NR 341 CMS part1 and part 2 QUESTIONS AND
ANSWERS MOST RECENT SOLUTION 2025
What are medications for angina and MI?
MONA (ONAM is correct order) + beta blocker
Important nursing considerations for a patient that had a cardiac
catheterization
-HOB no higher than 30 degrees
-Keep the affected extremity straight
-Stay on bed rest for 4-8 hrs
-If pt coughs, hold pressure over site
-Inc. fluids to help excrete dye
When meds are prescribed to a patient upon discharge who has had a
cardiac catheterization?
Aspirin and clopidogrel (antiplatelet meds)
What is the purpose of a CABG?
To revascularize the heart
Common complications following CABG
-Hypothermia
-Bleeding
-Bradycardia (treated with a transvenous pacemaker)
What does a low CVP mean?
The patient needs more volume
What medications are typically prescribed to a patient following a
CABG?
-Beta blockers
-ACE inhibitors
-Statins
,What is it called if the PR interval is longer than normal (norm = 0.12-
0.2)?
First-degree AV block (delay in conduction from SA node to purkinje
fibers)
Education for a patient with a pacemaker
-Report HR lower than the set amount
-Avoid high output electric generators
-Avoid MRI
-Carry pacemaker card with them at all times
-It is safe to use microwave ovens
-Do not use cell phones on the same side the pacemaker is in
-Do not move arm above shoulder for about 2 weeks following procedure
How long does a pacemaker last?
It depends on how often the patient needs to use the pacemaker
(usually lasts from 5-10 years)
A patient has a nasogastric tube ordered for a peptic ulcer, what are
priority interventions after placement of the tube?
Monitor the amount of fluid coming out and the color
If a patient has had a gastrectomy and you note blood draining from the
nasogastric tube, is this cause for concern?
It's normal to see blood in the tubing post-op initially but that blood
should start to clear up and turn a bile color in 12-24 hours.
A patient has an upper GI bleed and is vomiting blood, what is this
patient at an increased risk for?
The patient can begin to present with shock depending on how much
volume they are losing, causing an airway problem and putting them at
high risk for aspiration; this patient may need to be intubated
If a patient with a GI bleed begins to vomit blood in bed, what is your
priority intervention?
Roll the patient on their side to prevent aspiration and suction the oral
cavity
What should you do prior to initiating a gastric lavage?
, Assess the client for a gag reflex. If the patient has a diminished or
absence of a gag reflex, this is a contraindication of this procedure
because the aspiration risk will be high.
How do you perform a gastric lavage?
-Insert a nasogastric tube
-Use 0.9% NS (room temp or slightly warm)
-Use 60 mL syringe and lavage set
-Instill the prescribed volume (typically 200-300 mL)
-Reconnect the patient to the suction ordered (or the HCP may want this
to flow out via gravity)
-Document the amount, color, and contents
What is important to monitor for following a gastric lavage?
Monitor for fluid and electrolyte imbalances
If a patient is responsive we follow ABCs; if a patient is unresponsive,
however, what order do we follow?
CAB
Emergency care for upper GI bleeds
-2 large bore IVs
-O2 NC - nonrebreather mask
-ECG monitoring
-Insert NG tube
-Keep NPO
-Obtain blood for CBC, clotting studies, type, and crossmatch
-Assess amount/color of emesis
-Replace volume losses
-Strict I&O
Common risk factors for peptic ulcer disease
Stress
H. pylori
Alcohol
Smoking
Gastritis
Common risk factors for duodenal ulcers
ANSWERS MOST RECENT SOLUTION 2025
What are medications for angina and MI?
MONA (ONAM is correct order) + beta blocker
Important nursing considerations for a patient that had a cardiac
catheterization
-HOB no higher than 30 degrees
-Keep the affected extremity straight
-Stay on bed rest for 4-8 hrs
-If pt coughs, hold pressure over site
-Inc. fluids to help excrete dye
When meds are prescribed to a patient upon discharge who has had a
cardiac catheterization?
Aspirin and clopidogrel (antiplatelet meds)
What is the purpose of a CABG?
To revascularize the heart
Common complications following CABG
-Hypothermia
-Bleeding
-Bradycardia (treated with a transvenous pacemaker)
What does a low CVP mean?
The patient needs more volume
What medications are typically prescribed to a patient following a
CABG?
-Beta blockers
-ACE inhibitors
-Statins
,What is it called if the PR interval is longer than normal (norm = 0.12-
0.2)?
First-degree AV block (delay in conduction from SA node to purkinje
fibers)
Education for a patient with a pacemaker
-Report HR lower than the set amount
-Avoid high output electric generators
-Avoid MRI
-Carry pacemaker card with them at all times
-It is safe to use microwave ovens
-Do not use cell phones on the same side the pacemaker is in
-Do not move arm above shoulder for about 2 weeks following procedure
How long does a pacemaker last?
It depends on how often the patient needs to use the pacemaker
(usually lasts from 5-10 years)
A patient has a nasogastric tube ordered for a peptic ulcer, what are
priority interventions after placement of the tube?
Monitor the amount of fluid coming out and the color
If a patient has had a gastrectomy and you note blood draining from the
nasogastric tube, is this cause for concern?
It's normal to see blood in the tubing post-op initially but that blood
should start to clear up and turn a bile color in 12-24 hours.
A patient has an upper GI bleed and is vomiting blood, what is this
patient at an increased risk for?
The patient can begin to present with shock depending on how much
volume they are losing, causing an airway problem and putting them at
high risk for aspiration; this patient may need to be intubated
If a patient with a GI bleed begins to vomit blood in bed, what is your
priority intervention?
Roll the patient on their side to prevent aspiration and suction the oral
cavity
What should you do prior to initiating a gastric lavage?
, Assess the client for a gag reflex. If the patient has a diminished or
absence of a gag reflex, this is a contraindication of this procedure
because the aspiration risk will be high.
How do you perform a gastric lavage?
-Insert a nasogastric tube
-Use 0.9% NS (room temp or slightly warm)
-Use 60 mL syringe and lavage set
-Instill the prescribed volume (typically 200-300 mL)
-Reconnect the patient to the suction ordered (or the HCP may want this
to flow out via gravity)
-Document the amount, color, and contents
What is important to monitor for following a gastric lavage?
Monitor for fluid and electrolyte imbalances
If a patient is responsive we follow ABCs; if a patient is unresponsive,
however, what order do we follow?
CAB
Emergency care for upper GI bleeds
-2 large bore IVs
-O2 NC - nonrebreather mask
-ECG monitoring
-Insert NG tube
-Keep NPO
-Obtain blood for CBC, clotting studies, type, and crossmatch
-Assess amount/color of emesis
-Replace volume losses
-Strict I&O
Common risk factors for peptic ulcer disease
Stress
H. pylori
Alcohol
Smoking
Gastritis
Common risk factors for duodenal ulcers
