CMC Practice Questions - AACN with
complete solutions 2024
While jcaring jfor ja jpatient jwith jan jIABP jat j3:1, jthe jnurse jnotes:
A. jdecreasing jurine joutput jas jwell jas jincreasing jBUN jand jCR jlevels; jthe jnurse
jshould jincrease jtiming jto j2:1
B. jabsent jpulses jin jthe jproximal jextremity; jthe jnurse jshould japply jpressure jat
jthe jinsertion jsite.
C. jblood jin jthe jIABP jtubing; jthe jnurse jshould jdisconnect jthe jballoon jcatheter
jfrom jthe jIABP.
D. jblood joozing jfrom jthe jinsertion jsite; jthe jnurse jshould janticipate jthe jneed
jfor jan jemergency jfasciotomy. j- jANS✓✓-A. jincorrect. jdecreasing jurine joutput
jwith jincreasing jBUN jand jCR jlevels jwith jan jIABP jin jplace jindicates jobstruction
jof jthe jrenal jarteries. jThe jnurse jshould jplan jfor jremoval.
B. jincorrect. jabsent jpulses jdistal jto jthe jinsertion jsite jindicates jcomplete
jocclusion jof jthe jfemoral jartery. japplication jof jpressure jto jthe jinsertion jsite jwill
jworsen jthe jobstruction.
C. jcorrect. jblood jin jthe jIABP jtubing jindicates ja jrupture jof jthe jballoon.
jContinuing jto jallow jthe jIABP jto jinflate jand jdeflate jwill jincrease jthe jsize jof jthe
jrupture, jcausing jmore jbleeding. jthe jnurse jshould jplan jfor jremoval jor jexchange
jof jthe jIABP jcatheter.
D. jincorrect. ja jfasciotomy jwould jbe jindicated jif jthe jpatient jhad jan jincrease jin
jfluid jaccumulation jin jthe jextremities jcausing jsignificant jinjury jto jthe jlimb.
An jIABP jis jcurrently jat j3:1 jwhen jthe jpatient jsuddenly jgoes jinto jventricular
jfibrillation. jIn jaddition jto jresuscitative jmeasures, jthe jnurse jshould:
A. jchange jthe jtrigger jto jinternal jor jpressure jsupport jresuscitative jmeasures.
B. jincrease jtiming jback jto j1:1 jto jincrease jcoronary jartery jperfusion jpressure.
C. jput jthe jpump jon jstandby juntil jthe jreturn jof jspontaneous jcirculation.
D. jassess jthe jIABP jtiming jto jchest jcompressions jat j1:2. j- jANS✓✓-A. jcorrect.
jthe jIABP jwill jnot jbe jable jto jtime jcorrectly jwhen ja jpatient jis jin jV-Fib. jby
jplacing jthe jsystem jto jtrigger jon jinternal jor jpressure jsupport, jit jwill jgenerate
joff jthe jpressure jcreated jduring jcompressions.
B. jincorrect. jattempting jto jtime jthe jIABP jback jto j1:1 jwill jbe jcounterproductive,
jas jit jwill jnot jbe jable jto jtrigger jcorrectly.
C. jincorrect. jthere jis jsignificant jrisk jof jclot jforming jon jthe jIABP jwhen jplaced jin
jstand jfor jan jindeterminate jamount jof jtime.
,D. jincorrect. jthe jprimary jgoal jduring jresuscitative jmeasures jis jto jattempt jto
jcirculate jblood jvolume jas jeffectively jas jpossible. jassessing jthe jtiming jof jthe
jIABP jis junnecessary.
The jnurse jis jreviewing jthe jhome jmedications jlist jfor ja jpatient jadmitted jc/o
jsevere jchest jpain. jserial jEKGs jand jblood jtesting jare jnegative, jso jan jexercise
jstress jtest jis jscheduled. jwhich jof jthe jfollowing jmedications jmay jresult jin ja
jfalse-positive jfinding jon jthe jstress jtest?
