1|Page
PACE CERTIFICATION FINAL EXAM TEST 2025/ 2026
ACTUAL EXAM COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS WITH RATIONALES
(100% CORRECT ANSWERS) /ALREADY GRADED
A+||LATEST EXAM!!
AIC states "Impella Position Unknown". Family member
asks you what it means. - Answer-Talk to the nurse. RN
explains that it's normal because the pump has taken over
for the heart.
Continue to watch and evaluate MAP.
Turn off alarm.
Transferring AIC to AIC - Answer-Turn on Console B.
Disconnect white cable from console A, plug it into console
B.
Press the selector knob to accept the previous settings.
Disconnect the yellow leur locks and reconnect it.
Transfer purge cassette and purse solution to console B.
Purge Menu to change purge fluid bag and estimate
remaining volume.
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"Air in Line" - Answer-Purge Menu
Deair purge.
Pink urine and doc asks if it could be the Impella. -
Answer-It's possible, however studies show when the
pump is correctly positioned and patient has appropriate
volume, the incidence of hemolysis are clinically
insignificant.
Suggest sending plasma-free Hgb and UA.
Order an echo to evaluate position
"Placement Signal Lumen Blocked" - Answer-*Only seen
in 2.5 and CP w/o SA.
Threshold for this alarm: PP <10mmHg.
Likely clot.
Make sure pressure bag is properly inflated to 300mmHg.
Take 20cc syringe and aspirate the red connection port.
-If it clears, flush and reattach pressure bag.
-If you can't aspirate, cap off pressure port. Disable
placement signal (under Menu). **Will lose suction alarms
and PS. Monitor MC.
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Fellow believes the patient has HIT. - Answer-HIT is 50%
drop in platelets after Heparin administration.
Can we run an ELISA or SRA to confirm?
If confirmed, contact medical officer to get appropriate
alternative of Angiomax or Argatroban.
"Impella Position Wrong" - Answer-PS: AO. MC: flat. Home
Screen will show "Impella Position Wrong" with a question
mark.
Drop to P-2. Get an echo to determine where the catheter
is (3 options):
entire catheter in AO.
entire catheter except pig in AO.
inlet and outlet in LV with OPP in AO.
5.0/LD - too far in/too far out.
Impella Stopped. - Answer-"Controller failure"? yes -
replace console. No...
Restart at previous P-level.
Restart at P-2.
PACE CERTIFICATION FINAL EXAM TEST 2025/ 2026
ACTUAL EXAM COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS WITH RATIONALES
(100% CORRECT ANSWERS) /ALREADY GRADED
A+||LATEST EXAM!!
AIC states "Impella Position Unknown". Family member
asks you what it means. - Answer-Talk to the nurse. RN
explains that it's normal because the pump has taken over
for the heart.
Continue to watch and evaluate MAP.
Turn off alarm.
Transferring AIC to AIC - Answer-Turn on Console B.
Disconnect white cable from console A, plug it into console
B.
Press the selector knob to accept the previous settings.
Disconnect the yellow leur locks and reconnect it.
Transfer purge cassette and purse solution to console B.
Purge Menu to change purge fluid bag and estimate
remaining volume.
,2|Page
"Air in Line" - Answer-Purge Menu
Deair purge.
Pink urine and doc asks if it could be the Impella. -
Answer-It's possible, however studies show when the
pump is correctly positioned and patient has appropriate
volume, the incidence of hemolysis are clinically
insignificant.
Suggest sending plasma-free Hgb and UA.
Order an echo to evaluate position
"Placement Signal Lumen Blocked" - Answer-*Only seen
in 2.5 and CP w/o SA.
Threshold for this alarm: PP <10mmHg.
Likely clot.
Make sure pressure bag is properly inflated to 300mmHg.
Take 20cc syringe and aspirate the red connection port.
-If it clears, flush and reattach pressure bag.
-If you can't aspirate, cap off pressure port. Disable
placement signal (under Menu). **Will lose suction alarms
and PS. Monitor MC.
, 3|Page
Fellow believes the patient has HIT. - Answer-HIT is 50%
drop in platelets after Heparin administration.
Can we run an ELISA or SRA to confirm?
If confirmed, contact medical officer to get appropriate
alternative of Angiomax or Argatroban.
"Impella Position Wrong" - Answer-PS: AO. MC: flat. Home
Screen will show "Impella Position Wrong" with a question
mark.
Drop to P-2. Get an echo to determine where the catheter
is (3 options):
entire catheter in AO.
entire catheter except pig in AO.
inlet and outlet in LV with OPP in AO.
5.0/LD - too far in/too far out.
Impella Stopped. - Answer-"Controller failure"? yes -
replace console. No...
Restart at previous P-level.
Restart at P-2.
