CMC Exam Questions and Answers Updated 2026

CMC Exam Questions and Answers
Updated 2026
WhileMcaringMforMaMpatientMwithManMIABPMatM3:1,MtheMnurseMnotes:

A.MdecreasingMurineMoutputMasMwellMasMincreasingMBUNMandMCRMlevels;MtheMnurseMs
houldMincreaseMtimingMtoM2:1

B.MabsentMpulsesMinMtheMproximalMextremity;MtheMnurseMshouldMapplyMpressureMatMth
eMinsertionMsite.

C.MbloodMinMtheMIABPMtubing;MtheMnurseMshouldMdisconnectMtheMballoonMcatheterMfro
mMtheMIABP.

D.MbloodMoozingMfromMtheMinsertionMsite;MtheMnurseMshouldManticipateMtheMneedMfor
ManMemergencyMfasciotomy.M-
MAnswerMA.Mincorrect.MdecreasingMurineMoutputMwithMincreasingMBUNMandMCRMlevelsM
withManMIABPMinMplaceMindicatesMobstructionMofMtheMrenalMarteries.MTheMnurseMshoul
dMplanMforMremoval.

B.Mincorrect.MabsentMpulsesMdistalMtoMtheMinsertionMsiteMindicatesMcompleteMocclusionM
ofMtheMfemoralMartery.MapplicationMofMpressureMtoMtheMinsertionMsiteMwillMworsenMth
eMobstruction.

C.Mcorrect.MbloodMinMtheMIABPMtubingMindicatesMaMruptureMofMtheMballoon.MContinuin
gMtoMallowMtheMIABPMtoMinflateMandMdeflateMwillMincreaseMtheMsizeMofMtheMrupture,
McausingMmoreMbleeding.MtheMnurseMshouldMplanMforMremovalMorMexchangeMofMtheMI
ABPMcatheter.

D.Mincorrect.MaMfasciotomyMwouldMbeMindicatedMifMtheMpatientMhadManMincreaseMinMf
luidMaccumulationMinMtheMextremitiesMcausingMsignificantMinjuryMtoMtheMlimb.



AnMIABPMisMcurrentlyMatM3:1MwhenMtheMpatientMsuddenlyMgoesMintoMventricularMfibrill
ation.MInMadditionMtoMresuscitativeMmeasures,MtheMnurseMshould:

A.MchangeMtheMtriggerMtoMinternalMorMpressureMsupportMresuscitativeMmeasures.

B.MincreaseMtimingMbackMtoM1:1MtoMincreaseMcoronaryMarteryMperfusionMpressure.

C.MputMtheMpumpMonMstandbyMuntilMtheMreturnMofMspontaneousMcirculation.

D.MassessMtheMIABPMtimingMtoMchestMcompressionsMatM1:2.M-
MAnswerMA.Mcorrect.MtheMIABPMwillMnotMbeMableMtoMtimeMcorrectlyMwhenMaMpatient
MisMinMV-
Fib.MbyMplacingMtheMsystemMtoMtriggerMonMinternalMorMpressureMsupport,MitMwillMgen
erateMoffMtheMpressureMcreatedMduringMcompressions.

B.Mincorrect.MattemptingMtoMtimeMtheMIABPMbackMtoM1:1MwillMbeMcounterproductive,M
asMitMwillMnotMbeMableMtoMtriggerMcorrectly.

C.Mincorrect.MthereMisMsignificantMriskMofMclotMformingMonMtheMIABPMwhenMplacedMin
MstandMforManMindeterminateMamountMofMtime.

,D.Mincorrect.MtheMprimaryMgoalMduringMresuscitativeMmeasuresMisMtoMattemptMtoMcircul
ateMbloodMvolumeMasMeffectivelyMasMpossible.MassessingMtheMtimingMofMtheMIABPMisM
unnecessary.



TheMnurseMisMreviewingMtheMhomeMmedicationsMlistMforMaMpatientMadmittedMc/oMseve
reMchestMpain.MserialMEKGsMandMbloodMtestingMareMnegative,MsoManMexerciseMstressMt
estMisMscheduled.MwhichMofMtheMfollowingMmedicationsMmayMresultMinMaMfalse-
positiveMfindingMonMtheMstressMtest?