A. jdigitalis j(Digoxin)
B. jpotassium jchloride j(K-Dur)
C. jsotalol j(Betapace)
D. jdiltiazem j(Cardiazem) j- jANS✓✓-A. jcorrect. jdigitalis jcan jcause jfalse-positive
jEKG jchanges jduring ja jstress jtest. jthere jis jan jassociation jbetween jthe
jdevelopment jof jST jsegment jdepression jduring jstress jtesting. jthe jmechanism
jof jthis jEKG jchange jis jnot jclear. jfurther, jdigitalis jshould jbe jwithheld jon jthe jday
jof jthe jtest jbecause jof jits jnegative jchronotropic jeffects.
B. jincorrect.
C j& jD. jincorrect. jbeta-blockers jand jcalcium jchannel jblockers jblunt jthe jheart
jrate jresponse jto jexercise jand jmay jprevent jachievement jof jmaximum jpredicted
jheart jrate. jthey jshould jbe jwithheld jon jthe jday jof jthe jtest.
A jpatient jis jadmitted jwith jelevated jtroponin jlevels jand jST jsegment jelevation jin
jleads jII, jIII, jand jaVF. jAdministration jof jwhich jof jthe jfollowing jshould jthe jnurse
janticipate jinitially?
A. jenoxaparin j(Lovenox)
B. jstreptokinase j(Strepase)
C. jalteplase j(Activase)
D. jreteplase j(Retavase) j- jANS✓✓-A. jincorrect. jenoxaparin jis jan jalternative jto
jheparin jin jpatients jwith junstable jangina, jNSTEMI jor jDVT.
B. jincorrect. jstreptokinase jis jindicated jfor jacute jarterial jthrombosis jor
jembolism, jor joccluded jAV jcannulas.
C. jincorrect. jalteplase jin jindicated jfor jacute jischemic jstroke jor jacute jmassive
jpulmonary jembolism.
D. jcorrect. jreteplase jis jindicated jfor jAMI jwhen jfibrinolytics jare jindicated.
Which jof jthe jfollowing jis ja jcharacteristic jof jdiastolic jheart jfailure?
A. jinability jof jthe jheart jmuscle jto jrelax.
B. jdilation jof jthe jventricular jchambers.
C. jincreased jfilling jof jthe jleft jventricle.
D. jdecreased jability jof jthe jventricle jto jcontract. j- jANS✓✓-A. jcorrect. jwith
jdiastolic jheart jfailure jthe jleft jventricle jis junable jto jrelax, jleading jto jsigns jand
jsymptoms jof jheart jfailure, jbut jthe jpatient jmaintains ja jpreserved jEF jas jthe
jmuscle jretains jits jability jto jcontract.
B. jincorrect. jdilation jof jthe jventricular jchambers jis ja jcharacteristic jof jsystolic
jheart jfailure.
,C. jincorrect. jdiastolic jheart jfailure jis jan jabnormality jwith jheart jfilling. jthe jheart
jmuscle jdoes jnot jrelax jnormally, jand jthe jheart jmay jfill jtoo jslowly jor
jasynchronously. jif jthe jleft jventricle jdoes jnot jrelax jproperly jor jis jthick jand jstiff,
jit jdoes jnot jfill jin jthe jusual jmanner jand jblood jis jdrawn jback jinto jthe jleft jatrium
jand jeventually jinto jthe jlungs.
D. jincorrect. jdecreased jability jof jthe jventricle jto jcontract jis ja jsymptom jof
joverextension jof jthe jheart jmuscle jin jpatients jwith jcardiomyopathy.
Following ja jSTEMI, jthe jnurse jauscultates ja jlate jsystolic jmurmur jat jthe japex.
jThe jnurse jshould jsuspect jthe jfinding jis jr/t jthe jnew jonset jof ja:
A. jright jbundle jbranch jblock
B. jleft jbundle jbranch jblock
C. jpapillary jmuscle jrupture
D. jcalcific jplaque jrupture j- jANS✓✓-A. jincorrect. ja jRBBB jwould jcause jan
jelectrical jdelay jin jconduction jfor ja jwide jsplit jS2.
