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AACN CCRN-Adult Exam - Topic 1 Question 13 Discussion

Posted by Sommer on Aug 03, 2025 at 03:37 PM

Which of the following is a cause of cardiogenic pulmonary edema?

Suggested Answer: D

Cardiogenic pulmonary edema is primarily caused by left ventricular (LV) noncompliance. When the left ventricle is unable to properly fill or eject blood, pressure increases in the left atrium and pulmonary veins, leading to fluid leakage into the pulmonary interstitium and alveoli, causing pulmonary edema. Elevated PAOP readings, RV chamber enlargement, and pulmonary hypertension are not primary causes of cardiogenic pulmonary edema but can be related to other cardiac conditions. Reference: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course


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27 comments · newest first
VI
Vivienne 10 months ago
Totally agree, elevated PAOP is key here!
RO
Rodrigo 10 months ago
LV noncompliance? Really? I’m not so sure about that.
AL
Alonzo 10 months ago
Elevated PAOP reading is definitely a cause.
TO
Tomas 10 months ago
Pulmonary hypertension? That's a big factor too!
ST
Stephen 10 months ago
I think RV chamber enlargement can also contribute.
CL
Clay 11 months ago
I definitely recall that pulmonary hypertension can lead to edema, but I wonder if it's the main cause in this context.
JU
Junita 11 months ago
I'm a bit confused about RV chamber enlargement; I thought that was more related to right-sided heart issues rather than pulmonary edema.
PE
Pearly 11 months ago
I remember practicing a question about pulmonary edema, and I feel like LV noncompliance was mentioned as a potential cause.
TH
Thora 11 months ago
I think elevated PAOP reading could be a cause, but I'm not entirely sure if it's the only one.
DI
Diane 12 months ago
I'm pretty confident about this one. Increased left ventricular noncompliance, leading to elevated filling pressures, is a classic cause of cardiogenic pulmonary edema. I'll go with that option.
RO
Roselle 12 months ago
Wait, I'm confused. Isn't RV (right ventricular) enlargement also a potential cause of pulmonary edema? I'm not sure if that's the same as cardiogenic edema or not. This is trickier than I thought.
NI
Niesha 12 months ago
Okay, I think I've got this. Elevated PAOP (pulmonary artery occlusion pressure) is a sign of increased left ventricular filling pressure, which can cause fluid to back up into the lungs. That's got to be the right answer here.
JA
Janine 1 year ago
Hmm, I'm a bit unsure about this one. I know pulmonary edema can be caused by issues with the heart, but I'm not totally clear on the specific mechanisms. I'll have to think this through carefully.
BR
Brianne 1 year ago
This looks like a straightforward question about the causes of cardiogenic pulmonary edema. I'll review the options and try to recall the key factors that can lead to this condition.
CA
Cassi 1 year ago
I believe it could also be LV noncompliance, as the left ventricle may not be able to pump effectively.
DO
Doretha 1 year ago
Hmm, I'm going to go with D. The others are contributing factors, but noncompliance is the root cause here.
ST
Starr 1 year ago
I agree with France, because high PAOP can lead to fluid accumulation in the lungs.
FR
France 1 year ago
I think the cause is elevated PAOP reading.
MI
Micaela 1 year ago
C'mon, this is basic cardiac physiology. It's definitely D - LV noncompliance. I could do this in my sleep.
CE
Ceola 1 year ago
I'm pretty sure it's D. Elevated PAOP can cause cardiogenic pulmonary edema, but that's not the only factor.
GI
Gianna 1 year ago
↳ replying to Ceola
B) RV chamber enlargement
ST
Staci 1 year ago
↳ replying to Ceola
A) elevated PAOP reading
RE
Renato 1 year ago
A and D seem like the most likely causes. Gotta love those trick questions, am I right?
RY
Ryan 1 year ago
↳ replying to Renato
Definitely! It's important to pay attention to all the options.
JE
Jerlene 1 year ago
↳ replying to Renato
Yeah, those trick questions can be tricky sometimes!
MA
Maile 1 year ago
↳ replying to Renato
D) LV noncompliance
HE
Helaine 1 year ago
↳ replying to Renato
A) elevated PAOP reading
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