CMC Practice Test Questions – AACN Questions With
Complete Solutions
A patient develops chest pain, nausea, vomiting and diaphoresis.
A 12-lead ECG is normal. A further cardiac assessment is
warranted, as it is common for ST segment elevation to be
absent in Correct Answers Posterior wall MI
A patient is admitted following a STEMI treated with
fibrinolytic therapy. Within 12 hours of treatment, the nurse
notes a new loud systolic murmur and symptoms of heart
failure. Development of which disorder should the nurse
suspect? Correct Answers Ventricular septal wall rupture
A patient is admitted with elevated troponin levels and ST
segment elevation in leads II, III, and aVF. Administration of
which medication should the nurse anticipate INITIALLY?
Correct Answers Reteplase (Retavase)
A patient is being discharged on aspirin therapy following
recovery from an AMI. Which comorbidity puts the patient at
GREATEST RISK for developing a bleeding complication?
Correct Answers Chronic Kidney Failure
A patient is successfully extubated after surgical placement of a
pacemaker. Three hours later, the patient is tachypneic and
dyspneic. The nurse auscultates crackles in the posterior lobes
that are MOST LIKELY the result of Correct Answers
Pulmonary Edema
, A patient is to undergo PCI. In a previous admission the patient
received heparin. The patient intially had a PLT count of
250,000/mm3; the PLT count was 115,000/mm3 a few days
later. Which medication should the nurse anticipate
administering for the current procedure? Correct Answers
Bivalirudin (Angiomax)
A patient remains on a ventilator 24 hours after experiencing a
sudden cardiac arrest. ABGs reveal
pH 7.30
paCO2 50 mmHg
paO2 64 mmHg
SpO2 93%
HCO3 25
The patient is experiencing Correct Answers Respiratory
Acidosis
A patient with a history of vasculitis and cocaine abuse is
admitted with altered mental status. CT reveals intracerebral
hemorrhagic stroke .Which action should the nurse anticipate?
Correct Answers Avoidance of hypotonic IV fluids
A patient with mitral valve stenosis is on dobutamine at 7.5
mcg/kg/min and epinephrine at 5 mcg/min and is AAI paced at a
rate of 90 beats per minute with a temporary pacemaker. The
patient suddenly develops atrial fibrillation. What should the
nurse do FIRST? Correct Answers Turn off the pacemaker to
assess the patient's intrinsic rhythm
Complete Solutions
A patient develops chest pain, nausea, vomiting and diaphoresis.
A 12-lead ECG is normal. A further cardiac assessment is
warranted, as it is common for ST segment elevation to be
absent in Correct Answers Posterior wall MI
A patient is admitted following a STEMI treated with
fibrinolytic therapy. Within 12 hours of treatment, the nurse
notes a new loud systolic murmur and symptoms of heart
failure. Development of which disorder should the nurse
suspect? Correct Answers Ventricular septal wall rupture
A patient is admitted with elevated troponin levels and ST
segment elevation in leads II, III, and aVF. Administration of
which medication should the nurse anticipate INITIALLY?
Correct Answers Reteplase (Retavase)
A patient is being discharged on aspirin therapy following
recovery from an AMI. Which comorbidity puts the patient at
GREATEST RISK for developing a bleeding complication?
Correct Answers Chronic Kidney Failure
A patient is successfully extubated after surgical placement of a
pacemaker. Three hours later, the patient is tachypneic and
dyspneic. The nurse auscultates crackles in the posterior lobes
that are MOST LIKELY the result of Correct Answers
Pulmonary Edema
, A patient is to undergo PCI. In a previous admission the patient
received heparin. The patient intially had a PLT count of
250,000/mm3; the PLT count was 115,000/mm3 a few days
later. Which medication should the nurse anticipate
administering for the current procedure? Correct Answers
Bivalirudin (Angiomax)
A patient remains on a ventilator 24 hours after experiencing a
sudden cardiac arrest. ABGs reveal
pH 7.30
paCO2 50 mmHg
paO2 64 mmHg
SpO2 93%
HCO3 25
The patient is experiencing Correct Answers Respiratory
Acidosis
A patient with a history of vasculitis and cocaine abuse is
admitted with altered mental status. CT reveals intracerebral
hemorrhagic stroke .Which action should the nurse anticipate?
Correct Answers Avoidance of hypotonic IV fluids
A patient with mitral valve stenosis is on dobutamine at 7.5
mcg/kg/min and epinephrine at 5 mcg/min and is AAI paced at a
rate of 90 beats per minute with a temporary pacemaker. The
patient suddenly develops atrial fibrillation. What should the
nurse do FIRST? Correct Answers Turn off the pacemaker to
assess the patient's intrinsic rhythm
