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N420 Midterm Review | Cardiovascular Nursing Study Guide with Questions, Answers, and Rationales

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This N420 Midterm Review is a comprehensive nursing study guide containing cardiac and critical care practice questions with verified answers and rationales. It covers advanced cardiovascular concepts including angina types, myocardial infarction (MI), acute coronary syndrome (ACS), cardiac tamponade, aortic dissection, arrhythmia management, fibrinolytic therapy, and invasive hemodynamic monitoring. The guide also reviews arterial line setup, IABP therapy, CABG postoperative care, pacemakers, and ICD management. Designed for nursing students in advanced medical-surgical or critical care courses, this resource helps reinforce key exam topics and clinical decision-making skills.

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N420 Midterm Review
Questions and Answers

,For the patient in V-
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fib, you immediately began CPR and called a Code Blue. The code team has brought the code cart
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and defibrillator to the room. After placing the pads on the patient and confirming the rhythm,
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what is the next thing that should be done?
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A. Synchronized Cardioversion
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B. Defibrillation
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C. Continue Compressions
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D. Administer IV Adenosine B. Defibrillation
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The patient in V-
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tach rhythm has a pulse and a BP <100 systolic and they are also dizzy and confused. What treat
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ment would be considered next?
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A. Defibrillation
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B. Begin Compressions
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C. Administer IV Adenosine
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D. Synchronized Cardioversion
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As a nurse on the code team, you are rushing to a pediatric code. In order to determine appropri
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ate resuscitation for the child, the first thing you need is...
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A. To put the child on the scale to get a weight
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B. Contact the parents to ask how much the child weighs
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C. Use the Broselow tap to estimate weight
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D. Get the hospital pediatrician to look at the child to estimate weight
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You need to give Epinephrine in a code but there is no IV access. Which of the following are alter
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native ways to appropriately administer Epinephrine in a code? (Select all that apply.)
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, A. ETT
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B. Central Line
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C. Intraosseous Line
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D. Topically
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E. Ophthalmically
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C. Intraosseous Line
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Your patient in a code is in PEA. The code team is reviewing possible causes to address. What is t
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he pneumonic to remember the potential causes of PEA during a code?
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A. S's & P's
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B. H's & G's
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C. S's & G's
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D. H's & T's
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Your patient has a history of angina that occurs unpredictably, sometimes in the middle of the nig
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ht. They've been told that it is a result of a vasospasm. What type of angina is this?
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A. Stable Angina
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B. Unstable Angina
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C. Variant or Printzmetal Angina
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D. Cardiomyopathy
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Your patient is having angina that is different from their normal pain while they are shoveling sno
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w. It is not relieved by rest or nitroglycerin. What type of angina is this?
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A. Variant or Printzmetal Angina
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B. Unstable Angina
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C. Stable Angina
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D. Decompensated Angina
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Connected book
 image
Catriona Jennings, Felicity Astin, Donna Fitzsimons, Ekaterini Lambrinou, Lis Neubeck, David R. Thompson The ESC Textbook of Cardiovascular Nursing
Publisher: 2022 ISBN: 9780198849315 Edition: Unknown

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Uploaded on
October 31, 2025
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Questions & answers
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