CCRN cardiac UPDATED ACTUAL Exam
Questions and CORRECT Answers
PAOP - CORRECT ANSWER - 8-12
Pulmonary artery systolic - CORRECT ANSWER - 20-30 mmHg
Pulmonary artery diastolic - CORRECT ANSWER - 5-15 mm Hg
Right atrial pressure - CORRECT ANSWER - 2-6 mmHg
PAWP (pulmonary artery wedge pressure) - CORRECT ANSWER - o Volume/preload in
LEFT side of heart.
o Also known as Left Ventricular End Diastolic Pressure (LVEDP)
o Normal PAWP = 6-12 mm Hg
High PAWP (>12) - left heart failure
Low PAWP (<6) - hypovolemia/dehydration
o Measured by momentarily inflating distal balloon to allow the catheter to wedge
Aortic stenosis happens during - CORRECT ANSWER - Systole
Pulmonary stenosis - CORRECT ANSWER - Happens during systole
mitral valve stenosis - CORRECT ANSWER - Happens during diastole
mitral regurgitation - CORRECT ANSWER - Happens during systole when mitral valve is
closed
,aortic regurgitation - CORRECT ANSWER - flow of blood backward from the aorta into
the heart; caused by a weak heart valve
Happens during systole
Papillary muscle rupture - CORRECT ANSWER - -A potential complication of an MI
during days 3-14 post MI.
Best heard at apex
Ventricular defect - CORRECT ANSWER - Best heard at sternal border 5th ICS
unstable angina - CORRECT ANSWER - chest pain that occurs while a person is at rest
and not exerting himself
Relieved by nitro
Negative troponin
ST depression or T wave inversion
NSTEMI - CORRECT ANSWER - Positive troponin
ST depression
T wave inversion
Unrelenting chest pain
STEMI - CORRECT ANSWER - ST elevation MI, real-time ongoing death of heart tissue
due to ischemia
Positive troponin
ST elevation in 2 or more contiguous leads
Unrelenting chest pain
, Variant or Prinzmetal's Angina - CORRECT ANSWER - Chest pn due to spasm of the
coronary arteries, may occur in non atherosclerotic arteries, may be caused by endothelial
dysfunction, may induce cardiac muscle damage
ST elevation
Occurs at rest
Troponin negative
Caused by nicotine, ETOH, or cocaine
Negative troponin
NTG relieves pain, ST returns to normal
What to give during an Acute Coronary syndrome - CORRECT ANSWER - Aspirin
Anticoagulant
Beta blocker - unless ACS caused by cocaine
NTG
Morphine
Right Coronary Artery (RCA), inferior Left Ventricle ECG changes - CORRECT
ANSWER - Lead II, III, aVf
Left anterior descending artery (LAD) and anterior left ventricle ECG changes - CORRECT
ANSWER - V1, V2, V3, V4
circumflex artery and lateral left ventricle ECG changes - CORRECT ANSWER - V5, V6,
I, aVL
Low Lateral Wall MI - CORRECT ANSWER - V5, V6
Questions and CORRECT Answers
PAOP - CORRECT ANSWER - 8-12
Pulmonary artery systolic - CORRECT ANSWER - 20-30 mmHg
Pulmonary artery diastolic - CORRECT ANSWER - 5-15 mm Hg
Right atrial pressure - CORRECT ANSWER - 2-6 mmHg
PAWP (pulmonary artery wedge pressure) - CORRECT ANSWER - o Volume/preload in
LEFT side of heart.
o Also known as Left Ventricular End Diastolic Pressure (LVEDP)
o Normal PAWP = 6-12 mm Hg
High PAWP (>12) - left heart failure
Low PAWP (<6) - hypovolemia/dehydration
o Measured by momentarily inflating distal balloon to allow the catheter to wedge
Aortic stenosis happens during - CORRECT ANSWER - Systole
Pulmonary stenosis - CORRECT ANSWER - Happens during systole
mitral valve stenosis - CORRECT ANSWER - Happens during diastole
mitral regurgitation - CORRECT ANSWER - Happens during systole when mitral valve is
closed
,aortic regurgitation - CORRECT ANSWER - flow of blood backward from the aorta into
the heart; caused by a weak heart valve
Happens during systole
Papillary muscle rupture - CORRECT ANSWER - -A potential complication of an MI
during days 3-14 post MI.
Best heard at apex
Ventricular defect - CORRECT ANSWER - Best heard at sternal border 5th ICS
unstable angina - CORRECT ANSWER - chest pain that occurs while a person is at rest
and not exerting himself
Relieved by nitro
Negative troponin
ST depression or T wave inversion
NSTEMI - CORRECT ANSWER - Positive troponin
ST depression
T wave inversion
Unrelenting chest pain
STEMI - CORRECT ANSWER - ST elevation MI, real-time ongoing death of heart tissue
due to ischemia
Positive troponin
ST elevation in 2 or more contiguous leads
Unrelenting chest pain
, Variant or Prinzmetal's Angina - CORRECT ANSWER - Chest pn due to spasm of the
coronary arteries, may occur in non atherosclerotic arteries, may be caused by endothelial
dysfunction, may induce cardiac muscle damage
ST elevation
Occurs at rest
Troponin negative
Caused by nicotine, ETOH, or cocaine
Negative troponin
NTG relieves pain, ST returns to normal
What to give during an Acute Coronary syndrome - CORRECT ANSWER - Aspirin
Anticoagulant
Beta blocker - unless ACS caused by cocaine
NTG
Morphine
Right Coronary Artery (RCA), inferior Left Ventricle ECG changes - CORRECT
ANSWER - Lead II, III, aVf
Left anterior descending artery (LAD) and anterior left ventricle ECG changes - CORRECT
ANSWER - V1, V2, V3, V4
circumflex artery and lateral left ventricle ECG changes - CORRECT ANSWER - V5, V6,
I, aVL
Low Lateral Wall MI - CORRECT ANSWER - V5, V6
