reinforcing real-world cardiovascular surgical nursing concepts. This material is ideal for: Nursing students in critical care, perioperative, or cardiovascular specialties Registered Nurses preparing for the CSC certification (AACN-endorsed) Graduate students in Cardiac Nursing, Advanced Practice Nursing, or Nurse Anesthesia Professionals in Health Sciences, Cardiovascular Technology, and Cardiopulmonary Perfusion programs Whether you are seeking CSC certification, refreshing your knowledge for clinical practice, or studying for advanced nursing exams, this resource equips you with the depth and clarity required to master complex cardiac surgical care content. Keywords: CSC exam 2025, AACN review course, cardiac surgery nursing, CPB physiology, coronary circulation, protamine reactions, CABG graft patency, EKG lead localization, cardiopulmonary bypass complications, myocardial oxygen demand, cardiac anesthesia review, fluid management cardiac surgery, CSC certification prep, cardiac ICU nursing

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AACN CSC Review Course Session 1
2025/2026 Exam Questions and Answers
| A+ Score Assured



at rest the myocardium extracts ___% of available oxygen - 🧠 ANSWER

✔✔70%


normal SvO2 in heart - 🧠 ANSWER ✔✔30-35%


normal SvO2 in body - 🧠 ANSWER ✔✔60-80%


DBP - LVEDP - 🧠 ANSWER ✔✔coronary perfusion pressure


normal coronary perfusion pressure - 🧠 ANSWER ✔✔> 40 mmHg


coronary circulation is a constant due to _______________________. - 🧠

ANSWER ✔✔auto-regulation

, the coronary arteries originate behind the respective ________ valve

leaflets - 🧠 ANSWER ✔✔aortic


bifurcates into the LAD and Cx arteries; 2-5cm long; not grafted directly - 🧠

ANSWER ✔✔left main coronary artery


the left main is inaccessible without dividing the _____ and _____ - 🧠

ANSWER ✔✔PA and aorta


what are the 3 main segments of the coronary circulation - 🧠 ANSWER

✔✔left main, circumflex, RCA


coronary artery that courses AV groove beneath LAA; has obtuse marginal

branches - 🧠 ANSWER ✔✔circumflex artery


supplies anterior wall, ant 2/3 septum, post/inf LBB, bundle of his; RBB, LV

apex - 🧠 ANSWER ✔✔LAD


supplies SA node (45%), AV node (10%), inferior LV, lateral LV wall, LA,

post/inf LBB - 🧠 ANSWER ✔✔Cx artery


3 vessels of equal diameter between LAD and Cx; supplies large area of

LV b/t LAD and Cx arteries; usually subepicardial; may give pt a perfusion

advantage - 🧠 ANSWER ✔✔tertiary left main

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