ACCN CSC Exam Version 1 Final Exam Preparation
Newest 2026-2027 With Complete 100 Questions And
Correct Detailed Answers| Brand New Version!
A patient is readmitted two weeks following an LVAD placement, with a
history of
gastroesophageal reflux disease (GERD) and non-ischemic
cardiomyopathy. The patient is anxious, short of breath, has a
productive cough with bi-lateral lower extremity pitting edema. A stat
chest x-ray shows a right-sided infiltrate. Data are:
BP 101/70
HR 105
RR 28
T 101 degrees F (38.3 degrees C)
Sp02 91% on 5L via nasal cannula
The patient is MOST LIKELY experiencing
A) aspiration pneumonia.
B) pulmonary edema.
C) pleural effusion.
1|Page
,D) atelectasis.
A) Aspiration Pneumonia. Aspiration pneumonia is most common in
patients older than 65 with a history of GERD. Signs and symptoms
include fever, pulmonary infiltrates on x-ray, increasing oxygen
requirements. Atelectasis results in decreased gas exchange,
hypoxemia, increased risk of infection. Pleural effusions are
postoperative fluids collections, typically left-sided. Pulmonary edema
results from excess fluid in the lungs often from cardiopulmonary
bypass.
A patient with a history of smoking and atrial fibrillation is recovering
from a mitral valve replacement. The nurse notes a slight left-sided
facial droop and mild left-sided weakness. The nurse's INITIAL priority
after calling a stroke alert is to
A) consult speech therapist to evaluate swallowing.
B) maintain airway suction equipment and keep SpO2 greater than 94%.
C) perform an NIH stroke scale.
D) consult physical therapy to evaluate the left-sided weakness.
...
2|Page
,A patient undergoing CABG surgery received succinylcholine, halothane
and fentanyl during anesthesia. The patient appears rigid, mottled, and
presents with the following data:
BP 150/90
HR 124
RR 26
T 104 degrees F (40 degrees C)
SpO2 92%
EtCO2 55 mm Hg
The nurse SHOULD expect the provider to order which medication?
A) acetaminophen (Ofirmev)1000mg IV
B) dantrolene sodium (Dantrium) 1mg/kg IV
C) cefazolin (Ancef) 1500mg IV
D) metoprolol (Lopressor) 5mg IV
B) Dantrolene.
The patient presents with signs and symptoms of malignant
hyperthermia. Dantrolene is the specific treatment for muscle rigidity
for malignant hyperthermia and reduces the mortality rate from 70% or
higher to 10% or less. The dose for this patient is Dantrolene 1-2mg/kg
IV bolus, repeat every 15min for a total of 10mg/kg.
3|Page
, Four hours following an emergent CABG, the patient has a new sharp
retrosternal pain that worsens on inspiration. The nurse notes
tachycardia, dyspnea, tachypnea, decreased CO and increased PAOP.
The 12-lead ECG shows changes to inferior and apical leads. A
pericardiocentesis is pending provider arrival at the bedside. While
preparing the patient for the procedure the nurse should be MOST
CONCERNED by
A) a decreased level of consciousness.
B) an increased CVP.
C) muffled heart sounds.
D) a drop in blood pressure on inspiration.
A) a decreased level of consciousness. This patient has identified cardiac
tamponade, for which they will be receiving corrective care shortly.
Muffled heart sounds, pulsus paradoxus, and increased CVP are all
expected findings. The change in consciousness is the most concerning
symptom in this patient it may indicate decreased cerebral perfusion or
oxygenation.
A patient arrives to the unit following CABG. One hour later, the nurse
notes the patient has rapidly warmed and is experiencing muscular
rigidity, tachycardia, tachypnea, and cyanosis. Data are:
pH 7.08
PaCO2 67 mm Hg
4|Page
Newest 2026-2027 With Complete 100 Questions And
Correct Detailed Answers| Brand New Version!
A patient is readmitted two weeks following an LVAD placement, with a
history of
gastroesophageal reflux disease (GERD) and non-ischemic
cardiomyopathy. The patient is anxious, short of breath, has a
productive cough with bi-lateral lower extremity pitting edema. A stat
chest x-ray shows a right-sided infiltrate. Data are:
BP 101/70
HR 105
RR 28
T 101 degrees F (38.3 degrees C)
Sp02 91% on 5L via nasal cannula
The patient is MOST LIKELY experiencing
A) aspiration pneumonia.
B) pulmonary edema.
C) pleural effusion.
1|Page
,D) atelectasis.
A) Aspiration Pneumonia. Aspiration pneumonia is most common in
patients older than 65 with a history of GERD. Signs and symptoms
include fever, pulmonary infiltrates on x-ray, increasing oxygen
requirements. Atelectasis results in decreased gas exchange,
hypoxemia, increased risk of infection. Pleural effusions are
postoperative fluids collections, typically left-sided. Pulmonary edema
results from excess fluid in the lungs often from cardiopulmonary
bypass.
A patient with a history of smoking and atrial fibrillation is recovering
from a mitral valve replacement. The nurse notes a slight left-sided
facial droop and mild left-sided weakness. The nurse's INITIAL priority
after calling a stroke alert is to
A) consult speech therapist to evaluate swallowing.
B) maintain airway suction equipment and keep SpO2 greater than 94%.
C) perform an NIH stroke scale.
D) consult physical therapy to evaluate the left-sided weakness.
...
2|Page
,A patient undergoing CABG surgery received succinylcholine, halothane
and fentanyl during anesthesia. The patient appears rigid, mottled, and
presents with the following data:
BP 150/90
HR 124
RR 26
T 104 degrees F (40 degrees C)
SpO2 92%
EtCO2 55 mm Hg
The nurse SHOULD expect the provider to order which medication?
A) acetaminophen (Ofirmev)1000mg IV
B) dantrolene sodium (Dantrium) 1mg/kg IV
C) cefazolin (Ancef) 1500mg IV
D) metoprolol (Lopressor) 5mg IV
B) Dantrolene.
The patient presents with signs and symptoms of malignant
hyperthermia. Dantrolene is the specific treatment for muscle rigidity
for malignant hyperthermia and reduces the mortality rate from 70% or
higher to 10% or less. The dose for this patient is Dantrolene 1-2mg/kg
IV bolus, repeat every 15min for a total of 10mg/kg.
3|Page
, Four hours following an emergent CABG, the patient has a new sharp
retrosternal pain that worsens on inspiration. The nurse notes
tachycardia, dyspnea, tachypnea, decreased CO and increased PAOP.
The 12-lead ECG shows changes to inferior and apical leads. A
pericardiocentesis is pending provider arrival at the bedside. While
preparing the patient for the procedure the nurse should be MOST
CONCERNED by
A) a decreased level of consciousness.
B) an increased CVP.
C) muffled heart sounds.
D) a drop in blood pressure on inspiration.
A) a decreased level of consciousness. This patient has identified cardiac
tamponade, for which they will be receiving corrective care shortly.
Muffled heart sounds, pulsus paradoxus, and increased CVP are all
expected findings. The change in consciousness is the most concerning
symptom in this patient it may indicate decreased cerebral perfusion or
oxygenation.
A patient arrives to the unit following CABG. One hour later, the nurse
notes the patient has rapidly warmed and is experiencing muscular
rigidity, tachycardia, tachypnea, and cyanosis. Data are:
pH 7.08
PaCO2 67 mm Hg
4|Page
