Page 1 of 234
AACN PCCN (Progressive Care Certified Nurse)-
CARDIAC ACTUAL EXAM ALL 500 Questions and
Verified Solutions Latest Update This Year
AACN PCCN (Progressive Care Certified Nurse)-CARDIAC
Q; A 67 year old male is admitted with chest pain after collapsing at home. He is arguing with
his wife that he should not be admitted because he "just over did it" while working in the
world. Lee's wife states to you that his chest pain is more frequent, severe and prolonged
than before. You should anticipate what diagnosis?
• Exertional angina
• Unstable angina
• Variant angina
• Stable angina
UNSTABLE ANGINA
The change in quality, frequency, and duration indicates UNSTABLE ANGINA and may indicate
that the pt is at increased risk for an MI. This pt should be closely monitored for EKG changes
and rhythm disturbances. Pt/ family teaching should begin on how to identify an MI and basic
CPR.
, Page 2 of 234
Stroke Volume is comprised of which of the following factors?
• Blood volume, viscosity, impedance
• Cardiac output, HR, compliance
• Contractility, preload, afterload
• Compliance, impedance, HR
Contractility, preload and afterload
A reflex tachycardia caused by the stretch of the right atrial receptors is known as the ____
• Herring-Sines law
• Renin-angiotensin system
• Starling's law
• Bainbridge reflex
BAINBRIDGE REFLEX
It is believed that this reflex exists to speed up the HR if the right side becomes overloaded,
thereby helping equalize pressures on both sides
Diastole comprises what & of the cardiac cycle?
•½
• 2/3
•¼
• 1/3
, Page 3 of 234
2/3
Some people that the heart is virtually static during diastole.
During this period, the cardiac vessels and chambers fill—a process that takes up 2/3s of the
time necessary to complete the cardiac cycle
What is the MAP (mean arterial pressure) for pt:
BP 120/70
HR 80
MAP=2(DBP) + (SBP)/3
MAP=2(70) + 120/3
MAP=260/3
MAP=86.6
Pts should maintain a MAP of at least 60 to ensure adequate perfusion to the brain and
kidneys.
What is the MAP (mean arterial pressure) for pt:
BP 120/70
HR 80
MAP=2(DBP) + (SBP)/3
MAP=2(70) + 120/3
MAP=260/3
, Page 4 of 234
MAP=86.6
Pts should maintain a MAP of at least 60 to ensure adequate perfusion to the brain and
kidneys.
Calculate CI (cardiac index)
HR 80
BP 110/70
SV 60
BSA 2.0 m2
Expressed in L/min/m2
CI=CO/BSA
CO=HR X SV
CO=80 X 60
CI=4800/2.0
CI=2400
CI=2.4 L/min/m2
Calculate CI (cardiac index)
HR 80
BP 110/70
SV 60
BSA 2.0 m2
AACN PCCN (Progressive Care Certified Nurse)-
CARDIAC ACTUAL EXAM ALL 500 Questions and
Verified Solutions Latest Update This Year
AACN PCCN (Progressive Care Certified Nurse)-CARDIAC
Q; A 67 year old male is admitted with chest pain after collapsing at home. He is arguing with
his wife that he should not be admitted because he "just over did it" while working in the
world. Lee's wife states to you that his chest pain is more frequent, severe and prolonged
than before. You should anticipate what diagnosis?
• Exertional angina
• Unstable angina
• Variant angina
• Stable angina
UNSTABLE ANGINA
The change in quality, frequency, and duration indicates UNSTABLE ANGINA and may indicate
that the pt is at increased risk for an MI. This pt should be closely monitored for EKG changes
and rhythm disturbances. Pt/ family teaching should begin on how to identify an MI and basic
CPR.
, Page 2 of 234
Stroke Volume is comprised of which of the following factors?
• Blood volume, viscosity, impedance
• Cardiac output, HR, compliance
• Contractility, preload, afterload
• Compliance, impedance, HR
Contractility, preload and afterload
A reflex tachycardia caused by the stretch of the right atrial receptors is known as the ____
• Herring-Sines law
• Renin-angiotensin system
• Starling's law
• Bainbridge reflex
BAINBRIDGE REFLEX
It is believed that this reflex exists to speed up the HR if the right side becomes overloaded,
thereby helping equalize pressures on both sides
Diastole comprises what & of the cardiac cycle?
•½
• 2/3
•¼
• 1/3
, Page 3 of 234
2/3
Some people that the heart is virtually static during diastole.
During this period, the cardiac vessels and chambers fill—a process that takes up 2/3s of the
time necessary to complete the cardiac cycle
What is the MAP (mean arterial pressure) for pt:
BP 120/70
HR 80
MAP=2(DBP) + (SBP)/3
MAP=2(70) + 120/3
MAP=260/3
MAP=86.6
Pts should maintain a MAP of at least 60 to ensure adequate perfusion to the brain and
kidneys.
What is the MAP (mean arterial pressure) for pt:
BP 120/70
HR 80
MAP=2(DBP) + (SBP)/3
MAP=2(70) + 120/3
MAP=260/3
, Page 4 of 234
MAP=86.6
Pts should maintain a MAP of at least 60 to ensure adequate perfusion to the brain and
kidneys.
Calculate CI (cardiac index)
HR 80
BP 110/70
SV 60
BSA 2.0 m2
Expressed in L/min/m2
CI=CO/BSA
CO=HR X SV
CO=80 X 60
CI=4800/2.0
CI=2400
CI=2.4 L/min/m2
Calculate CI (cardiac index)
HR 80
BP 110/70
SV 60
BSA 2.0 m2
