Barron's CCRN Cardiac Questions With Correct
Answers & Rationale Latest Solution
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Terms in this set (58)
The nurse is caring for a Answer: C
patient with acute inferior It is best practice to continuously monitor the
wall MI, post-coronary patient status post PCI with stent, in the lead that
artery stent deployment. was most abnormal during the acute occlusion.
For optimal care of the Lead II would most likely meet this criterion for the
patient, the nurse should: patient with an inferior wall MI. The remaining
a) administer an analgesic interventions are NOT indicated for the patient post
for acute back pain PCI.
b) Apply pressure
dressing to groin
c) Continuously monitor
the patient in lead II
d) Maintain the patient in
a supine position
,The patient with aortic Answer: C
regurgitation will have Aortic insufficiency (regurgitation) is backflow of
which of the following on blood during the time the aortic valve should be
auscultation? closed. When is the aortic valve closed? During
a) Diastolic murmur, diastole — therefore it is a diastolic murmur. The
loudest at the 5th aortic area of auscultation is at the base of the
intercostal space, heart, second intercostal space, right sternal border.
midclavicular
b) Systolic murmur,
loudest at the apex of the
heart
c) Diastolic murmur,
loudest at the second
intercostal space, right
sternal border
d) Systolic murmur,
loudest at the base of the
heart
Cardiogenic shock Answer: B
secondary to left The systolic pressure decreases due to a drop in
ventricular failure will cardiac output; however, the diastolic pressure
generally result in: either stays the same or increases due to a
a) Decreased afterload compensatory increase of the systemic vascular
b) narrow pulse pressure resistance. The remaining choices are not found in
c) decreased preload cardiogenic shock.
d) Widening pulse
pressure
, The patient was admitted Answer: D
with acute inferior wall If the RV contractility decreases, pressure proximal
STEMI; the physician to the right ventricle (which is the right atrium)
advises the nurse to increases, resulting in distended neck veins. As the
monitor the patient for right heart fails, left heart preload decreases, lung
signs of right ventricular sounds clear.
(RV) infarction. Which of
the following are signs of
RV infarction?
a) S2 heart sounds, lung
crackles
b) Hypotension, flat neck
veins
c) Hypertension, systolic
murmur
d) Distended neck veins,
clear lungs
The ECG demonstrates Answer: B
ST elevation in leads II, III Complications likely to occur after an acute inferior
and aVF. The nurse needs wall MI include bradycardia secondary to ischemia
to monitor the patient to the SA and/or AV node, and papillary muscle
closely for which of the rupture or dysfunction due to the anatomical
following? distance between the right coronary artery and the
a) Tachycardia, lung papillary muscle. The remaining choices are not
crackles common complications of inferior MI.
b) Sinus bradycardia,
acute systolic murmur in
the fifth intercostal
space, midclavicular
c) Second-degree heart
block Type 2,
hypotension
d) Hypoxemia, acute
systolic murmur, 5th
intercostal space left
sternal border
Answers & Rationale Latest Solution
Save
Terms in this set (58)
The nurse is caring for a Answer: C
patient with acute inferior It is best practice to continuously monitor the
wall MI, post-coronary patient status post PCI with stent, in the lead that
artery stent deployment. was most abnormal during the acute occlusion.
For optimal care of the Lead II would most likely meet this criterion for the
patient, the nurse should: patient with an inferior wall MI. The remaining
a) administer an analgesic interventions are NOT indicated for the patient post
for acute back pain PCI.
b) Apply pressure
dressing to groin
c) Continuously monitor
the patient in lead II
d) Maintain the patient in
a supine position
,The patient with aortic Answer: C
regurgitation will have Aortic insufficiency (regurgitation) is backflow of
which of the following on blood during the time the aortic valve should be
auscultation? closed. When is the aortic valve closed? During
a) Diastolic murmur, diastole — therefore it is a diastolic murmur. The
loudest at the 5th aortic area of auscultation is at the base of the
intercostal space, heart, second intercostal space, right sternal border.
midclavicular
b) Systolic murmur,
loudest at the apex of the
heart
c) Diastolic murmur,
loudest at the second
intercostal space, right
sternal border
d) Systolic murmur,
loudest at the base of the
heart
Cardiogenic shock Answer: B
secondary to left The systolic pressure decreases due to a drop in
ventricular failure will cardiac output; however, the diastolic pressure
generally result in: either stays the same or increases due to a
a) Decreased afterload compensatory increase of the systemic vascular
b) narrow pulse pressure resistance. The remaining choices are not found in
c) decreased preload cardiogenic shock.
d) Widening pulse
pressure
, The patient was admitted Answer: D
with acute inferior wall If the RV contractility decreases, pressure proximal
STEMI; the physician to the right ventricle (which is the right atrium)
advises the nurse to increases, resulting in distended neck veins. As the
monitor the patient for right heart fails, left heart preload decreases, lung
signs of right ventricular sounds clear.
(RV) infarction. Which of
the following are signs of
RV infarction?
a) S2 heart sounds, lung
crackles
b) Hypotension, flat neck
veins
c) Hypertension, systolic
murmur
d) Distended neck veins,
clear lungs
The ECG demonstrates Answer: B
ST elevation in leads II, III Complications likely to occur after an acute inferior
and aVF. The nurse needs wall MI include bradycardia secondary to ischemia
to monitor the patient to the SA and/or AV node, and papillary muscle
closely for which of the rupture or dysfunction due to the anatomical
following? distance between the right coronary artery and the
a) Tachycardia, lung papillary muscle. The remaining choices are not
crackles common complications of inferior MI.
b) Sinus bradycardia,
acute systolic murmur in
the fifth intercostal
space, midclavicular
c) Second-degree heart
block Type 2,
hypotension
d) Hypoxemia, acute
systolic murmur, 5th
intercostal space left
sternal border
