1|Page
ACCN CSC EXAM VERSION 1 FINAL EXAM LATEST 2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
Which hemodynamic profile is indicative of right heart failure?
A) CVP 20 mm Hg, PAOP 17 mm Hg, Cl 2.6 L/min/m2
B) CVP 4 mm Hg, PAOP 18 mm Hg, CI 2.3 L/min/m2
C) CVP 19 mm Hg, PAOP 10 mm Hg, Cl 2.1 L/min/m2
D) CVP 10 mm Hg, PAOP 12 mm Hg, CI 1.6 L/min/m2 -
ANSWER-C) CVP 19 mm Hg, PAOP 10 mm Hg, Cl 2.1 L/min/m2
RHF is characterized by elevated CVP, low CO & CI, and a
decreased or normal PAOP. Interventions should focus on
optimizing preload.
Heart block is MOST LIKELY to occur after which of the following
procedures?
A) bypass of the circumflex coronary artery
B) aortic valve replacement
C) the maze procedure
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D) thoracic aneurysm repair - ANSWER-B) AVR
Heart block is a known complication of aortic valve
replacement due to anatomical position and potential trauma
to the conduction system. Unless the aortic valve is replaced
with a thoracic aneurysm repair, it is not associated with
heart block. The circumflex artery supplies the posterior wall
of the left atrium
and left ventricle and is rarely associated with heart block
while the MAZE procedure is performed to interrupt electrical
pathways that cause atrial fibrillation.
A patient is admitted to the unit following aortic valve replacement
for severe aortic stenosis. Data are:
Heart rhythm: atrioventricular paced (DDD)
BP 87/62
HR 80
CVP 5
PAP 20/9
CI 1.8 L/min/m2
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SVR 1705 dynes/seconds/cm-5
Which of the following intervention is MOST LIKELY to increase
cardiac index?
A) administer albumin (Albuminar) 5% 250 ml
B) increase pacemaker rate to 90 BPM
C) initiate dobutamine (Dobutrex) 3 mcg/kg/min
D) initiate vasopressin (Pitressin) 0.04 u/min - ANSWER-A)
administer albumin (Albuminar) 5% 250 ml. The patient
appears "dry" based on low filling pressures. Post aortic
valve replacement, it is important to keep the ventricle "slow
and full," because of the hypertrophic remodeling associated
with diastolic dysfunction that commonly occurs with aortic
stenosis.
Twelve hours following post-CABG, the patient is on
norepinephrine (Levophed) and vasopressin (Pitressin) IV
infusions. The nurse notes that the patient's serum blood glucose
has been trending upward. The most recent serum blood glucose
value was 192 mg/dL. Which of the following are the MOST
LIKELY causes for the patient's postoperative hyperglycemia?
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A) intravenous corticosteroids given during cardiopulmonary
bypass are causing postoperative hyperglycemia.
B) intravenous 5% dextrose in water solution in which the
norepinephrine drip is constituted is causing postoperative
hyperglycemia
C) midsternal infection and sepsis are causing the patient's
postoperative hyperglycemia.
D) insulin resistance from cardiopulmonary bypass and
hypothermia is causing postoperative hyperglycemia - ANSWER-
D) insulin resistance from cardiopulmonary bypass and
hypothermia is causing postoperative hyperglycemia.
Glucose control is a primary concern for postoperative
cardiac surgery patients since insulin resistance may result
from cardiopulmonary bypass and hypothermia. Although
norepinephrine can exacerbate hyperglycemia, it is not likely
to be the primary cause of the patient's hyperglycemia. There
is no significant literature to support the administration of
perioperative corticosteroids. The patient is 12 hours post-
surgery therefore midsternal infection and sepsis are not the
most likely causes of hyperglycemia.
ACCN CSC EXAM VERSION 1 FINAL EXAM LATEST 2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
Which hemodynamic profile is indicative of right heart failure?
A) CVP 20 mm Hg, PAOP 17 mm Hg, Cl 2.6 L/min/m2
B) CVP 4 mm Hg, PAOP 18 mm Hg, CI 2.3 L/min/m2
C) CVP 19 mm Hg, PAOP 10 mm Hg, Cl 2.1 L/min/m2
D) CVP 10 mm Hg, PAOP 12 mm Hg, CI 1.6 L/min/m2 -
ANSWER-C) CVP 19 mm Hg, PAOP 10 mm Hg, Cl 2.1 L/min/m2
RHF is characterized by elevated CVP, low CO & CI, and a
decreased or normal PAOP. Interventions should focus on
optimizing preload.
Heart block is MOST LIKELY to occur after which of the following
procedures?
A) bypass of the circumflex coronary artery
B) aortic valve replacement
C) the maze procedure
,2|Page
D) thoracic aneurysm repair - ANSWER-B) AVR
Heart block is a known complication of aortic valve
replacement due to anatomical position and potential trauma
to the conduction system. Unless the aortic valve is replaced
with a thoracic aneurysm repair, it is not associated with
heart block. The circumflex artery supplies the posterior wall
of the left atrium
and left ventricle and is rarely associated with heart block
while the MAZE procedure is performed to interrupt electrical
pathways that cause atrial fibrillation.
A patient is admitted to the unit following aortic valve replacement
for severe aortic stenosis. Data are:
Heart rhythm: atrioventricular paced (DDD)
BP 87/62
HR 80
CVP 5
PAP 20/9
CI 1.8 L/min/m2
,3|Page
SVR 1705 dynes/seconds/cm-5
Which of the following intervention is MOST LIKELY to increase
cardiac index?
A) administer albumin (Albuminar) 5% 250 ml
B) increase pacemaker rate to 90 BPM
C) initiate dobutamine (Dobutrex) 3 mcg/kg/min
D) initiate vasopressin (Pitressin) 0.04 u/min - ANSWER-A)
administer albumin (Albuminar) 5% 250 ml. The patient
appears "dry" based on low filling pressures. Post aortic
valve replacement, it is important to keep the ventricle "slow
and full," because of the hypertrophic remodeling associated
with diastolic dysfunction that commonly occurs with aortic
stenosis.
Twelve hours following post-CABG, the patient is on
norepinephrine (Levophed) and vasopressin (Pitressin) IV
infusions. The nurse notes that the patient's serum blood glucose
has been trending upward. The most recent serum blood glucose
value was 192 mg/dL. Which of the following are the MOST
LIKELY causes for the patient's postoperative hyperglycemia?
, 4|Page
A) intravenous corticosteroids given during cardiopulmonary
bypass are causing postoperative hyperglycemia.
B) intravenous 5% dextrose in water solution in which the
norepinephrine drip is constituted is causing postoperative
hyperglycemia
C) midsternal infection and sepsis are causing the patient's
postoperative hyperglycemia.
D) insulin resistance from cardiopulmonary bypass and
hypothermia is causing postoperative hyperglycemia - ANSWER-
D) insulin resistance from cardiopulmonary bypass and
hypothermia is causing postoperative hyperglycemia.
Glucose control is a primary concern for postoperative
cardiac surgery patients since insulin resistance may result
from cardiopulmonary bypass and hypothermia. Although
norepinephrine can exacerbate hyperglycemia, it is not likely
to be the primary cause of the patient's hyperglycemia. There
is no significant literature to support the administration of
perioperative corticosteroids. The patient is 12 hours post-
surgery therefore midsternal infection and sepsis are not the
most likely causes of hyperglycemia.
