NUR 254 TEST 1 REVIEW| QUESTIONS & ANSWERS
UPDATED 2025
1. Initial dose of amiodarone bolus IV ANS : 300mg
2. The med is administrated rapid iv push resulting In a brief flatline, used for
SVT, code cart must be at bedside ANS : adenosine
3. what are the doses for adenosine? ANS : 6mg, 12 mg, 12mg rapid IV push
4. medication used PRN for angina ANS : Nitro- warn of HA, low BP
5. Each large box on the ecg paper represents how many seconds ANS : 20
seconds
6. wo serum lab tests that would be elevated with MI ANS : CK (CREATININE
KINASE) and Troponin
7. What complication of CABG presents with manifestations of decreased
urinary output, crackles, jvd, s3 gallop ANS : pump failure (heart failure)
8. Most carbohydrates in the diet should be complex such as whole grains.
Name 2 foods that would be considered complex carbs ANS : whole grain
breads/pas- ta, legumes, potatoes
9. What would a high CVP reading indicate (normal readings are
3-12mmhg)(dehydrated means 2-3mmhg)(20-22mmhg hypervolemia) ANS :
hyperv- olemia
10. what would you see on an EKG with a pt with Hyperkalemia? ANS :
peaked T waves
11. A PATIENT WITH HIGH LDL SHOULD BE ADVISED TO REPLACE FOODS
HIGH IN SATURATED FAT WITH FOODS HIGHER IN UNSATURATED FAT. NAME
https://www.stuvia.com/user/Mboffin
, THREE (3) FOODS THE PATIENT SHOULD AVOID THAT ARE HIGH IN SATU-
RATED FAT. ANS : BUTTER, CHEESE, MILK, CREAM, ICE CREAM,
COCONUT OIL AND FATTY MEATS
12. ASIDE FROM PACER SPIKES WITH SUBSEQUENT P WAVES OR QRS COM-
PLEXES, HOW WOULD A NURSE ASSESS THE INTENDED OUTCOMES OF A
PACEMAKER? (THERE ARE SEVERAL, NAME AT LEAST ONE CORRECTLY)-
ANS : HEART RATE >60, NORMOTENSIVE, SKIN COLOR APPROPRIATE
13. WHICH CLASS OF ANTIHYPERTENSIVE MEDICATIONS HAS A COMMON
SIDE EFFECTS OF COUGH, HYPERKALEMIA (TOO HIGH) AND HYPOTEN-
SION? ANS : ANGIOTENSION CONVERTING ENZYME (ACE) INHIBITORS
14. THIS ANTICHOLINERGIC MEDICATION IS ADMINISTERED 0.5 MG TO 1 MG
IV PUSH FOR SYMPTOMATIC BRADYCARDIA ANS : ATROPINE
15. CHEST PAIN RELIEVED BY REST IS REFERRED TO AS ANS : STABLE
ANGINA
16. NAME THREE (3) MODIFIABLE RISK FACTORS FOR CAD ANS :
HYPERLIPI- DEMIA
CIGARETTE SMOKING/TOBACCO USE
HTN
DM
OBESITY
https://www.stuvia.com/user/Mboffin
, ATHEROGENIC DIET
ORAL CONTRACEPTIVES (HRT)
PHYSICAL INACTIVITY
METABOLIC SYNDROME
17. ULTIMATELY THE RECOMMENDED GOAL FOR PHYSICAL ACTIVITY FOR
CORONARY ARTERY DISEASE IS ANS : ANS : 30 minutes per day most days
(5-6 days a week)
18. MOST CARBOHYDRATES IN THE DIET SHOULD BE COMPLEX SUCH AS
WHOLE GRAINS. NAME TWO (2) FOODS THAT WOULD BE CONSIDERED
COMPLEX CARBOHYDRATES. ANS : WHOLE GRAIN BREADS/PASTA,
LEGUMES, POTATOES, RICE, STARCHY VEGETABLES.
