AACN-CMC EXAM 2025 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {100 Q & A} ALREADY GRADED A+ /
CMC EXAM / GUARANTEED PASS
A patient with cardiomyopathy is receiving dobutamine
(Dobutrex) at 10mcg/kg/min. VS: BP 108/66; PAOP 18mmHg; CO
4.2 L/min; CI 2.5 L/min/m; SvO2 65%. the pump infusing the
dobutamine fails and the nurse quickly works to switch it out.
which of the following clinical effects should the nurse anticipate
to occur first:
A. BP would increase
B. PAOP would increase
C. GFR would decrease
D. SvO2 would decrease
D
when contractility falls d/t the dobutamine stopping, the SvO2
will decrease as cardiac output is a component of SvO2.
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A 78-year-old is reporting abdominal pain and pain in the lower
back radiating to the back of the thighs. which of the following
are indicated to provide the best diagnostic information?
A. a PMH, physical exam, and a CT of the chest and abdomen.
B. an MRI of the spine, physical exam, and an U/S of the
abdomen.
C. an U/S of the abdomen, family history and an MRI of the spine.
D. a PMH, physical exam and a CT of the spine.
A
due to his age, sex, and location of the pain, an abdominal aortic
aneurysm (AAA) is suspected. a patient history is needed
because of patients with an aortic aneurysm 90% have a history
of systemic HTN. initial tests recommended for a patient with an
AAA are abdominal U/S, if the patient is unstable, or CT of the
chest and abdomen is the patient is stable.
The nurse is assisting with bedside insertion of a pulmonary
artery catheter. the PAD is 28mmHg and the PAOP is 15mmHg.
which of the following provides an explanation for the finding?
A. hypovolemia
B. fluid overload
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C. pulmonary HTN
D. aortic stenosis
C
pulmonary HTN will cause an increase in PAD greater than
15mmHg and may cause an increase in PAOP greater than 12
mmHg.
A nurse is establishing alarm limits on a patient admitted to rule
out MI. Which of the following patient positions and ST segment
alarm settings should the nurse use?
A. supine position and 1 mm above and below baseline.
B. supine position and 2 mm above and below baseline.
C. upright position and 1 mm above and below baseline.
D. upright position and 2 mm above and below baseline.
A
supine position allows for more accurate electrode placement.
ST segment limits are placed 1mm above or below for monitoring
patients at high risk for ischemia.
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Following the patient's emergency PCI with the sheath left in, the
nurse pulls back the covers and discovers the bandage over the
procedure site and the linens soaked with blood. the nurse
should first:
A. assess the site and call the cath lab staff.
B. place the patient in trendelenburg and infuse fluids.
C. apply direct pressure and notify the MD.
D. reinforce the dressing and obtain a CBC.
C
In reviewing the lab findings of a patient who has not been able
to afford medication, the nurse observed elevated T3 and T4
results. the nurse recognizes the patient is at risk for developing
A. V-Tach
B. A-Fib
C. atrioventricular conduction defects
D. WPW syndrome
B