CSC FINAL EXAM STUDY QUESTIONS
WITH VERIFIED DETAILED SOLUTIONS
A benefit of the Cox/Maze III procedure for atrial fibrillation is
a. this procedure uses ablation so return of AF is unlikely.
b. this procedure does not require the patient to go on
cardiopulmonary bypass.
c. incisions are made on both atria to stop irregular electrical
activity.
d. no sternotomy incision is required. - correct answer- C
A large "v" wave seen on the PAOP wave tracing may indicate
a. mitral regurgitation.
b. mitral stenosis.
c. tricuspid regurgitation.
d. tricuspid stenosis. - correct answer- A
,A male smoker presents with pain in his extremities after
exercise. He also complains of color changes in his digits when
exposed to cold. Which of the following diseases needs to be
ruled out before considering a diagnosis of Buerger's disease?
A. Systemic lupus erythematosus, diabetes, hypercoagulable
conditions, scleroderma
B. Bleeding disorders, dyslipidemia, systemic lupus
erythematosus
C. Bleeding disorders, diabetes, hypertension, vasculitis
D. Hypercoagulable states, disorders of lipid metabolism,
polyarteritis nodosa - correct answer- A
Blood tests are used as screening tools to aid in the diagnosis of
Buerger's disease. Tests are done to rule out scleroderma, lupus,
diabetes, and other bleeding conditions. Allen test is used to
assess blood flow to the hands and feet. Angiography,
ultrasound, and echocardiography can be used to assess
vascular flow.
,A nurse is caring for a male patient who requires cardiac surgery.
Which of the following statements by the nurse indicates an
understanding of gender differences related to pain?
a. "Because males have a faster metabolism compared to
females, males may require a higher dose of opioids to control
their pain."
b. "Observation of other indicators and behaviors of pain is
warranted because males often underreport pain."
c. "Caregiver perceptions regarding pain perception need to be
recognized because males have a lower threshold for pain and
complain more often than do females."
d. "Gender differences have been linked primarily to physiologic
processes, and men may require more aggressive treatment
than females." - correct answer- B
A nurse is caring for a patient who is 5 days status post CABG
surgery. Which of the following best describes the type of pain
this patient is experiencing?
a. Acute, neuropathic pain
b. Acute, nociceptive pain
c. Chronic, neuropathic pain
, d. Chronic, nociceptive pain - correct answer- B
A patient has been admitted for OPCAB. Your preoperative
assessment reveals cool and pale fingertips. The patient reports
weakness from a previous stroke in the donor arm. The surgeon
is at the bedside requesting that the patient sign the consent
form. What should you do?
a. Encourage the patient to sign and witness the signature.
b. Perform the Allen test to assess for collateral flow from the
ulnar artery.
c. Ask to speak to the surgeon in private regarding your
assessment findings.
d. Explain the procedure to the patient, including its potential
risks and benefits. - correct answer- C
A patient has the following arterial
blood gas results following cardiac surgery: pH 7.54/pCO2
44/pO2 83/SaO294%/HCO3 30. Which of the following
electrolyte abnormalities should the ICU nurse anticipate?
a. Hypokalemia
b. Hyperchloremia
c. Hypophosphatemia
WITH VERIFIED DETAILED SOLUTIONS
A benefit of the Cox/Maze III procedure for atrial fibrillation is
a. this procedure uses ablation so return of AF is unlikely.
b. this procedure does not require the patient to go on
cardiopulmonary bypass.
c. incisions are made on both atria to stop irregular electrical
activity.
d. no sternotomy incision is required. - correct answer- C
A large "v" wave seen on the PAOP wave tracing may indicate
a. mitral regurgitation.
b. mitral stenosis.
c. tricuspid regurgitation.
d. tricuspid stenosis. - correct answer- A
,A male smoker presents with pain in his extremities after
exercise. He also complains of color changes in his digits when
exposed to cold. Which of the following diseases needs to be
ruled out before considering a diagnosis of Buerger's disease?
A. Systemic lupus erythematosus, diabetes, hypercoagulable
conditions, scleroderma
B. Bleeding disorders, dyslipidemia, systemic lupus
erythematosus
C. Bleeding disorders, diabetes, hypertension, vasculitis
D. Hypercoagulable states, disorders of lipid metabolism,
polyarteritis nodosa - correct answer- A
Blood tests are used as screening tools to aid in the diagnosis of
Buerger's disease. Tests are done to rule out scleroderma, lupus,
diabetes, and other bleeding conditions. Allen test is used to
assess blood flow to the hands and feet. Angiography,
ultrasound, and echocardiography can be used to assess
vascular flow.
,A nurse is caring for a male patient who requires cardiac surgery.
Which of the following statements by the nurse indicates an
understanding of gender differences related to pain?
a. "Because males have a faster metabolism compared to
females, males may require a higher dose of opioids to control
their pain."
b. "Observation of other indicators and behaviors of pain is
warranted because males often underreport pain."
c. "Caregiver perceptions regarding pain perception need to be
recognized because males have a lower threshold for pain and
complain more often than do females."
d. "Gender differences have been linked primarily to physiologic
processes, and men may require more aggressive treatment
than females." - correct answer- B
A nurse is caring for a patient who is 5 days status post CABG
surgery. Which of the following best describes the type of pain
this patient is experiencing?
a. Acute, neuropathic pain
b. Acute, nociceptive pain
c. Chronic, neuropathic pain
, d. Chronic, nociceptive pain - correct answer- B
A patient has been admitted for OPCAB. Your preoperative
assessment reveals cool and pale fingertips. The patient reports
weakness from a previous stroke in the donor arm. The surgeon
is at the bedside requesting that the patient sign the consent
form. What should you do?
a. Encourage the patient to sign and witness the signature.
b. Perform the Allen test to assess for collateral flow from the
ulnar artery.
c. Ask to speak to the surgeon in private regarding your
assessment findings.
d. Explain the procedure to the patient, including its potential
risks and benefits. - correct answer- C
A patient has the following arterial
blood gas results following cardiac surgery: pH 7.54/pCO2
44/pO2 83/SaO294%/HCO3 30. Which of the following
electrolyte abnormalities should the ICU nurse anticipate?
a. Hypokalemia
b. Hyperchloremia
c. Hypophosphatemia