A.MdigitalisM(Digoxin)

B.MpotassiumMchlorideM(K-Dur)

C.MsotalolM(Betapace)

D.MdiltiazemM(Cardiazem)M-MAnswerMA.Mcorrect.MdigitalisMcanMcauseMfalse-
positiveMEKGMchangesMduringMaMstressMtest.MthereMisManMassociationMbetweenMtheMde
velopmentMofMSTMsegmentMdepressionMduringMstressMtesting.MtheMmechanismMofMthisM
EKGMchangeMisMnotMclear.Mfurther,MdigitalisMshouldMbeMwithheldMonMtheMdayMofMthe
MtestMbecauseMofMitsMnegativeMchronotropicMeffects.

B.Mincorrect.

CM&MD.Mincorrect.Mbeta-
blockersMandMcalciumMchannelMblockersMbluntMtheMheartMrateMresponseMtoMexerciseMa
ndMmayMpreventMachievementMofMmaximumMpredictedMheartMrate.MtheyMshouldMbeMwi
thheldMonMtheMdayMofMtheMtest.



AMpatientMisMadmittedMwithMelevatedMtroponinMlevelsMandMSTMsegmentMelevationMinMl
eadsMII,MIII,MandMaVF.MAdministrationMofMwhichMofMtheMfollowingMshouldMtheMnurseMa
nticipateMinitially?

A.MenoxaparinM(Lovenox)

B.MstreptokinaseM(Strepase)

C.MalteplaseM(Activase)

D.MreteplaseM(Retavase)M-
MAnswerMA.Mincorrect.MenoxaparinMisManMalternativeMtoMheparinMinMpatientsMwithMuns
tableMangina,MNSTEMIMorMDVT.

B.Mincorrect.MstreptokinaseMisMindicatedMforMacuteMarterialMthrombosisMorMembolism,Mor
MoccludedMAVMcannulas.

C.Mincorrect.MalteplaseMinMindicatedMforMacuteMischemicMstrokeMorMacuteMmassiveMpul
monaryMembolism.

D.Mcorrect.MreteplaseMisMindicatedMforMAMIMwhenMfibrinolyticsMareMindicated.

,WhichMofMtheMfollowingMisMaMcharacteristicMofMdiastolicMheartMfailure?

A.MinabilityMofMtheMheartMmuscleMtoMrelax.

B.MdilationMofMtheMventricularMchambers.

C.MincreasedMfillingMofMtheMleftMventricle.

D.MdecreasedMabilityMofMtheMventricleMtoMcontract.M-
MAnswerMA.Mcorrect.MwithMdiastolicMheartMfailureMtheMleftMventricleMisMunableMtoMrel
ax,MleadingMtoMsignsMandMsymptomsMofMheartMfailure,MbutMtheMpatientMmaintainsMaM
preservedMEFMasMtheMmuscleMretainsMitsMabilityMtoMcontract.

B.Mincorrect.MdilationMofMtheMventricularMchambersMisMaMcharacteristicMofMsystolicMhear
tMfailure.

C.Mincorrect.MdiastolicMheartMfailureMisManMabnormalityMwithMheartMfilling.MtheMheartM
muscleMdoesMnotMrelaxMnormally,MandMtheMheartMmayMfillMtooMslowlyMorMasynchronou
sly.MifMtheMleftMventricleMdoesMnotMrelaxMproperlyMorMisMthickMandMstiff,MitMdoesMno
tMfillMinMtheMusualMmannerMandMbloodMisMdrawnMbackMintoMtheMleftMatriumMandMev
entuallyMintoMtheMlungs.

D.Mincorrect.MdecreasedMabilityMofMtheMventricleMtoMcontractMisMaMsymptomMofMovere
xtensionMofMtheMheartMmuscleMinMpatientsMwithMcardiomyopathy.



FollowingMaMSTEMI,MtheMnurseMauscultatesMaMlateMsystolicMmurmurMatMtheMapex.MThe
MnurseMshouldMsuspectMtheMfindingMisMr/tMtheMnewMonsetMofMa:

A.MrightMbundleMbranchMblock

B.MleftMbundleMbranchMblock

C.MpapillaryMmuscleMrupture

D.McalcificMplaqueMruptureM-
MAnswerMA.Mincorrect.MaMRBBBMwouldMcauseManMelectricalMdelayMinMconductionMforM
aMwideMsplitMS2.

