©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
AACN PCCN Review: Acute Coronary
Syndrome Exam Questions with 100%
Correct Answers
Acute Coronary Syndrome Includes - ✔✔MI
Unstable Angina
Angina - ✔✔Myocardial Anoxia - decreased 02 through coronary arteries
Exertional Angina - ✔✔Four "E's"
Exercise
Emotional States
After Eating
Extreme Temperature
Higher rates of MI during thanksgiving night, and first day of snow, etc.
Prinzmetal's Angina or Variant Angina - ✔✔Pain that occurs possibly from
Coronary Vasospasm during Rest.
Stable Angina - ✔✔Pain that is relieved with Rest or Nitro
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Unstable Angina - ✔✔a. Has a recent onset (within 2 months) and severely
limits activity
b. Newly occurs at rest
c. Differs in characters or symptoms from the person's 'typical exertional
angina' (it occurs
with less exertion, has a greater intensity or longer duration, requires more
interventions before obtaining relief)
Non Ischemic Cardiac Causes of Chest Pain: - ✔✔a. Acute Pericarditis
b. Cardiac Tamponade
c. Acute Myocarditis
d. Aortic Stenosis
e. Myocardial Contusion
f. Mitral Valve Prolapse
g. Cardiomyopathies
Non Ischemic Non Cardiac Causes of Chest Pain - ✔✔a. Panic
Attack/Anxiety
b. Illicit Drug Use
c. Gastrointestinal Disorders
d. Spontaneous Pneumothorax
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
e. Pulmonary Embolism
f. Pulmonary Hypertension
g. Esophageal Rupture
h. Costochondritis
i. Hypovolemia
Unstable Angina Pathophysiology - ✔✔Partially occluding thrombus
If its unstable: We need to assess where they are on the timetable:
Ischemia-->Injury -->Infarction
Anti-platelet Therapies - ✔✔Aspirin
P2Y Platelet Inhibitors: Plavix, Ticagrilor, Effient
Glycoprotein IIb Inhibitors
Unstable Angina Assessment - ✔✔a. Assessment of Angina: PQRST
Assessment P: Pain, Placement, Provocation
Q: Quality, Quantity
R: Radiation, Relief
S: Severity, Systems (nausea, sweaty, dizziness)
T: Timing (when it started, how long did it last)
b. Medical History
AACN PCCN Review: Acute Coronary
Syndrome Exam Questions with 100%
Correct Answers
Acute Coronary Syndrome Includes - ✔✔MI
Unstable Angina
Angina - ✔✔Myocardial Anoxia - decreased 02 through coronary arteries
Exertional Angina - ✔✔Four "E's"
Exercise
Emotional States
After Eating
Extreme Temperature
Higher rates of MI during thanksgiving night, and first day of snow, etc.
Prinzmetal's Angina or Variant Angina - ✔✔Pain that occurs possibly from
Coronary Vasospasm during Rest.
Stable Angina - ✔✔Pain that is relieved with Rest or Nitro
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
Unstable Angina - ✔✔a. Has a recent onset (within 2 months) and severely
limits activity
b. Newly occurs at rest
c. Differs in characters or symptoms from the person's 'typical exertional
angina' (it occurs
with less exertion, has a greater intensity or longer duration, requires more
interventions before obtaining relief)
Non Ischemic Cardiac Causes of Chest Pain: - ✔✔a. Acute Pericarditis
b. Cardiac Tamponade
c. Acute Myocarditis
d. Aortic Stenosis
e. Myocardial Contusion
f. Mitral Valve Prolapse
g. Cardiomyopathies
Non Ischemic Non Cardiac Causes of Chest Pain - ✔✔a. Panic
Attack/Anxiety
b. Illicit Drug Use
c. Gastrointestinal Disorders
d. Spontaneous Pneumothorax
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
e. Pulmonary Embolism
f. Pulmonary Hypertension
g. Esophageal Rupture
h. Costochondritis
i. Hypovolemia
Unstable Angina Pathophysiology - ✔✔Partially occluding thrombus
If its unstable: We need to assess where they are on the timetable:
Ischemia-->Injury -->Infarction
Anti-platelet Therapies - ✔✔Aspirin
P2Y Platelet Inhibitors: Plavix, Ticagrilor, Effient
Glycoprotein IIb Inhibitors
Unstable Angina Assessment - ✔✔a. Assessment of Angina: PQRST
Assessment P: Pain, Placement, Provocation
Q: Quality, Quantity
R: Radiation, Relief
S: Severity, Systems (nausea, sweaty, dizziness)
T: Timing (when it started, how long did it last)
b. Medical History