B. jincorrect. ja jLBBB jwould jcause jand jelectrical jdelay jin jventricular jconduction
jfor ja jparoxical jsplit jS2.
C. jcorrect. ja jpapillary jmuscle jchord jrupture jresults jfrom jischemia jto jthe jtissue
jsupplying jthe jmitral jvalve. ja jsystolic jmurmur jis jheard jdue jto jmitral
jregurgitation.
D. jincorrect. jplaque jrupture jwould jcause jan jocclusion jof jthe jcoronary jartery
jthat jwould jnot jdirectly jcause ja jnew jsystolic jmurmur.
The jnurse jis jreviewing jthe jplan jof jcare jfor ja jpatient jwith jsystolic jheart jfailure
jwho jhas jenalapril j(Vasotec), jfurosemide j(Lasix), jmetoprolol j(Lopressor), jand
jcarvedilol j(Coreg) jordered. jWhich jof jthe jfollowing jwill jprovide jthe jmost
jaccurate jassessment jof jthe jregimen?
A. jdaily jweights
B. jstrict jI&O
C. jBMP jevery jmorning
D. jserial jCXRYs j- jANS✓✓-A. jcorrect. jassessing jdaily jweights jis ja jnoninvasive
jand jeasy jmethod jto jassess jcompliance jwith jthe jeffectiveness jof ja jmedical
jregimen jin jpatients jwith jheart jfailure, jobserving jthe jpatient's jability jto jmaintain
ja jconsistent jweight jindicates jcompliance jas jwell jas jthe jeffectiveness jof jthe
jmedical jregimen.
B. jincorrect. jstrict jI&O jis jonly jone jcomponent jof ja jplan jof jcare jbut jdoes jnot
jassess jif ja jpatient jadheres jto jthe jmedical jregimen jor jif jthe jregimen jis
jeffective.
C. jincorrect. ja jdaily jBMP jwould jnot jhelp jassess jthe jeffectiveness jof jthe
jmedical jregimen jas jthe jmajority jof jthe jpanel jcomponents jare jnot jaffected jby
jthe jdrugs jlisted.
D. jincorrect. jserial jCXRYs jcould jreveal jworsening jheart jfailure, jbut jassessing
jdaily jweights jis jfar jeasier, jnoninvasive jand jcost-effective.
Which jof jthe jfollowing jpatient jsituations jmight jbe jbest jtreated jwith jthe jmaze
jprocedure?
, A. jrecurrent jventricular jtachycardia jrefractory jto jcardioversion
B. jrecurrent jatrial jfibrillation jrefractory jto jdrug jtherapy
C. jcardiomyopathy jwith jan jEF j<20%
D. jcoronary jartery jrestenosis jfollowing jPCI j- jANS✓✓-A. jincorrect. jrecurrent
jventricular jtachycardia jrefractory jto jcardioversion jwould jbe jbest jtreated jwith
jthe jinsertion jof jan jautomatic jimplantable jcardioverter jdefibrillator.
B. jcorrect. jin ja jmaze jprocedure, jnumerous jincisions jare jmade jon jthe jleft jand
jright jatrium jso jthat jscar jtissue jforms. jthis jscar jtissue jdoes jnot jconduct
jelectricity, jwhich jdisrupts jthe jpath jof jabnormal jelectrical jimpulses.
C. jincorrect. jcardiomyopathy jwith jan jEF j<20% jwould jbe jbest jtreated jwith jeither
jinotropic jor jmechanical jcirculatory jsupport.
D. jincorrect. jcoronary jartery jrestenosis jfollowing jPCI jwould jbe jbest jtreated
jwith jantiplatelet jtherapy.
A jpatient jdevelops jchest jpain, jnausea, jvomiting jand jdiaphoresis. jthe j12-lead
jEKG jis jnormal. ja jfurther jcardiac jassessment jis jwarranted, jas jit jis jcommon jfor
jST jsegment jelevation jto jbe jabsent jin:
A. jan janterior jwall jMI
B. ja jposterior jwall jMI
C. ja jlateral jwall jMI
D. jan jinferior jwall jMI j- jANS✓✓-A. jincorrect. jan janterior jwall jMI jwould jhave
jEKG jchanges jin jleads jV1-V4
B. jcorrect. jin jthe jstandard jlead jsetup, jthe jEKG jtypically jdoes jnot jlook jat jthe
jposterior jwall; jbecause jof jthe jlocation jof jthe jocclusion, jECG jchanges jwould
jnot jbe japparent.
