Page 1 of 6
AACN CMC TEST EXAM PREP WITH QUESTIONS
AND ACCURATE ANSWERS VERIFIED BY AN
EXPERT|| LATEST AND COMPLETE UPDATE 2025-
2026 EXPERT VERIFIED SOLUTIONS GRADED A+
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 - ANSWER-
Pulmonary Edema
The nurse is assisting with bedside insertion of a pulmonary artery catheter. The
PAD is 28 mmHg, and the PAOP is 15 mmHg. Which provides an explanation
for the finding? - ANSWER- Pulmonary Hypertension
While reviewing the 12-lead ECG, the nurse notes new changes with ST segment
elevation in leads I, aVL, and V2-V6, plus reciprocal changes in leads III, aVF,
and aVR. The nurse should realize that the area of infarct involves the -
ANSWER- Anterior and lateral walls
While weaning from the ventiluator, the patient is placed on synchronized
intermittent mandatory ventilation (SIMV). Pressure support (PS) is added to -
ANSWER- Decrease tubing resistance
Which is a characteristic of diastolic heart failure? - ANSWER- Inability of the
heart muscles to relax
, Page 2 of 6
What is the BEST method to assess long-term regimen compliance for a patient
with diabetes mellitus? - ANSWER- A glycosylated hemoglobin (Hgb A1c) on
admission
Following surgery, the nurse notes a significant decrease in a patient's urine
output over the last 6 hours and a rise in creatinine. The nurse should anticipate
discontinuation of which medication category? - ANSWER- ACE inhibitors
Which patient situations might be BEST treated with the maze procedure? -
ANSWER- Recurrent atrial fibrillation with refractory to drug therapy
The nurse is reviewing the home medications list for a patient admitted for severe
chest pain. Serial 12-lead ECGs and blood testing are negative, so an exercise
stress test is scheduled. Which medication may result in a false-positive finding
on the stress test? - ANSWER- Digitalis (Digoxin)
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? - ANSWER- Ventricular septal wall rupture
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? - ANSWER- Turn off the pacemaker to assess the
patient's intrinsic rhythm
AACN CMC TEST EXAM PREP WITH QUESTIONS
AND ACCURATE ANSWERS VERIFIED BY AN
EXPERT|| LATEST AND COMPLETE UPDATE 2025-
2026 EXPERT VERIFIED SOLUTIONS GRADED A+
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 - ANSWER-
Pulmonary Edema
The nurse is assisting with bedside insertion of a pulmonary artery catheter. The
PAD is 28 mmHg, and the PAOP is 15 mmHg. Which provides an explanation
for the finding? - ANSWER- Pulmonary Hypertension
While reviewing the 12-lead ECG, the nurse notes new changes with ST segment
elevation in leads I, aVL, and V2-V6, plus reciprocal changes in leads III, aVF,
and aVR. The nurse should realize that the area of infarct involves the -
ANSWER- Anterior and lateral walls
While weaning from the ventiluator, the patient is placed on synchronized
intermittent mandatory ventilation (SIMV). Pressure support (PS) is added to -
ANSWER- Decrease tubing resistance
Which is a characteristic of diastolic heart failure? - ANSWER- Inability of the
heart muscles to relax
, Page 2 of 6
What is the BEST method to assess long-term regimen compliance for a patient
with diabetes mellitus? - ANSWER- A glycosylated hemoglobin (Hgb A1c) on
admission
Following surgery, the nurse notes a significant decrease in a patient's urine
output over the last 6 hours and a rise in creatinine. The nurse should anticipate
discontinuation of which medication category? - ANSWER- ACE inhibitors
Which patient situations might be BEST treated with the maze procedure? -
ANSWER- Recurrent atrial fibrillation with refractory to drug therapy
The nurse is reviewing the home medications list for a patient admitted for severe
chest pain. Serial 12-lead ECGs and blood testing are negative, so an exercise
stress test is scheduled. Which medication may result in a false-positive finding
on the stress test? - ANSWER- Digitalis (Digoxin)
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? - ANSWER- Ventricular septal wall rupture
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? - ANSWER- Turn off the pacemaker to assess the
patient's intrinsic rhythm
