HealthStream Cardiac ICU – UPDATED Questions with 100%
Verified Answers
HealthStream Cardiac ICU
Study Questions and Answers
Q1 The provider orders atenolol (Tenormin) for a new patient. The nurse should question the order after the
patient reports that he has:
A a.) a fast heart rate *b.) acute renal failure c.) asthma d.) hypertension
Q2 To which of the left ventricle do ECG leads V2-V4 correspond?
A *a.) anterior b.) anterolateral c.) inferior d.) lateral
Q3 Which of the following medications causes the greatest increase in myocardial oxygen consumption?
A a.) amiodarone *b.) dobutamine c.) nitroglycerin d.) norepinephrine
Q4 Which of the following medications decreases platelet aggregation?
A a.) adenosine *b.) aspirin c.) nifedipine d.) warfarin
Q5 To which area of the left ventricle do ECG leads II, III, and aVF correspond?
A a.) anterior b.) anterolateral *c.) inferior d.) lateral
Q6 The doctor orders a continuous infusion of diltiazem for a patient. Which of the following hemodynamic
effects should the nurse expect to see on the patient's cardiac monitor?
A a.) decreased CVP, decreased PCWP, increased CO b.) decreased SVR, increased PCWP, decreased CO c.)
increased CVP, increased SVR, increased CO d.) increased SVR, decreased PCWP, increased CO
Q7 When a new patient with unstable angina is being assessed, the nurse should expect to discover:
A a.) chest pain with activity b.) decreased severity of symptoms c.) elevation of the ST segment *d.) increased
frequency of chest pain
Q8 A 70 - year-old woman is admitted to the CVICU. The nurse's assessment findings reveal jugular vein
distention and bilateral clear breath sounds. Her ECG reveals ST segment elevation in leads II, III, and aVF;
hemodynamic readings reveal BP 100/70, HR 110, PA 28/12, PCWP 12, CVP 18, CO2 4.4, Cl 2.2. The type of
myocardial infarction represented by the ECG changes is?
A a.) anterior wall *b.) inferior wall c.) lateral wall d.) posterior wall
HealthStream Cardiac ICU 1
, Q9 Dopaminergic receptors produce which physiologic effect?
A a.) bronchodilation b.) increased heart rate and contractility *c.) renal and mesenteric vessel dilation d.)
vasoconstriction
Q10 A patient returns from cath lab with a report of complete occlusion of his LAD artery. This finding may lead
to a myocardial infarction of the:
A *a.) anterior wall b.) inferior wall c.) lateral wall d.) right ventricle
Q11 A patient was admitted to the CVICU with a diagnosis of acute MI. Her ECG shows ST segment elevation in
leads V1, V2, V3, and V4. After she is connected to the cardiac monitor, the nurse assesses that she has
third degree heart block. Which of the following interventions will most effectively stabilize her cardiac
rhythm?
A d.) temporary pacemaker
Q12 Nitrates are beneficial for the treatment of stable angina pectoris because they?
A b.) dilate the coronary arteries
Q13 Mrs. Brown is breathing spontaneously, using a nasal cannula with an oxygen flow rate of 3 L/Minute. Her
nurse should expect that her hemodynamic waveforms will show:
A a.) a decrease in waveform pressures during expiration b.) a decrease in waveform pressures during inspiration c.)
an increase in wave form pressures during expiration *d.) an increase in waveform pressure during inspiration
Q14 Preload is defined as:
A stretch produced within the myocardium at the end of diastole
Q15 To which area of the left ventricle do ECG leads V4-V6, I and aVL correspond?
A anterolateral
Q16 For which of the following conditions is a patient at risk if the pulmonary artery catheter migrates distally
and becomes persistently wedged ?
A a. dysrhythmias b. endocarditis c.pneumothorax d. pulmonary infarction
Q17 which of the following conditions results in an elevated pulmonary artery pressure and a normal pulmonary
arterial occlusion pressure?
A a. cardiogenic pulmonary edema b. constrictive pericarditis c. hypovolemia d. pulmonary hypertension
Q18 to which area of the left ventricle do ECG leads I ,aAVL, V5, and V6 correspond?
HealthStream Cardiac ICU 2
Verified Answers
HealthStream Cardiac ICU
Study Questions and Answers
Q1 The provider orders atenolol (Tenormin) for a new patient. The nurse should question the order after the
patient reports that he has:
A a.) a fast heart rate *b.) acute renal failure c.) asthma d.) hypertension
Q2 To which of the left ventricle do ECG leads V2-V4 correspond?
A *a.) anterior b.) anterolateral c.) inferior d.) lateral
Q3 Which of the following medications causes the greatest increase in myocardial oxygen consumption?
A a.) amiodarone *b.) dobutamine c.) nitroglycerin d.) norepinephrine
Q4 Which of the following medications decreases platelet aggregation?
A a.) adenosine *b.) aspirin c.) nifedipine d.) warfarin
Q5 To which area of the left ventricle do ECG leads II, III, and aVF correspond?
A a.) anterior b.) anterolateral *c.) inferior d.) lateral
Q6 The doctor orders a continuous infusion of diltiazem for a patient. Which of the following hemodynamic
effects should the nurse expect to see on the patient's cardiac monitor?
A a.) decreased CVP, decreased PCWP, increased CO b.) decreased SVR, increased PCWP, decreased CO c.)
increased CVP, increased SVR, increased CO d.) increased SVR, decreased PCWP, increased CO
Q7 When a new patient with unstable angina is being assessed, the nurse should expect to discover:
A a.) chest pain with activity b.) decreased severity of symptoms c.) elevation of the ST segment *d.) increased
frequency of chest pain
Q8 A 70 - year-old woman is admitted to the CVICU. The nurse's assessment findings reveal jugular vein
distention and bilateral clear breath sounds. Her ECG reveals ST segment elevation in leads II, III, and aVF;
hemodynamic readings reveal BP 100/70, HR 110, PA 28/12, PCWP 12, CVP 18, CO2 4.4, Cl 2.2. The type of
myocardial infarction represented by the ECG changes is?
A a.) anterior wall *b.) inferior wall c.) lateral wall d.) posterior wall
HealthStream Cardiac ICU 1
, Q9 Dopaminergic receptors produce which physiologic effect?
A a.) bronchodilation b.) increased heart rate and contractility *c.) renal and mesenteric vessel dilation d.)
vasoconstriction
Q10 A patient returns from cath lab with a report of complete occlusion of his LAD artery. This finding may lead
to a myocardial infarction of the:
A *a.) anterior wall b.) inferior wall c.) lateral wall d.) right ventricle
Q11 A patient was admitted to the CVICU with a diagnosis of acute MI. Her ECG shows ST segment elevation in
leads V1, V2, V3, and V4. After she is connected to the cardiac monitor, the nurse assesses that she has
third degree heart block. Which of the following interventions will most effectively stabilize her cardiac
rhythm?
A d.) temporary pacemaker
Q12 Nitrates are beneficial for the treatment of stable angina pectoris because they?
A b.) dilate the coronary arteries
Q13 Mrs. Brown is breathing spontaneously, using a nasal cannula with an oxygen flow rate of 3 L/Minute. Her
nurse should expect that her hemodynamic waveforms will show:
A a.) a decrease in waveform pressures during expiration b.) a decrease in waveform pressures during inspiration c.)
an increase in wave form pressures during expiration *d.) an increase in waveform pressure during inspiration
Q14 Preload is defined as:
A stretch produced within the myocardium at the end of diastole
Q15 To which area of the left ventricle do ECG leads V4-V6, I and aVL correspond?
A anterolateral
Q16 For which of the following conditions is a patient at risk if the pulmonary artery catheter migrates distally
and becomes persistently wedged ?
A a. dysrhythmias b. endocarditis c.pneumothorax d. pulmonary infarction
Q17 which of the following conditions results in an elevated pulmonary artery pressure and a normal pulmonary
arterial occlusion pressure?
A a. cardiogenic pulmonary edema b. constrictive pericarditis c. hypovolemia d. pulmonary hypertension
Q18 to which area of the left ventricle do ECG leads I ,aAVL, V5, and V6 correspond?
HealthStream Cardiac ICU 2
