AACN PCCN Review: Acute Coronary Syndrome Questions and Answers 2025

AACN PCCN Review: Acute Coronary
Syndrome Questions and Answers 2025
AcuteACoronaryASyndromeAIncludesA-ACORRECTAANSWERS-MI
UnstableAAngina
AnginaA-ACORRECTAANSWERS-MyocardialAAnoxiaA-
AdecreasedA02AthroughAcoronaryAarteries

ExertionalAAnginaA-ACORRECTAANSWERS-FourA"E's"
Exercise
EmotionalAStates
AfterAEating
ExtremeATemperature

HigherAratesAofAMIAduringAthanksgivingAnight,AandAfirstAdayAofAsnow,Aetc.
Prinzmetal'sAAnginaAorAVariantAAnginaA-ACORRECTAANSWERS-
PainAthatAoccursApossiblyAfromACoronaryAVasospasmAduringARest.
StableAAnginaA-ACORRECTAANSWERS-PainAthatAisArelievedAwithARestAorANitro
UnstableAAnginaA-ACORRECTAANSWERS-
a.AHasAaArecentAonsetA(withinA2Amonths)AandAseverelyAlimitsAactivity
b.ANewlyAoccursAatArest
c.ADiffersAinAcharactersAorAsymptomsAfromAtheAperson'sA'typicalAexertionalAangina'A(itAoccu
rs
withAlessAexertion,AhasAaAgreaterAintensityAorAlongerAduration,ArequiresAmoreAinterventions
AbeforeAobtainingArelief)

NonAIschemicACardiacACausesAofAChestAPain:A-ACORRECTAANSWERS-
a.AAcuteAPericarditis
b.ACardiacATamponade
c.AAcuteAMyocarditis
d.AAorticAStenosis
e.AMyocardialAContusion
f.AMitralAValveAProlapse
g.ACardiomyopathies
NonAIschemicANonACardiacACausesAofAChestAPainA-ACORRECTAANSWERS-
a.APanicAAttack/Anxiety
b.AIllicitADrugAUse
c.AGastrointestinalADisorders
d.ASpontaneousAPneumothorax
e.APulmonaryAEmbolism
f.APulmonaryAHypertension
g.AEsophagealARupture
h.ACostochondritis
i.AHypovolemia
UnstableAAnginaAPathophysiologyA-ACORRECTAANSWERS-PartiallyAoccludingAthrombus

, IfAitsAunstable:AWeAneedAtoAassessAwhereAtheyAareAonAtheAtimetable:
Ischemia-->InjuryA-->Infarction
Anti-plateletATherapiesA-ACORRECTAANSWERS-Aspirin
P2YAPlateletAInhibitors:APlavix,ATicagrilor,AEffient
GlycoproteinAIIbAInhibitors
UnstableAAnginaAAssessmentA-ACORRECTAANSWERS-
a.AAssessmentAofAAngina:APQRSTAAssessmentAP:APain,APlacement,AProvocation
Q:AQuality,AQuantity
R:ARadiation,ARelief
S:ASeverity,ASystemsA(nausea,Asweaty,Adizziness)
T:ATimingA(whenAitAstarted,AhowAlongAdidAitAlast)
b.AMedicalAHistory
c.AMedications:APrescription,AOverAtheACounter,ADietaryASupplements
d.ASocialAHistory
e.AFamilyAHistory
f.AMajorARiskAFactorsAofAAtherosclerosis
EKGAAssessmentA-ACORRECTAANSWERS-a.AIschemia:ASTASegmentADepression
b.AInjury:ASTASegmentAElevation
c.AInfarction:AQAwaves
d.ABrugadaASyndrome:ARareAgeneticAcardiacArhythmAdisease.AIntermittentASTAsegmentAel
evationAin
V1-
V3A(Brugada'sAsign).AMayAleadAtoAsyncope,AandAevenAsuddenAcardiacAdeath.AMoreAcomm
onAtoApresentAduringAsleep.AMoreAcommonAinAmales.ATxAisAAICD
RepolarizationAofAVentricleA-ACORRECTAANSWERS-EndAofAQRSAtoATAWave
ThreeAQuestionsAtoAaskAonAanAEKGAtoAlookAforAIschemia,AInjury,AorAInfarctionA-
ACORRECTAANSWERS-ToAevaluateAIschemicAInjuryAandAInfarction;




1)AWhereAisAJAPointA(betweenAQRSAandASTASegment):AIsAthisAaboveAorAbelowAisometricAli
ne.AIfAitAisAitsAabnormal
2)ALookAatAeachAlead:AwhichAdirectionAdoesAtheATAwaveAgo.ATAwaveAshouldAbeAinAsameAdir
ectionAofAQRSAinAnormalAsituation
3)AInAthisAbeat,AisAthereAaAQ,AandAisAitAmoreAthanAaAboxAdownAorAmoreAthanAaAboxAwide?

IFAyouAcheckAallAthree,AyouAwillAneverAmissAinjuryAischemiaAorAinfarction

RememberAyouAcanAhaveAaAnon-stemsAMIAwhereAyouAwon'tAseeAtheseAsignsAonAtheAEKG
AnteriorAWallAMIA-ACORRECTAANSWERS-V1-V4A
Anterior:ALAD

Complications:
CardiogenicAShock
BundleABranchABlocks
VentADysrhythmias
InferiorAWallAMIA-ACORRECTAANSWERS-LeadsAII,AIII,AAVF