Association of Critical-Care Nurses AACN
EXAM COVERAGE - CMC AACN Cardiovascular Medicine
Certification
The CMC AACN Cardiovascular Medicine Certification evaluates
advanced knowledge and clinical expertise in cardiovascular care
for critically ill patients. Key topics include hemodynamic
monitoring, cardiovascular pathophysiology, and acute and chronic
heart disease management. The exam assesses proficiency in
interpreting diagnostic tests, managing arrhythmias, administering
vasoactive medications, and providing care for patients with heart
failure, myocardial infarction, and post-cardiac surgery conditions.
,Additional areas include mechanical circulatory support,
electrophysiology, coronary interventions, and evidence-based
practice in cardiovascular critical care. Candidates are tested on
applying best practices, ensuring patient safety, coordinating
interdisciplinary care, and adhering to AACN standards and national
guidelines for cardiovascular medicine in critical care settings.
,An IABP is currently at 3:1 when the patient suddenly goes into
ventricular fibrillation. In addition to resuscitative measures, the
nurse should:
A. change the trigger to internal or pressure support resuscitative
measures.
B. increase timing back to 1:1 to increase coronary artery perfusion
pressure.
C. put the pump on standby until the return of spontaneous
circulation.
D. assess the IABP timing to chest compressions at 1:2.
A. correct. the IABP will not be able to time correctly when a patient
is in V-Fib. by placing the system to trigger on internal or pressure
support, it will generate off the pressure created during
compressions.
, B. incorrect. attempting to time the IABP back to 1:1 will be
counterproductive, as it will not be able to trigger correctly.
C. incorrect. there is significant risk of clot forming on the IABP
when placed in stand for an indeterminate amount of time.
D. incorrect. the primary goal during resuscitative measures is to
attempt to circulate blood volume as effectively as possible.
assessing the timing of the IABP is unnecessary.