Latest PDF of AACN-CMC: Cardiac Medicine Subspecialty Certification

Cardiac Medicine Subspecialty Certification Practice Test

AACN-CMC Exam Format | Course Contents | Course Outline | Exam Syllabus | Exam Objectives

CMC® is a subspecialty certification for certified nurses who provide direct care to acutely/critically ill adult cardiac patients. Nurses interested in this certification may work in areas such as cardiac care units, medical ICUs, telemetry, progressive care, heart failure clinics, home care, interventional cardiology, cardiac cath labs and/or electrophysiology units.

A current, unencumbered U.S. RN or APRN license is required.
An unencumbered license is not currently being subjected to formal discipline by any state board of nursing and has no provisions or conditions that limit the nurses practice in any way.

A current nationally accredited clinical nursing specialty certification, to which the CMC credential will be attached, is required.

Candidates must complete one of the following clinical practice hour requirement options:

Two-Year Option

Practice as an RN or APRN for 1,750 hours in direct care of acutely/critically ill adult patients during the previous two years, with 875 of those hours accrued in the most recent year preceding application. Of those 1,750 hours, 875 need to be in the care of acutely/critically ill adult cardiac patients.
OR
Five-Year Option
Practice as an RN or APRN for at least five years with a minimum of 2,000 hours in direct care of acutely/critically ill adult patients, with 144 of those hours accrued in the most recent year preceding application. Of those 2,000 hours, 1,000 need to be in the care of acutely/critically ill adult cardiac patients.

Must be completed in a U.S.-based or Canada-based facility or in a facility determined to be comparable to the U.S. standard of acute/critical care nursing practice.
Are those spent actively providing direct care to acutely/critically ill adult patients or supervising nurses or nursing students at the bedside of acutely/critically ill adult patients, if working as a manager, educator, preceptor or APRN.
Are verifiable by your clinical supervisor or professional colleague (RN or physician). Contact information must be provided for verification of eligibility related to clinical hours, to be used if you are selected for audit.
For complete eligibility requirements.

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AACN-CMC
Cardiac Medicine Subspecialty Certification
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Question: 35
35. Which atrioventricular block does not impair cardiac function?
A. Hemiblock
B. First-degree block
C. Mobitz I block
D. Right bundle branch block
Answer: B
A first-degree block does not impair cardiac function. It can be caused by
hyperkalemia, quinidine, digitalis, and ischemic heart disease.
Question: 36
36. What are some causes of a third-degree AV block?
A. Certain drugs, such as quinidine and atropine
B. Age, digitalis intoxication, or myocardial infarction
C. Heart disease and damage from uncontrolled diabetes mellitus
D. Hypertension, coronary artery disease, and cardiomyopathy
Answer: B
Some causes of a third-degree AV block are age, digitalis intoxication, and
myocardial infarction. This is also called a complete heart block because no
impulses are being transmitted from the atria to the ventricles.
Question: 37
37. In particular, which type of atrioventricular block patient would be a good
candidate for the implantation of a pacemaker?
A. Hemiblocks
B. Transmural ischemic blocks
C. Posterior fascicular block
D. Third-degree block
Answer: D
In particular, a patient with a third-degree atrioventricular block would be a good
candidate for the implantation of a pacemaker. This would accommodate for the
failure of the AV node to disseminate the necessary impulse from the atria to the
ventricles.
Question: 38
38. What condition may be indicated very early by an EKG with ST elevations, or
tall, upright T waves?
A. Sudden cardiac death
B. Myocardial ischemia
C. Transmural myocardial infarction
D. Coronary artery disease
Answer: C
Transmural myocardial infarction may be indicated very early by an EKG with
ST elevations, or tall, upright T waves. To make a better determination, the V1
and V2 leads may be viewed to determine if ventricular hypertrophy is evident.
Question: 39
39. Which electrolyte abnormality will show shortened ventricular repolarization
and shortened QT intervals on EKG?
A. Hypercalcemia
B. Hypocalcemia
C. Hyperkalemia
D. Hypokalemia
Answer: A
The electrolyte abnormality hypercalcemia will show shortened ventricular
repolarization and shortened QT intervals on EKG.
Question: 40
40. What does the horizontal aspect of the EKG measure?
A. Voltage
B. Duration
C. Watts
D. Waveforms
Answer: B
The horizontal aspect of the EKG measures duration. The smaller squares are .04
seconds in duration and the larger ones are .20 seconds in duration.

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Cardiac Medicine Subspecialty Certification Practice Test

AACN-CMC Exam Format | Course Contents | Course Outline | Exam Syllabus | Exam Objectives

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