C. jincorrect. ja jlateral jwall jMI jwould jpresent jchanges jin jleads jI, jaVL, jV5, jand
jV6.
D. jincorrect. jan jinferior jwall jMI jwould jpresent jchanges jin jleads jII, jIII, jaVF.
While jreviewing jthe j12-lead jEKG, jthe jnurse jnotes jnew jchanges jwith jST-
segment jelevation jin jleads j1, jaVL, jand jV2-V6, jplus jreciprocal jchanges jin jIII,
jaVF, jand jaVR. jThe jnurse jshould jrealize jthat jthe jarea jof jinfarct jinvolve jthe:
A. janterior jand jlateral jwalls
B. jposterior jand jinferior jwalls
C. jlateral jand jseptal jwalls
D. jseptal jand jposterior jwalls j- jANS✓✓-A. jcorrect. jthe jST jsegment jelevation
jand jreciprocal jchanges jare jindicative jof jocclusion jof jthe jleft janterior
jdescending jand jleft jcircumflex jarteries. jthese jwill jaffect jthe janterior jand jlateral
jwalls.
B. jincorrect. jan jinfarct jin jthe jposterior jand jinferior jwalls jwould jpresent jvia
jEKG jwith jchanges jin jthe jII, jIII, jand jaVF jleads.
C. jincorrect. jan jinfarct jin jthe jlateral jand jseptal jwalls jwould jpresent jvia jEKG
jchanges jin jleads jI, jaVL, jV5, jand jV6.
D. jincorrect. jan jinfarct jin jthe jseptal jand jposterior jwalls jwould jpresent jvia jEKG
jchanges jin jV1-V4.
complete solutions 2024
While jcaring jfor ja jpatient jwith jan jIABP jat j3:1, jthe jnurse jnotes:
A. jdecreasing jurine joutput jas jwell jas jincreasing jBUN jand jCR jlevels; jthe jnurse
jshould jincrease jtiming jto j2:1
B. jabsent jpulses jin jthe jproximal jextremity; jthe jnurse jshould japply jpressure jat
jthe jinsertion jsite.
C. jblood jin jthe jIABP jtubing; jthe jnurse jshould jdisconnect jthe jballoon jcatheter
jfrom jthe jIABP.
D. jblood joozing jfrom jthe jinsertion jsite; jthe jnurse jshould janticipate jthe jneed
jfor jan jemergency jfasciotomy. j- jANS✓✓-A. jincorrect. jdecreasing jurine joutput
jwith jincreasing jBUN jand jCR jlevels jwith jan jIABP jin jplace jindicates jobstruction
jof jthe jrenal jarteries. jThe jnurse jshould jplan jfor jremoval.
B. jincorrect. jabsent jpulses jdistal jto jthe jinsertion jsite jindicates jcomplete
jocclusion jof jthe jfemoral jartery. japplication jof jpressure jto jthe jinsertion jsite jwill
jworsen jthe jobstruction.
C. jcorrect. jblood jin jthe jIABP jtubing jindicates ja jrupture jof jthe jballoon.
jContinuing jto jallow jthe jIABP jto jinflate jand jdeflate jwill jincrease jthe jsize jof jthe
jrupture, jcausing jmore jbleeding. jthe jnurse jshould jplan jfor jremoval jor jexchange
jof jthe jIABP jcatheter.
D. jincorrect. ja jfasciotomy jwould jbe jindicated jif jthe jpatient jhad jan jincrease jin
jfluid jaccumulation jin jthe jextremities jcausing jsignificant jinjury jto jthe jlimb.
