NURS 480 EXAM 2 QUESTIONS
WITH CORRECT ANSWERS
What is the expected range for creatine kinase? - CORRECT ANSWER - 0% of
|| || || || || || || || || | || || ||
total CK (30-170 units/L)
|| || || ||
What is the expected duration of elevated levels for creatine kinase? -
|| || || || || || || || || || ||
CORRECT ANSWER - 2-3 days
|| || || || ||
What is the expected range for troponin T? - CORRECTANSWER - Less than
|| || || || || || || || || | || || ||
0.1 ng/mL
||
What is the expected duration of elevated levels for troponin T? - CORRECT
|| || || || || || || || || || || ||
ANSWER - 10-14 days
|| || || ||
What is the range for troponin I? - CORRECTANSWER - Less than 0.03 ng/mL
|| || || || || || || || | || || || || ||
What is the expected duration of elevated levels for troponin I? - CORRECT
|| || || || || || || || || || || ||
ANSWER - 7-10 days
|| || || ||
What is the rage for myoglobin? - CORRECT ANSWER - Less than 90 mcg/L
|| || || || || || || | || || || || ||
What is the expected duration of elevated levels for myoglobin? - CORRECT
|| || || || || || || || || || ||
ANSWER - 24 hrs
|| || || ||
What cardiac enzyme is more reliable as an indicator for cardiac damage or
|| || || || || || || || || || || ||
injury? - CORRECT ANSWER - Troponin I
|| || || || || || ||
,What is the range for cholesterol? - CORRECTANSWER - Less than 200
|| || || || || || || | || || || ||
mg/dL
||
What is the purpose of a cholesterol test? - CORRECTANSWER - Screening
|| || || || || || || || || | || ||
for heart disease
|| || ||
What is the range for LDL? - CORRECT ANSWER - Less than 130 mg/dL
| || || || || || || | || || || || ||
What is the purpose of a LDL test? - CORRECT ANSWER - "Bad"
|| || || || || || | || || | || ||
cholesterol
||
Transports cholesterol to the body's cell from the liver
|| || || || || || || ||
What is the range for triglycerides? - CORRECT ANSWER - Males: 40-160
|| || || || || || || | || || ||
mg/dL
||
Females: 35-135 mg/dL|| ||
What is the purpose of a triglyceride test? - CORRECTANSWER - Evaluate the
|| || || || || || || || || | || || ||
client's risk for heart disease
|| || || || ||
What is the range for HDL? - CORRECT ANSWER - Males: greater than 45
|| || || || || || || | || || || || ||
mg/dL
||
Females: greater then 55 mg/dL
|| || || ||
What is the purpose of a HDL test? - CORRECT ANSWER - "Good" cholesterol
|| || || || || || | || || | || || ||
,Protected coronary arteries from heart disease by transporting cholesterol from
|| || || || || || || || ||
the body's cells to the liver
|| || || || || ||
Why is a transthoracic echocardiography done? - CORRECT ANSWER -
|| || || || || || || || ||
Diagnose valve disorders, and cardiomyopathy; evaluate the size, shape, and
|| || || || || || || || || ||
motion of the structure of the heart; and measure the ejection fraction
|| || || || || || || || || || || ||
What is an intra op consideration for transthoracic echocardiography? -
|| || || || || || || || ||
CORRECT ANSWER - Life on left side an remain still
|| || || || || || || || || ||
Why is transesophageal echocardiography done? - CORRECTANSWER -
| | || || || || | ||
Provides clearer ultrasound images because waves pass through less tissue
|| || || || || || || || ||
How is a transesophageal echocardiography done? - CORRECT ANSWER -
|| || || || || || || || ||
Small transducer is passed through the mouth and into the esophagus to provide
|| || || || || || || || || || || || ||
images of the heart
|| || || ||
What is a pre op consideration for transesophageal echocardiography? -
|| || || || || || || || ||
CORRECT ANSWER - NPO for 6 hrs prior
|| || || || || || || ||
What are post op considerations for transesophageal echocardiography? -
|| || || || || || || ||
CORRECTANSWER - Monitor VS, oxygenation status, LOC, and return of
|| | || || | || || || || || ||
gag reflex
|| ||
Keep HIB at 45 degrees
|| || || ||
What is stress testing? - CORRECTANSWER - Client exercises the cardiac
|| || || || || | || || || || ||
muscles by walking on a treadmill
|| || || || || ||
, How is a pulmonary artery catheter instered? - CORRECT ANSWER - Into a
|| || || || || || || || | || || ||
large vein (internal jugular, femoral, subclavian, brachial) and threaded through
|| || || || || || || || || |
the right atria and ventricle into a branch of the PA
|| || || || || || || || || || ||
PA catheters have multiple lumens and components. What are they and what are
| | || || || || | || || || || ||
they used for? - CORRECT ANSWER - Proximal Lumen: measures right
|| || || || || | || || || || ||
atrial pressure (central venous pressure or CVP), infuse IV fluids, and obtain
