VTNE PRACTICE ACTUAL TEST PAPER 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS GRADED A+
▶ teaching for ICD. Answer: Keep incision dry for 4 days after insertion or
as instructed
Report any s/s of infection at incision site or fever immediately
It is usually safe to resume sexual activity once incision is healed
Avoid
Avoid antitheft devices, MRIs, metal detectors, + hand-held screening
wands
Lifting arm on ICD side above shoulder until approved
Avoid driving until cleared by your cardiologist
▶ v-tach QRS complex. Answer: very wide!
▶ a-fib. Answer: no p waves, can't count atrial rate, r waves irregular
▶ a-flutter. Answer: sawtooth appearance of f waves, no p waves, can't
count atrial rate, r waves regular
▶
▶ pain unrelieved by nitroglycerin. Answer: myocardial infarction
▶ angina. Answer: chest pain
▶ stable angina. Answer: -chest pain that occurs when a person is active
or under severe stress
-T wave inversion on ECG
-treatment: rest and nitroglycerin
▶ troponin levels. Answer: < 0.1 mcg/Ml (as little as 1 hour after occlusion)
▶ PT/INR levels. Answer: no on warfarin = less or equal to 1.1
on warfarin = 2.0-3.0
▶ PTT levels. Answer: not on heparin = 30-40
, on heparin = 60-100
▶ CPK - MB levels. Answer: 5-25 IU/L
▶ what lab is the main indicator for damage to the heart. Answer: troponin
1
▶ Hematocrit levels. Answer: men: 42%-52%
women: 37%48%
▶ Hemoglobin levels. Answer: Men = 13.5 - 17.5 g/dL
Women = 12 - 15.5 g/dL
▶ Platelet levels. Answer: 150,000 - 450,000 per mcL
▶ what can the total CK lab tell you about. Answer: muscle damage
▶ S/S of ↓ perfusion. Answer: Change in LOC
Chest Discomfort
Hypotension
SOB/difficulty breathing
Pulmonary congestion/crackles
Rapid, slow or weak pulse
Dizziness
Syncope
Fatigue
▶ Rapid response team. Answer: used for for complications at the hospital
▶ pulse sites to check in code blue. Answer: carotid or femoral
▶ Shockable rhythms. Answer: V fib and V tach (pulseless)
▶ v tach. Answer: Rate: 100-220 beats/min
Rhythm: Regular
P wave: absent
QRS: Wide and bizarre, > 0.12
A run of 3 or more consecutive PVCs (no p wave)
▶ treatment for v tach and v fib. Answer: With a pulse:
COMPLETE QUESTIONS AND CORRECT
ANSWERS GRADED A+
▶ teaching for ICD. Answer: Keep incision dry for 4 days after insertion or
as instructed
Report any s/s of infection at incision site or fever immediately
It is usually safe to resume sexual activity once incision is healed
Avoid
Avoid antitheft devices, MRIs, metal detectors, + hand-held screening
wands
Lifting arm on ICD side above shoulder until approved
Avoid driving until cleared by your cardiologist
▶ v-tach QRS complex. Answer: very wide!
▶ a-fib. Answer: no p waves, can't count atrial rate, r waves irregular
▶ a-flutter. Answer: sawtooth appearance of f waves, no p waves, can't
count atrial rate, r waves regular
▶
▶ pain unrelieved by nitroglycerin. Answer: myocardial infarction
▶ angina. Answer: chest pain
▶ stable angina. Answer: -chest pain that occurs when a person is active
or under severe stress
-T wave inversion on ECG
-treatment: rest and nitroglycerin
▶ troponin levels. Answer: < 0.1 mcg/Ml (as little as 1 hour after occlusion)
▶ PT/INR levels. Answer: no on warfarin = less or equal to 1.1
on warfarin = 2.0-3.0
▶ PTT levels. Answer: not on heparin = 30-40
, on heparin = 60-100
▶ CPK - MB levels. Answer: 5-25 IU/L
▶ what lab is the main indicator for damage to the heart. Answer: troponin
1
▶ Hematocrit levels. Answer: men: 42%-52%
women: 37%48%
▶ Hemoglobin levels. Answer: Men = 13.5 - 17.5 g/dL
Women = 12 - 15.5 g/dL
▶ Platelet levels. Answer: 150,000 - 450,000 per mcL
▶ what can the total CK lab tell you about. Answer: muscle damage
▶ S/S of ↓ perfusion. Answer: Change in LOC
Chest Discomfort
Hypotension
SOB/difficulty breathing
Pulmonary congestion/crackles
Rapid, slow or weak pulse
Dizziness
Syncope
Fatigue
▶ Rapid response team. Answer: used for for complications at the hospital
▶ pulse sites to check in code blue. Answer: carotid or femoral
▶ Shockable rhythms. Answer: V fib and V tach (pulseless)
▶ v tach. Answer: Rate: 100-220 beats/min
Rhythm: Regular
P wave: absent
QRS: Wide and bizarre, > 0.12
A run of 3 or more consecutive PVCs (no p wave)
▶ treatment for v tach and v fib. Answer: With a pulse:
