CARDIOLOGY EXAM QUESTIONS WITH CORRECT
ANSWERS
a line placement - RIGHT ANSWER -phlebostatic axis in level with right atrium
a young teen is in the ER with friends and his mom, when should you assess his pain? - RIGHT
ANSWER -when he is alone
AAA post op - RIGHT ANSWER -check pulses in lower extremity, UO might be decreased, patient
will have abdominal guarding
acetaminophen overdose - RIGHT ANSWER -acetylcysteine (mucomyst)
addison crisis treatment - RIGHT ANSWER -give steroids and fluids then monitor electrolytes
alcoholic - RIGHT ANSWER -give ativan (tremors)
Autonomic Dysreflexia - RIGHT ANSWER -hypertension and diaphoresis
BNP - RIGHT ANSWER -100 or less is normal
chest tube chamber is not fluctuating... - RIGHT ANSWER -check the tubing... is the system okay?
assess the breath sounds
chest tubes - RIGHT ANSWER -drainage system should always be below the level of the chest
tube
,D dimer - RIGHT ANSWER -should be less than 0.5
it is high with a PE
dopamine high dose... - RIGHT ANSWER -increase in blood pressure
dopamine low dose... - RIGHT ANSWER -increase in urinary output
during a PAP insertion, it is the nurse's job to... - RIGHT ANSWER -assess the waveform and make
note of the pressures
ET tube placement - RIGHT ANSWER -check carbon dioxide detector (turns purple to yellow if
co2 is exhaled - indicates good placement), breath sounds bilaterally, chest xray
GCS - RIGHT ANSWER -never totals 0
scores range from 3-15
less than 7 is comatose
highest is 11 on patient we ventilator
high peep could lead to... - RIGHT ANSWER -pneumothorax, increased barotrauma, decreased
CO
how should you stage interventions with IICP? - RIGHT ANSWER -stage them throughout the
shift, interventions all at once would increase ICP more and irritate them
how would you dress a wound to the chest? - RIGHT ANSWER -tape over 3 sides leaving one
open
,how would you react to an MVA on scene? - RIGHT ANSWER -you cannot help the person out of
the car, the paramedics must stabilize their neck and spine
hyperkalemia ekg - RIGHT ANSWER -tall tented t waves
hypokalemia ekg - RIGHT ANSWER -flat and high t waves
IABP function - RIGHT ANSWER -decreases afterload and increases perfusion
if a patient misses dialysis, what would their EKG look like? - RIGHT ANSWER -tall tented t waves
(hyperkalemia)
IV insulin drips - RIGHT ANSWER -IV push of small amount then set rate with hourly titration
low pressure alarm - RIGHT ANSWER -tubing of circuit is loose or disconnected, cuff is not
inflated enough
milrinone - RIGHT ANSWER -vasodilator and increases contractility
run in a with a different IV than lasix - they are not compatible
pancreatitis levels - RIGHT ANSWER -amylase and lipase
pulmonary edema medications - RIGHT ANSWER -give diuretics
SCI and paralysis - RIGHT ANSWER -if injury occurs below cervical spine, patient may be able to
move arms. if cervical - could cause quadriplegia and respiratory paralysis
,SCI/skull fracture we look for... - RIGHT ANSWER -CSF leakage - nasal drip do halo test and check
for glucose
sepsis treatment steps - RIGHT ANSWER -fluids, cultures, wide spectrum antibiotics
Septic Shock Hyperdynamic Phase - RIGHT ANSWER -CO elevated and SVR low
SIADH concerns - RIGHT ANSWER -sodium imbalance leading to seizures
snake bite - RIGHT ANSWER -do NOT put on a tourniquet or apply ice
instead - give fluids (NSS/LR) put on oxygen, and get 2 large IV Catheters
call poison control for specific venom treatment
spider bite - RIGHT ANSWER -do not use heat !
SVT treatment (non pharm) - RIGHT ANSWER -vagal stimulation (head in ice, bear down)
SVT treatment (pharma) - RIGHT ANSWER -adenosine
when adenosine doesn't work - amiodarone or cardiovert
things to keep in mind with multiple trauma... - RIGHT ANSWER -liver/spleen lacerations -
surgery prep
hypovolemia concern
vent pressure alarm causes - RIGHT ANSWER -kinked tubing, secretions, coughing, biting, need
suctioning, laying on tube
,what are some ways you can decrease VAP (ventilator associated pneumonia)? - RIGHT ANSWER
-suction as needed, give proper oral care, keep the HOB elevated 30-45 degrees, keep adequate
pressures, have an extra suction port, avoid PPI, do sedation vacations
what are things you should do first? - RIGHT ANSWER -assess and safety
i.e. with PE - listen to lung sounds
with a bleed - put on gloves
what is an early sign of DIC? - RIGHT ANSWER -bleeding
particularly out of unusual areas such as old iv sites, their oral mucosa, nose, ears, naval cavity...
what is the best assessment of renal function? - RIGHT ANSWER -I & O
what kind of patient would you assign a new nurse? - RIGHT ANSWER -easiest heart rhythm
I.e. afib w controlled ventricular response
what medication should you not give with a hemorrhagic stroke? - RIGHT ANSWER -tpa
what procedure do you do for tamponade? - RIGHT ANSWER -pericardiocentesis
what should you check when a pacemaker spike is not captured? - RIGHT ANSWER -sensitivity
may need to be increased
what should you check with a drooling stroke patient? - RIGHT ANSWER -gag reflex
what should you do if there are vent issues you cannot fix? - RIGHT ANSWER -bag the patient
until respiratory comes