19. USED TO INCREASE CARDIAC OUTPUT WHILE AWAITING A HEART
TRANSPLANT ANS : ventricular assistive device
20. THIS IS THE UMBRELLA TERM FOR UNSTABLE ANGINA, THAT IS WORSE
THAN TYPICAL ANGINA, LASTS GREATER THAN 15 MINUTES, INDICATES
MYOCARDIAL INJURY, AND IS OFTEN A PRECURSOR TO MYOCARDIAL IN-
FARCTION? ANS : ACS- acute coronary syndrome
21. CHEST PAIN WITH MI IS TYPICALLY DESCRIBED AS (NAME AT LEAST
3) ANS : ANS : UNRELIEVED BY REST/NITROGLYCERIN, OCCURS AT REST,
RADIATING, CRUSHING/SQUEEZING, ASSOCIATED FACTORS (DYSPNEA,
DIAPHORESIS)
22. WHICH COMPLICATION OF CABG HAS MANIFESTATIONS OF MUFFLED
HEART TONES, CT DRAINAGE ABRUPTLY SUBSIDING, HYPOTENSION AND
TACHYCARDIA? ANS : cardiac tamponade
https://www.stuvia.com/user/Mboffin
, 23. WHAT IS THE NORMAL MEASUREMENT IN SECONDS FOR THE PR INTER-
VAL? ANS : 0.12- 0.20 seconds
24. WHAT IS THE NORMAL MEASURMENT IN SECONDS FOR THE QRS COM-
PLEX? ANS : 0.6-0.10 seconds
25. THESE TWO (2) ABNORMALITIES ARE SEEN WITH MYOCARDIAL INFARC-
TION. ANS : ST ELEVATION AND PATHOLOGIC Q WAVES***
26. A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK THAT HAS PRO-
GRESSED TO THIRD DEGREE (COMPLETE) HEART BLOCK. WHAT IS THE
PRIORITY INTERVENTION? ANS : pacemaker
27. WHAT ARE THE COMMON CAUSES OF SINUS TACHYCARDIA? ANS :
FEVER, HYPOXIA, ANEMIA, HYPOVOLEMIA, PAIN/ANXIETY
28. WHAT IS THE PRIORITY INTERVENTION FOR VENTRICULAR FIBRILLA-
TION, THAT HAS THE GREATEST IMPACT ON SURVIVAL RATE? ANS :
defib
29. A PATIENT DEVELOPS PSVT AND IS SYMPTOMATIC. PRIOR TO ADENO-
SINE OR CARDIOVERSION, WHAT IS A NONPHARMACOLOGIC INTERVEN-
TION FOR PSVT? ANS : ELICIT VAGAL RESPONSE/VALSALVA MANEUVER
https://www.stuvia.com/user/Mboffin
UPDATED 2025
1. Initial dose of amiodarone bolus IV ANS : 300mg
2. The med is administrated rapid iv push resulting In a brief flatline, used for
SVT, code cart must be at bedside ANS : adenosine
3. what are the doses for adenosine? ANS : 6mg, 12 mg, 12mg rapid IV push
4. medication used PRN for angina ANS : Nitro- warn of HA, low BP
5. Each large box on the ecg paper represents how many seconds ANS : 20
seconds
6. wo serum lab tests that would be elevated with MI ANS : CK (CREATININE
KINASE) and Troponin
7. What complication of CABG presents with manifestations of decreased
urinary output, crackles, jvd, s3 gallop ANS : pump failure (heart failure)
8. Most carbohydrates in the diet should be complex such as whole grains.
Name 2 foods that would be considered complex carbs ANS : whole grain
breads/pas- ta, legumes, potatoes
9. What would a high CVP reading indicate (normal readings are
3-12mmhg)(dehydrated means 2-3mmhg)(20-22mmhg hypervolemia) ANS :
hyperv- olemia
10. what would you see on an EKG with a pt with Hyperkalemia? ANS :
peaked T waves
11. A PATIENT WITH HIGH LDL SHOULD BE ADVISED TO REPLACE FOODS
HIGH IN SATURATED FAT WITH FOODS HIGHER IN UNSATURATED FAT. NAME
https://www.stuvia.com/user/Mboffin
, THREE (3) FOODS THE PATIENT SHOULD AVOID THAT ARE HIGH IN SATU-