An jIABP jis jcurrently jat j3:1 jwhen jthe jpatient jsuddenly jgoes jinto jventricular
jfibrillation. jIn jaddition jto jresuscitative jmeasures, jthe jnurse jshould:
A. jchange jthe jtrigger jto jinternal jor jpressure jsupport jresuscitative jmeasures.
B. jincrease jtiming jback jto j1:1 jto jincrease jcoronary jartery jperfusion jpressure.
C. jput jthe jpump jon jstandby juntil jthe jreturn jof jspontaneous jcirculation.
D. jassess jthe jIABP jtiming jto jchest jcompressions jat j1:2. j- jANS✓✓-A. jcorrect.
jthe jIABP jwill jnot jbe jable jto jtime jcorrectly jwhen ja jpatient jis jin jV-Fib. jby
jplacing jthe jsystem jto jtrigger jon jinternal jor jpressure jsupport, jit jwill jgenerate
joff jthe jpressure jcreated jduring jcompressions.
B. jincorrect. jattempting jto jtime jthe jIABP jback jto j1:1 jwill jbe jcounterproductive,
jas jit jwill jnot jbe jable jto jtrigger jcorrectly.
C. jincorrect. jthere jis jsignificant jrisk jof jclot jforming jon jthe jIABP jwhen jplaced jin
jstand jfor jan jindeterminate jamount jof jtime.
,D. jincorrect. jthe jprimary jgoal jduring jresuscitative jmeasures jis jto jattempt jto
jcirculate jblood jvolume jas jeffectively jas jpossible. jassessing jthe jtiming jof jthe
jIABP jis junnecessary.
The jnurse jis jreviewing jthe jhome jmedications jlist jfor ja jpatient jadmitted jc/o
jsevere jchest jpain. jserial jEKGs jand jblood jtesting jare jnegative, jso jan jexercise
jstress jtest jis jscheduled. jwhich jof jthe jfollowing jmedications jmay jresult jin ja
jfalse-positive jfinding jon jthe jstress jtest?
A. jdigitalis j(Digoxin)
B. jpotassium jchloride j(K-Dur)
C. jsotalol j(Betapace)
D. jdiltiazem j(Cardiazem) j- jANS✓✓-A. jcorrect. jdigitalis jcan jcause jfalse-positive
jEKG jchanges jduring ja jstress jtest. jthere jis jan jassociation jbetween jthe
jdevelopment jof jST jsegment jdepression jduring jstress jtesting. jthe jmechanism
jof jthis jEKG jchange jis jnot jclear. jfurther, jdigitalis jshould jbe jwithheld jon jthe jday
jof jthe jtest jbecause jof jits jnegative jchronotropic jeffects.
B. jincorrect.
C j& jD. jincorrect. jbeta-blockers jand jcalcium jchannel jblockers jblunt jthe jheart
jrate jresponse jto jexercise jand jmay jprevent jachievement jof jmaximum jpredicted
jheart jrate. jthey jshould jbe jwithheld jon jthe jday jof jthe jtest.
A jpatient jis jadmitted jwith jelevated jtroponin jlevels jand jST jsegment jelevation jin
jleads jII, jIII, jand jaVF. jAdministration jof jwhich jof jthe jfollowing jshould jthe jnurse
janticipate jinitially?
A. jenoxaparin j(Lovenox)
B. jstreptokinase j(Strepase)
C. jalteplase j(Activase)
D. jreteplase j(Retavase) j- jANS✓✓-A. jincorrect. jenoxaparin jis jan jalternative jto
jheparin jin jpatients jwith junstable jangina, jNSTEMI jor jDVT.
B. jincorrect. jstreptokinase jis jindicated jfor jacute jarterial jthrombosis jor
jembolism, jor joccluded jAV jcannulas.
C. jincorrect. jalteplase jin jindicated jfor jacute jischemic jstroke jor jacute jmassive
jpulmonary jembolism.
D. jcorrect. jreteplase jis jindicated jfor jAMI jwhen jfibrinolytics jare jindicated.
Which jof jthe jfollowing jis ja jcharacteristic jof jdiastolic jheart jfailure?
