NUR 445 EXAM 2 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
How should a nurse remove an art line?
remove dressings
remove catheter and hold pressure on site for 3-5 minutes
if pt on anticoagulants, hold pressure for 10 minutes
apply pressure dressing
monitor site
What tests are done if a patient comes into the ED with chest pain?
important info about each?
- Troponin: elevates within 4 hrs of injury, stays elevated for 10 days,
best blood test to diagnostic for acute MI
- EKG: Gold standard MI diagnostic (ST elevation and presence of Q
waves)
- Creatine kinase MB (CK-MB): marker specific to myocardial tissue
damage, elevates at 3 hours and stays high for 36 hours
- BNP: protein released by overstretched ventricular tissue, used to
diagnose HF and cardiomyopathy
- Echocardiogram: can visualize ejection, ventricular function, cardiac
muscle movement/contractility, and wall movement
- Stress test: exercise or meds (atropine) used to stress the heart while
monitoring with EKG and Echo, nuclear stress test (using contrast) is
END OF
PAGE
1
, NUR 445 EXAM 2 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
best for visualizing blood flow to the heart muscles (myocardial
ischemia); only 1x/day
What is the complication of MI?
cardiogenic shock
What are the s/s of cardiogenic shock/
Tachycardia
Hypotension
High CVP and high preload
↓ urine output
↓ LOC
Respiratory distress
↓ peripheral pulses
Chest pain
Cool, clammy, mottled skin
↑ RR
How do we treat cardiogenic shock?
Dobutamine and norepinephrine to improve cardiac output
Levophed to increase BP
END OF
PAGE
2
, NUR 445 EXAM 2 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
What patient dietary education should you provide for CHF?
restrict fluids (1.5-2L/day) and sodium (2 grams/day)
What supplements are contraindicated in patients recieving
anticoagulant therapy?
Garlic, ginko, ginseng, ginger, and Omega 3 fatty acids (fish oil)
What are some risk factors for developing coronary artery disease?
- Uncontrolled hypertension (anasarca)
- hypercholesterolemia
- DM
- smoking
- sedentary lifestyle
- male over 45
- postmenopausal women
- fam Hx
How is HF treated?
- ACE inhibitors are first line treatment (work on RAAS system to
remove fluid which controls HTN and reduces afterload)
- Beta blockers, diuretics, calcium channel blockers, digoxin
END OF
PAGE
3
QUESTIONS AND
ANSWERS 2026 - 2027
How should a nurse remove an art line?
remove dressings
remove catheter and hold pressure on site for 3-5 minutes
if pt on anticoagulants, hold pressure for 10 minutes
apply pressure dressing
monitor site
What tests are done if a patient comes into the ED with chest pain?
important info about each?
- Troponin: elevates within 4 hrs of injury, stays elevated for 10 days,
best blood test to diagnostic for acute MI
- EKG: Gold standard MI diagnostic (ST elevation and presence of Q
waves)
- Creatine kinase MB (CK-MB): marker specific to myocardial tissue
damage, elevates at 3 hours and stays high for 36 hours
- BNP: protein released by overstretched ventricular tissue, used to
diagnose HF and cardiomyopathy
- Echocardiogram: can visualize ejection, ventricular function, cardiac
muscle movement/contractility, and wall movement
- Stress test: exercise or meds (atropine) used to stress the heart while
monitoring with EKG and Echo, nuclear stress test (using contrast) is
END OF
PAGE
1
, NUR 445 EXAM 2 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
best for visualizing blood flow to the heart muscles (myocardial
ischemia); only 1x/day
What is the complication of MI?
cardiogenic shock
What are the s/s of cardiogenic shock/
Tachycardia
Hypotension
High CVP and high preload
↓ urine output
↓ LOC
Respiratory distress
↓ peripheral pulses
Chest pain
Cool, clammy, mottled skin
↑ RR
How do we treat cardiogenic shock?
Dobutamine and norepinephrine to improve cardiac output
Levophed to increase BP
END OF
PAGE
2
, NUR 445 EXAM 2 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
What patient dietary education should you provide for CHF?
restrict fluids (1.5-2L/day) and sodium (2 grams/day)
What supplements are contraindicated in patients recieving
anticoagulant therapy?
Garlic, ginko, ginseng, ginger, and Omega 3 fatty acids (fish oil)
What are some risk factors for developing coronary artery disease?
- Uncontrolled hypertension (anasarca)
- hypercholesterolemia
- DM
- smoking
- sedentary lifestyle
- male over 45
- postmenopausal women
- fam Hx
How is HF treated?
- ACE inhibitors are first line treatment (work on RAAS system to
remove fluid which controls HTN and reduces afterload)
- Beta blockers, diuretics, calcium channel blockers, digoxin
END OF
PAGE
3