RATED FAT. ANS : BUTTER, CHEESE, MILK, CREAM, ICE CREAM,
COCONUT OIL AND FATTY MEATS
12. ASIDE FROM PACER SPIKES WITH SUBSEQUENT P WAVES OR QRS COM-
PLEXES, HOW WOULD A NURSE ASSESS THE INTENDED OUTCOMES OF A
PACEMAKER? (THERE ARE SEVERAL, NAME AT LEAST ONE CORRECTLY)-
ANS : HEART RATE >60, NORMOTENSIVE, SKIN COLOR APPROPRIATE
13. WHICH CLASS OF ANTIHYPERTENSIVE MEDICATIONS HAS A COMMON
SIDE EFFECTS OF COUGH, HYPERKALEMIA (TOO HIGH) AND HYPOTEN-
SION? ANS : ANGIOTENSION CONVERTING ENZYME (ACE) INHIBITORS
14. THIS ANTICHOLINERGIC MEDICATION IS ADMINISTERED 0.5 MG TO 1 MG
IV PUSH FOR SYMPTOMATIC BRADYCARDIA ANS : ATROPINE
15. CHEST PAIN RELIEVED BY REST IS REFERRED TO AS ANS : STABLE
ANGINA
16. NAME THREE (3) MODIFIABLE RISK FACTORS FOR CAD ANS :
HYPERLIPI- DEMIA
CIGARETTE SMOKING/TOBACCO USE
HTN
DM
OBESITY
https://www.stuvia.com/user/Mboffin
, ATHEROGENIC DIET
ORAL CONTRACEPTIVES (HRT)
PHYSICAL INACTIVITY
METABOLIC SYNDROME
17. ULTIMATELY THE RECOMMENDED GOAL FOR PHYSICAL ACTIVITY FOR
CORONARY ARTERY DISEASE IS ANS : ANS : 30 minutes per day most days
(5-6 days a week)
18. MOST CARBOHYDRATES IN THE DIET SHOULD BE COMPLEX SUCH AS
WHOLE GRAINS. NAME TWO (2) FOODS THAT WOULD BE CONSIDERED
COMPLEX CARBOHYDRATES. ANS : WHOLE GRAIN BREADS/PASTA,
LEGUMES, POTATOES, RICE, STARCHY VEGETABLES.
19. USED TO INCREASE CARDIAC OUTPUT WHILE AWAITING A HEART
TRANSPLANT ANS : ventricular assistive device
20. THIS IS THE UMBRELLA TERM FOR UNSTABLE ANGINA, THAT IS WORSE
THAN TYPICAL ANGINA, LASTS GREATER THAN 15 MINUTES, INDICATES
MYOCARDIAL INJURY, AND IS OFTEN A PRECURSOR TO MYOCARDIAL IN-
FARCTION? ANS : ACS- acute coronary syndrome
21. CHEST PAIN WITH MI IS TYPICALLY DESCRIBED AS (NAME AT LEAST
3) ANS : ANS : UNRELIEVED BY REST/NITROGLYCERIN, OCCURS AT REST,
RADIATING, CRUSHING/SQUEEZING, ASSOCIATED FACTORS (DYSPNEA,
DIAPHORESIS)
22. WHICH COMPLICATION OF CABG HAS MANIFESTATIONS OF MUFFLED
HEART TONES, CT DRAINAGE ABRUPTLY SUBSIDING, HYPOTENSION AND
TACHYCARDIA? ANS : cardiac tamponade
https://www.stuvia.com/user/Mboffin
, 23. WHAT IS THE NORMAL MEASUREMENT IN SECONDS FOR THE PR INTER-
VAL? ANS : 0.12- 0.20 seconds
24. WHAT IS THE NORMAL MEASURMENT IN SECONDS FOR THE QRS COM-
PLEX? ANS : 0.6-0.10 seconds
25. THESE TWO (2) ABNORMALITIES ARE SEEN WITH MYOCARDIAL INFARC-
TION. ANS : ST ELEVATION AND PATHOLOGIC Q WAVES***
26. A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK THAT HAS PRO-
GRESSED TO THIRD DEGREE (COMPLETE) HEART BLOCK. WHAT IS THE
PRIORITY INTERVENTION? ANS : pacemaker
27. WHAT ARE THE COMMON CAUSES OF SINUS TACHYCARDIA? ANS :
FEVER, HYPOXIA, ANEMIA, HYPOVOLEMIA, PAIN/ANXIETY
28. WHAT IS THE PRIORITY INTERVENTION FOR VENTRICULAR FIBRILLA-
TION, THAT HAS THE GREATEST IMPACT ON SURVIVAL RATE? ANS :
defib
29. A PATIENT DEVELOPS PSVT AND IS SYMPTOMATIC. PRIOR TO ADENO-
SINE OR CARDIOVERSION, WHAT IS A NONPHARMACOLOGIC INTERVEN-
TION FOR PSVT? ANS : ELICIT VAGAL RESPONSE/VALSALVA MANEUVER
https://www.stuvia.com/user/Mboffin