A. jinability jof jthe jheart jmuscle jto jrelax.
B. jdilation jof jthe jventricular jchambers.
C. jincreased jfilling jof jthe jleft jventricle.
D. jdecreased jability jof jthe jventricle jto jcontract. j- jANS✓✓-A. jcorrect. jwith
jdiastolic jheart jfailure jthe jleft jventricle jis junable jto jrelax, jleading jto jsigns jand
jsymptoms jof jheart jfailure, jbut jthe jpatient jmaintains ja jpreserved jEF jas jthe
jmuscle jretains jits jability jto jcontract.
B. jincorrect. jdilation jof jthe jventricular jchambers jis ja jcharacteristic jof jsystolic
jheart jfailure.
,C. jincorrect. jdiastolic jheart jfailure jis jan jabnormality jwith jheart jfilling. jthe jheart
jmuscle jdoes jnot jrelax jnormally, jand jthe jheart jmay jfill jtoo jslowly jor
jasynchronously. jif jthe jleft jventricle jdoes jnot jrelax jproperly jor jis jthick jand jstiff,
jit jdoes jnot jfill jin jthe jusual jmanner jand jblood jis jdrawn jback jinto jthe jleft jatrium
jand jeventually jinto jthe jlungs.
D. jincorrect. jdecreased jability jof jthe jventricle jto jcontract jis ja jsymptom jof
joverextension jof jthe jheart jmuscle jin jpatients jwith jcardiomyopathy.
Following ja jSTEMI, jthe jnurse jauscultates ja jlate jsystolic jmurmur jat jthe japex.
jThe jnurse jshould jsuspect jthe jfinding jis jr/t jthe jnew jonset jof ja:
A. jright jbundle jbranch jblock
B. jleft jbundle jbranch jblock
C. jpapillary jmuscle jrupture
D. jcalcific jplaque jrupture j- jANS✓✓-A. jincorrect. ja jRBBB jwould jcause jan
jelectrical jdelay jin jconduction jfor ja jwide jsplit jS2.
B. jincorrect. ja jLBBB jwould jcause jand jelectrical jdelay jin jventricular jconduction
jfor ja jparoxical jsplit jS2.
C. jcorrect. ja jpapillary jmuscle jchord jrupture jresults jfrom jischemia jto jthe jtissue
jsupplying jthe jmitral jvalve. ja jsystolic jmurmur jis jheard jdue jto jmitral
jregurgitation.
D. jincorrect. jplaque jrupture jwould jcause jan jocclusion jof jthe jcoronary jartery
jthat jwould jnot jdirectly jcause ja jnew jsystolic jmurmur.
The jnurse jis jreviewing jthe jplan jof jcare jfor ja jpatient jwith jsystolic jheart jfailure
jwho jhas jenalapril j(Vasotec), jfurosemide j(Lasix), jmetoprolol j(Lopressor), jand
jcarvedilol j(Coreg) jordered. jWhich jof jthe jfollowing jwill jprovide jthe jmost
jaccurate jassessment jof jthe jregimen?
A. jdaily jweights
B. jstrict jI&O
C. jBMP jevery jmorning
D. jserial jCXRYs j- jANS✓✓-A. jcorrect. jassessing jdaily jweights jis ja jnoninvasive
jand jeasy jmethod jto jassess jcompliance jwith jthe jeffectiveness jof ja jmedical
jregimen jin jpatients jwith jheart jfailure, jobserving jthe jpatient's jability jto jmaintain
ja jconsistent jweight jindicates jcompliance jas jwell jas jthe jeffectiveness jof jthe
jmedical jregimen.
B. jincorrect. jstrict jI&O jis jonly jone jcomponent jof ja jplan jof jcare jbut jdoes jnot
jassess jif ja jpatient jadheres jto jthe jmedical jregimen jor jif jthe jregimen jis
jeffective.
C. jincorrect. ja jdaily jBMP jwould jnot jhelp jassess jthe jeffectiveness jof jthe
jmedical jregimen jas jthe jmajority jof jthe jpanel jcomponents jare jnot jaffected jby
jthe jdrugs jlisted.
