Chapter 12: Cardiovascular Therapeutic
Management Exam Questions And
Answers
The possibility of microshock when handling a temporary pacemaker can be minimized by which
intervention?
A. Decreasing the milliamperes
B. Wearing gloves
C. Positioning the patient on the left side
D. Wearing rubber-soled shoes - ANS B. Wearing gloves
Which hemodynamic alteration is the most common cause of a decrease in cardiac output in the
postoperative cardiovascular patient?
A. Reduced preload
B. Increased afterload
C. Increased contractility
D. Bradycardia - ANS A. Reduced preload
A patient has an implantable cardioverter defibrillator (ICD) for chronic ventricular
tachydysrhythmias. What action should the nurse take when the patient's rhythm deteriorates to
ventricular fibrillation?
A. Apply an external defibrillator to the patient.
B. Call a code and start CPR on the patient.
C. Wait for the ICD to defibrillate the patient.
D. Turn the ICD off and administer epinephrine. - ANS C. Wait for the ICD to defibrillate the
patient.
How does a percutaneous transluminal coronary angioplasty (PTCA) improve blood flow?
A. The balloon stretches the vessel wall, fractures the plaque, and enlarges the vessel lumen.
B. Medication is delivered through the catheter that dissolves the plague and enhances vessel
patency.
C. The balloon removes blood clots from the vessel improving patency of the vessel.
D. The balloon compresses the plaque against the vessel wall enlarging the vessel lumen. -
ANS A. The balloon stretches the vessel wall, fractures the plaque, and enlarges the vessel
lumen.
, What is the rationale for administrating a fibrinolytic agent to a patient experiencing acute
ST-elevation myocardial infarction (STEMI)?
A. Dilation of the blocked coronary artery
B. Anticoagulation to prevent formation of new emboli
C. Dissolution of atherosclerotic plaque at the site of blockage
D. Restoration of blood flow via lysis of the thrombus - ANS D. Restoration of blood flow via
lysis of the thrombus
A nurse is providing care to a patient on fibrinolytic therapy. Which statement from the patient
warrants further assessment and intervention by the nurse?
A. "My back is killing me!"
B. "There is blood on my toothbrush!"
C. "Look at the bruises on my arms!"
D. "My arm is bleeding where my IV is!" - ANS A. "My back is killing me!"
What is the most common complication of fibrinolytic therapy?
A. Reperfusion chest pain
B. Lethargy
C. Bleeding
D. Heart blocks - ANS C. Bleeding
Which mechanism is responsible for the augmentation of coronary arterial blood flow and
increased myocardial oxygen supply seen with the intra-aortic balloon pump?
A. The vacuum created in the aorta as a result of balloon deflation
B. Diastolic inflation with retrograde perfusion
C. Forward flow to the peripheral circulation
D. Inflation during systole to augment blood pressure - ANS B. Diastolic inflation with
retrograde perfusion
What parameter must be assessed frequently in the patient with an intra-aortic balloon in place?
A. Skin turgor in the affected extremity
B. Peripheral pulses distal to the insertion site
C. Blood pressures in both arms and legs
D. Oxygen saturation - ANS B. Peripheral pulses distal to the insertion site
Which statement regarding beta-blockers is correct?
A. They increase heart rate and are contraindicated in tachydysrhythmias.
B. They result in bronchospasm and should not be used in patients with COPD.
C. They increase cardiac output and help with left ventricular failure.
D. They are helpful in increasing atrioventricular node conduction and are used in heart - ANS
B. They result in bronchospasm and should not be used in patients with COPD.
Adenosine is an antidysrhythmic agent that is given primarily what reason?
A. To convert supraventricular tachycardias (SVT)
Management Exam Questions And
Answers
The possibility of microshock when handling a temporary pacemaker can be minimized by which
intervention?
A. Decreasing the milliamperes
B. Wearing gloves
C. Positioning the patient on the left side
D. Wearing rubber-soled shoes - ANS B. Wearing gloves
Which hemodynamic alteration is the most common cause of a decrease in cardiac output in the
postoperative cardiovascular patient?
A. Reduced preload
B. Increased afterload
C. Increased contractility
D. Bradycardia - ANS A. Reduced preload
A patient has an implantable cardioverter defibrillator (ICD) for chronic ventricular
tachydysrhythmias. What action should the nurse take when the patient's rhythm deteriorates to
ventricular fibrillation?
A. Apply an external defibrillator to the patient.
B. Call a code and start CPR on the patient.
C. Wait for the ICD to defibrillate the patient.
D. Turn the ICD off and administer epinephrine. - ANS C. Wait for the ICD to defibrillate the
patient.
How does a percutaneous transluminal coronary angioplasty (PTCA) improve blood flow?
A. The balloon stretches the vessel wall, fractures the plaque, and enlarges the vessel lumen.
B. Medication is delivered through the catheter that dissolves the plague and enhances vessel
patency.
C. The balloon removes blood clots from the vessel improving patency of the vessel.
D. The balloon compresses the plaque against the vessel wall enlarging the vessel lumen. -
ANS A. The balloon stretches the vessel wall, fractures the plaque, and enlarges the vessel
lumen.
, What is the rationale for administrating a fibrinolytic agent to a patient experiencing acute
ST-elevation myocardial infarction (STEMI)?
A. Dilation of the blocked coronary artery
B. Anticoagulation to prevent formation of new emboli
C. Dissolution of atherosclerotic plaque at the site of blockage
D. Restoration of blood flow via lysis of the thrombus - ANS D. Restoration of blood flow via
lysis of the thrombus
A nurse is providing care to a patient on fibrinolytic therapy. Which statement from the patient
warrants further assessment and intervention by the nurse?
A. "My back is killing me!"
B. "There is blood on my toothbrush!"
C. "Look at the bruises on my arms!"
D. "My arm is bleeding where my IV is!" - ANS A. "My back is killing me!"
What is the most common complication of fibrinolytic therapy?
A. Reperfusion chest pain
B. Lethargy
C. Bleeding
D. Heart blocks - ANS C. Bleeding
Which mechanism is responsible for the augmentation of coronary arterial blood flow and
increased myocardial oxygen supply seen with the intra-aortic balloon pump?
A. The vacuum created in the aorta as a result of balloon deflation
B. Diastolic inflation with retrograde perfusion
C. Forward flow to the peripheral circulation
D. Inflation during systole to augment blood pressure - ANS B. Diastolic inflation with
retrograde perfusion
What parameter must be assessed frequently in the patient with an intra-aortic balloon in place?
A. Skin turgor in the affected extremity
B. Peripheral pulses distal to the insertion site
C. Blood pressures in both arms and legs
D. Oxygen saturation - ANS B. Peripheral pulses distal to the insertion site
Which statement regarding beta-blockers is correct?
A. They increase heart rate and are contraindicated in tachydysrhythmias.
B. They result in bronchospasm and should not be used in patients with COPD.
C. They increase cardiac output and help with left ventricular failure.
D. They are helpful in increasing atrioventricular node conduction and are used in heart - ANS
B. They result in bronchospasm and should not be used in patients with COPD.
Adenosine is an antidysrhythmic agent that is given primarily what reason?
A. To convert supraventricular tachycardias (SVT)
