UPDATE. ACCURATE EXAM QUESTIONS AND
CORRECT ANSWERS. ALREADY PASSED.
Initial measure for the treatment of angina pectoris does not include which response below?
>>CORRECT ANS>>beta blockers
The classical ECG change with muscle injury in acute myocardial infarction is:
>>CORRECT ANS>>ST segment elevation
Elevated cardiac iso-enzyme generally does not occur in which response below?
>>CORRECT ANS>>Congestive heart failure
The major therapeutic goal in the treatment of cardiogenic shock is to:
>>CORRECT ANS>>Increase cardiac output
You receive orders to start Nipride and Dobutamine in your patient with end-stage cardiomyopathy.
How will this treatment regimen affect cardiac output?
>>CORRECT ANS>>Reduces preload and afterload and improves contractility
In dealing with a depressed patient during the first day’s post AMI the most appropriate nursing
action would be:
>>CORRECT ANS>>Encourage the patient to ventilate his/her concerns
Mr. Seamore is receiving thrombolytics (TPA) 3 hours after an AMI. Which of the following would
most likely require discontinuing the infusion?
>>CORRECT ANS>>Change in mental status
The following monitor would indicate that the pulmonary artery (Swan Ganz) catheter is in which
position?
>>CORRECT ANS>>Pulmonary artery occlusion (wedge)
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called:
>>CORRECT ANS>>aortic stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? >>CORRECT
ANS>>High to low
After an arterial catheter is removed, direct pressure should generally be applied to the artery:
>>CORRECT ANS>>For 8-10 minutes
, A central venous pressure CVP reading directly reflects pressure in the:
>>CORRECT ANS>>Right atrium
An elevated CVP reading may indicate:
>>CORRECT ANS>>Right heart failure
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the:
>>CORRECT ANS>>left ventricle
The following rhythm represents: >>CORRECT ANS>>First degree HB
Special care should be exercised when administering IV dopamine because:
>>CORRECT ANS>>Infiltration leads to tissue necrosis
The following strip is: >>CORRECT ANS>>Aflutter
A strong ventricular stimulus is potentially dangerous when it lands on the:
>>CORRECT ANS>>T wave
The rhythm strip below shows: >>CORRECT ANS>>VTach
An indication for use of an external cardiac pacemaker includes:
>>CORRECT ANS>>Symptomatic complete heart block
In the following rhythm strip the transvenous pacemaker shows:
>>CORRECT ANS>>Failure to sense
The initial drug treatment for sustained ventricular tachycardia when a pulse is present is:
>>CORRECT ANS>>Amiodarone 150 mg IV over 10 min
The rhythm strip below is: >>CORRECT ANS>>Vfib
The cardiac rhythm of atrial flutter is:
>>CORRECT ANS>>Hazardous, as the ventricular rate may suddenly increase
Upon recognizing ventricular fibrillation in an ICU, the next thing the nurse should do is:
>>CORRECT ANS>>Establish unresponsiveness