B.Mincorrect.MaMLBBBMwouldMcauseMandMelectricalMdelayMinMventricularMconductionMfor
MaMparoxicalMsplitMS2.

C.Mcorrect.MaMpapillaryMmuscleMchordMruptureMresultsMfromMischemiaMtoMtheMtissueMs
upplyingMtheMmitralMvalve.MaMsystolicMmurmurMisMheardMdueMtoMmitralMregurgitation.

D.Mincorrect.MplaqueMruptureMwouldMcauseManMocclusionMofMtheMcoronaryMarteryMthat
MwouldMnotMdirectlyMcauseMaMnewMsystolicMmurmur.



TheMnurseMisMreviewingMtheMplanMofMcareMforMaMpatientMwithMsystolicMheartMfailure
MwhoMhasMenalaprilM(Vasotec),MfurosemideM(Lasix),MmetoprololM(Lopressor),MandMcarvedil
olM(Coreg)Mordered.MWhichMofMtheMfollowingMwillMprovideMtheMmostMaccurateMassessm
entMofMtheMregimen?

, A.MdailyMweights

B.MstrictMI&O

C.MBMPMeveryMmorning

D.MserialMCXRYsM-
MAnswerMA.Mcorrect.MassessingMdailyMweightsMisMaMnoninvasiveMandMeasyMmethodMto
MassessMcomplianceMwithMtheMeffectivenessMofMaMmedicalMregimenMinMpatientsMwithM
heartMfailure,MobservingMtheMpatient'sMabilityMtoMmaintainMaMconsistentMweightMindicate
sMcomplianceMasMwellMasMtheMeffectivenessMofMtheMmedicalMregimen.

B.Mincorrect.MstrictMI&OMisMonlyMoneMcomponentMofMaMplanMofMcareMbutMdoesMnotM
assessMifMaMpatientMadheresMtoMtheMmedicalMregimenMorMifMtheMregimenMisMeffective
.

C.Mincorrect.MaMdailyMBMPMwouldMnotMhelpMassessMtheMeffectivenessMofMtheMmedical
MregimenMasMtheMmajorityMofMtheMpanelMcomponentsMareMnotMaffectedMbyMtheMdrug
sMlisted.

D.Mincorrect.MserialMCXRYsMcouldMrevealMworseningMheartMfailure,MbutMassessingMdailyM
weightsMisMfarMeasier,MnoninvasiveMandMcost-effective.



WhichMofMtheMfollowingMpatientMsituationsMmightMbeMbestMtreatedMwithMtheMmazeMpr
ocedure?

A.MrecurrentMventricularMtachycardiaMrefractoryMtoMcardioversion

B.MrecurrentMatrialMfibrillationMrefractoryMtoMdrugMtherapy

C.McardiomyopathyMwithManMEFM<20%

D.McoronaryMarteryMrestenosisMfollowingMPCIM-
MAnswerMA.Mincorrect.MrecurrentMventricularMtachycardiaMrefractoryMtoMcardioversionMwo
uldMbeMbestMtreatedMwithMtheMinsertionMofManMautomaticMimplantableMcardioverterMde
fibrillator.

B.Mcorrect.MinMaMmazeMprocedure,MnumerousMincisionsMareMmadeMonMtheMleftMandMri
ghtMatriumMsoMthatMscarMtissueMforms.MthisMscarMtissueMdoesMnotMconductMelectricity,
MwhichMdisruptsMtheMpathMofMabnormalMelectricalMimpulses.

C.Mincorrect.McardiomyopathyMwithManMEFM<20%MwouldMbeMbestMtreatedMwithMeitherM
inotropicMorMmechanicalMcirculatoryMsupport.

D.Mincorrect.McoronaryMarteryMrestenosisMfollowingMPCIMwouldMbeMbestMtreatedMwithMa
ntiplateletMtherapy.



AMpatientMdevelopsMchestMpain,Mnausea,MvomitingMandMdiaphoresis.MtheM12-
leadMEKGMisMnormal.MaMfurtherMcardiacMassessmentMisMwarranted,MasMitMisMcommonM
forMSTMsegmentMelevationMtoMbeMabsentMin:

A.ManManteriorMwallMMI