D. jincorrect. jserial jCXRYs jcould jreveal jworsening jheart jfailure, jbut jassessing
jdaily jweights jis jfar jeasier, jnoninvasive jand jcost-effective.
Which jof jthe jfollowing jpatient jsituations jmight jbe jbest jtreated jwith jthe jmaze
jprocedure?
, A. jrecurrent jventricular jtachycardia jrefractory jto jcardioversion
B. jrecurrent jatrial jfibrillation jrefractory jto jdrug jtherapy
C. jcardiomyopathy jwith jan jEF j<20%
D. jcoronary jartery jrestenosis jfollowing jPCI j- jANS✓✓-A. jincorrect. jrecurrent
jventricular jtachycardia jrefractory jto jcardioversion jwould jbe jbest jtreated jwith
jthe jinsertion jof jan jautomatic jimplantable jcardioverter jdefibrillator.
B. jcorrect. jin ja jmaze jprocedure, jnumerous jincisions jare jmade jon jthe jleft jand
jright jatrium jso jthat jscar jtissue jforms. jthis jscar jtissue jdoes jnot jconduct
jelectricity, jwhich jdisrupts jthe jpath jof jabnormal jelectrical jimpulses.
C. jincorrect. jcardiomyopathy jwith jan jEF j<20% jwould jbe jbest jtreated jwith jeither
jinotropic jor jmechanical jcirculatory jsupport.
D. jincorrect. jcoronary jartery jrestenosis jfollowing jPCI jwould jbe jbest jtreated
jwith jantiplatelet jtherapy.
A jpatient jdevelops jchest jpain, jnausea, jvomiting jand jdiaphoresis. jthe j12-lead
jEKG jis jnormal. ja jfurther jcardiac jassessment jis jwarranted, jas jit jis jcommon jfor
jST jsegment jelevation jto jbe jabsent jin:
A. jan janterior jwall jMI
B. ja jposterior jwall jMI
C. ja jlateral jwall jMI
D. jan jinferior jwall jMI j- jANS✓✓-A. jincorrect. jan janterior jwall jMI jwould jhave
jEKG jchanges jin jleads jV1-V4
B. jcorrect. jin jthe jstandard jlead jsetup, jthe jEKG jtypically jdoes jnot jlook jat jthe
jposterior jwall; jbecause jof jthe jlocation jof jthe jocclusion, jECG jchanges jwould
jnot jbe japparent.
C. jincorrect. ja jlateral jwall jMI jwould jpresent jchanges jin jleads jI, jaVL, jV5, jand
jV6.
D. jincorrect. jan jinferior jwall jMI jwould jpresent jchanges jin jleads jII, jIII, jaVF.
While jreviewing jthe j12-lead jEKG, jthe jnurse jnotes jnew jchanges jwith jST-
segment jelevation jin jleads j1, jaVL, jand jV2-V6, jplus jreciprocal jchanges jin jIII,
jaVF, jand jaVR. jThe jnurse jshould jrealize jthat jthe jarea jof jinfarct jinvolve jthe:
A. janterior jand jlateral jwalls
B. jposterior jand jinferior jwalls
C. jlateral jand jseptal jwalls
D. jseptal jand jposterior jwalls j- jANS✓✓-A. jcorrect. jthe jST jsegment jelevation
jand jreciprocal jchanges jare jindicative jof jocclusion jof jthe jleft janterior
jdescending jand jleft jcircumflex jarteries. jthese jwill jaffect jthe janterior jand jlateral
jwalls.
B. jincorrect. jan jinfarct jin jthe jposterior jand jinferior jwalls jwould jpresent jvia
jEKG jwith jchanges jin jthe jII, jIII, jand jaVF jleads.
C. jincorrect. jan jinfarct jin jthe jlateral jand jseptal jwalls jwould jpresent jvia jEKG
jchanges jin jleads jI, jaVL, jV5, jand jV6.
D. jincorrect. jan jinfarct jin jthe jseptal jand jposterior jwalls jwould jpresent jvia jEKG
jchanges jin jV1-V4.
