BANK: REAL QUESTIONS & CORRECT
ANSWERS | NURSING FUNDAMENTALS
STUDY GUIDE
blood flow of the heart -CORRECTANSWER Superior or inferior vena cava -> right
atrium-> tricuspid valve -> right ventricle -> pulmonic valve-> pulmonary artery-> lungs -
> pulmonary vein -> left atrium-> bicuspid valve -> left ventricle -> aortic valve-> aorta->
tissues and rest of body
left side receives what kind of blood -CORRECTANSWER oxygenated
electrical impulse of heart -CORRECTANSWER SA, AV, Bundle of His, Purkinje fibers
Normal CO -CORRECTANSWER 4-8 L/min
normal stroke volume -CORRECTANSWER 70 ml/beat
preload -CORRECTANSWER amount of blood in ventricles before systole/amount of
blood sitting the ventricles at the end of diastole
, right ventricle failure -CORRECTANSWER Right ventricle failure= backs up into
superior and inferior vena cava, provide diuretics and vasodilators, talk to patient about
drinking less fluid, monitor patients weight
left ventricle failure -CORRECTANSWER hypertension and MI, backs up into lungs,
resp symptoms, elevate patients head or bed, diuretic, fine crackles. increase HOB
manage patients I&O's
What causes coronary artery disease? -CORRECTANSWER Narrowing of coronary
arteries (atherosclerosis), buildup of plaque can occlude coronary arteries
anticoagulants for heart failure -CORRECTANSWER warfarin (coumadin) and heparin,
warfarin has a slower onset but is long term, vitamin k is warfarin reversal agent,
monitor carefully for signs and symptoms of bleeding, heparin or enoxaparin= given first
few days
COPD -CORRECTANSWER impaired airflow in the lungs
Damage to alveolar wall and loss of elasticity
Emphysema and chronic bronchitis (caused by smoking)
Air becomes trapped in alveoli due to difficult expiration; chest becomes hyperinflated
(barrel chest), chronic cough, difficulty clearing mucus Elevate HOB when dyspnea,
postural drainage