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NURS 5354 FINAL EXAM COMPLETELY
UPDATED 2025–2026 EDITION | VERIFIED
QUESTIONS & 100% ACCURATE ANSWERS |
GUARANTEED A+ PERFORMANCE
RCRI (Revised cardiac Risk index) - ANSWER: A risk assessment tool to assess
for an elevated risk for cardiac complications
What predictors are part of the RCRI (revised cardiac risk index)? - ANSWER:
intrathoracic, intraperitoneal or suprainguinal vascular surgery
hx of iscehmic heart disease
history of heart failure
insulin treatment for DM
serum creatinine level >2
hx of cerebrovascular disease
What test should be done if patient has at least one RCRI risk? - ANSWER: a
resting ECG
Which lab level directly correlates with an increase in perioperative cardiac
complications? - ANSWER: BNP or N-terminal fragment of proBNP
BNP >92 or NT-proBNP of 300 or higher before noncardiac sx were associated
with a fourfold increase in 30-day mortality and MI.
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What medications should be continued perioperatively? - ANSWER: antianginal,
BB, ca channel and nitrates.
BB only in high risk cardiac patients. do not start day of sx.
Which medication should a patient undergoing vascular surgery or a pt with high
risk for cardiac complications? - ANSWER: a statin.
if already taking, continue dose.
if not,start on a moderate dose of 20 mg at least 30 days prior.
Which medication should alwasy be held preop? - ANSWER: aspirin, for
increased risk of bleeding.
Which operations are not necessary preoperative before a vascular surgery? -
ANSWER: CABG or PCI.
these may be done if pt meets guidelines independently of the planned noncardiac
operation.
How long should elective sx be deferred after cardiac stent placement? -
ANSWER: bare-metal stent (30 days)
drug-eluting stent (6 months) ( 3 months if needing sx for ca)
NURS 5354 FINAL EXAM COMPLETELY
UPDATED 2025–2026 EDITION | VERIFIED
QUESTIONS & 100% ACCURATE ANSWERS |
GUARANTEED A+ PERFORMANCE
RCRI (Revised cardiac Risk index) - ANSWER: A risk assessment tool to assess
for an elevated risk for cardiac complications
What predictors are part of the RCRI (revised cardiac risk index)? - ANSWER:
intrathoracic, intraperitoneal or suprainguinal vascular surgery
hx of iscehmic heart disease
history of heart failure
insulin treatment for DM
serum creatinine level >2
hx of cerebrovascular disease
What test should be done if patient has at least one RCRI risk? - ANSWER: a
resting ECG
Which lab level directly correlates with an increase in perioperative cardiac
complications? - ANSWER: BNP or N-terminal fragment of proBNP
BNP >92 or NT-proBNP of 300 or higher before noncardiac sx were associated
with a fourfold increase in 30-day mortality and MI.
, 2|Page
What medications should be continued perioperatively? - ANSWER: antianginal,
BB, ca channel and nitrates.
BB only in high risk cardiac patients. do not start day of sx.
Which medication should a patient undergoing vascular surgery or a pt with high
risk for cardiac complications? - ANSWER: a statin.
if already taking, continue dose.
if not,start on a moderate dose of 20 mg at least 30 days prior.
Which medication should alwasy be held preop? - ANSWER: aspirin, for
increased risk of bleeding.
Which operations are not necessary preoperative before a vascular surgery? -
ANSWER: CABG or PCI.
these may be done if pt meets guidelines independently of the planned noncardiac
operation.
How long should elective sx be deferred after cardiac stent placement? -
ANSWER: bare-metal stent (30 days)
drug-eluting stent (6 months) ( 3 months if needing sx for ca)