|| || || || || || || || || || || ||
venous blood samples
|| || ||
DistalLumen: Measures PAP (PAsystolic, PA diastolic, mean PA pressure,and PA
| | | | | | | | | | | ||
wedge pressure), NOT USED FOR IV FLUIDS
|| || || || || || ||
Balloon Inflation Port: PAWP measurement, should be deflated and locked in
|| || || | | | | | || |
position when not in use
|| || || || ||
Thermistor: measures temp difference between the right atrium and the PA in order | || || || || || || || | || | ||
to determine CO
|| || ||
What measure the preload of the right and left heart? - CORRECT ANSWER -
| || || || || || || || || || || | ||
Right: CVP ||
Left: PAWP ||
Whatare manifestation for elevated CVPand PAWP? - CORRECT ANSWER
| | | | | | | || || |
- Crackles in lungs
|| || ||
JVD
Hepatomegaly
Peripheral edema ||
WITH CORRECT ANSWERS
What is the expected range for creatine kinase? - CORRECT ANSWER - 0% of
|| || || || || || || || || | || || ||
total CK (30-170 units/L)
|| || || ||
What is the expected duration of elevated levels for creatine kinase? -
|| || || || || || || || || || ||
CORRECT ANSWER - 2-3 days
|| || || || ||
What is the expected range for troponin T? - CORRECTANSWER - Less than
|| || || || || || || || || | || || ||
0.1 ng/mL
||
What is the expected duration of elevated levels for troponin T? - CORRECT
|| || || || || || || || || || || ||
ANSWER - 10-14 days
|| || || ||
What is the range for troponin I? - CORRECTANSWER - Less than 0.03 ng/mL
|| || || || || || || || | || || || || ||
What is the expected duration of elevated levels for troponin I? - CORRECT
|| || || || || || || || || || || ||
ANSWER - 7-10 days
|| || || ||
What is the rage for myoglobin? - CORRECT ANSWER - Less than 90 mcg/L
|| || || || || || || | || || || || ||
What is the expected duration of elevated levels for myoglobin? - CORRECT
|| || || || || || || || || || ||
ANSWER - 24 hrs
|| || || ||
What cardiac enzyme is more reliable as an indicator for cardiac damage or
|| || || || || || || || || || || ||
injury? - CORRECT ANSWER - Troponin I
|| || || || || || ||
,What is the range for cholesterol? - CORRECTANSWER - Less than 200
|| || || || || || || | || || || ||
mg/dL
||
What is the purpose of a cholesterol test? - CORRECTANSWER - Screening
|| || || || || || || || || | || ||
for heart disease
|| || ||
What is the range for LDL? - CORRECT ANSWER - Less than 130 mg/dL
| || || || || || || | || || || || ||
What is the purpose of a LDL test? - CORRECT ANSWER - "Bad"
|| || || || || || | || || | || ||
cholesterol
||
Transports cholesterol to the body's cell from the liver
|| || || || || || || ||
What is the range for triglycerides? - CORRECT ANSWER - Males: 40-160
|| || || || || || || | || || ||
mg/dL
||
Females: 35-135 mg/dL|| ||
What is the purpose of a triglyceride test? - CORRECTANSWER - Evaluate the
|| || || || || || || || || | || || ||
client's risk for heart disease
|| || || || ||
What is the range for HDL? - CORRECT ANSWER - Males: greater than 45
|| || || || || || || | || || || || ||
mg/dL
||
Females: greater then 55 mg/dL
|| || || ||
What is the purpose of a HDL test? - CORRECT ANSWER - "Good" cholesterol
|| || || || || || | || || | || || ||
,Protected coronary arteries from heart disease by transporting cholesterol from
|| || || || || || || || ||
the body's cells to the liver
|| || || || || ||
Why is a transthoracic echocardiography done? - CORRECT ANSWER -
|| || || || || || || || ||
Diagnose valve disorders, and cardiomyopathy; evaluate the size, shape, and
|| || || || || || || || || ||
motion of the structure of the heart; and measure the ejection fraction
|| || || || || || || || || || || ||
What is an intra op consideration for transthoracic echocardiography? -
|| || || || || || || || ||
CORRECT ANSWER - Life on left side an remain still
|| || || || || || || || || ||
Why is transesophageal echocardiography done? - CORRECTANSWER -
| | || || || || | ||
Provides clearer ultrasound images because waves pass through less tissue
|| || || || || || || || ||
How is a transesophageal echocardiography done? - CORRECT ANSWER -
|| || || || || || || || ||
Small transducer is passed through the mouth and into the esophagus to provide
|| || || || || || || || || || || || ||
images of the heart
|| || || ||
What is a pre op consideration for transesophageal echocardiography? -
|| || || || || || || || ||
CORRECT ANSWER - NPO for 6 hrs prior
|| || || || || || || ||
What are post op considerations for transesophageal echocardiography? -
|| || || || || || || ||
CORRECTANSWER - Monitor VS, oxygenation status, LOC, and return of
|| | || || | || || || || || ||
gag reflex
|| ||
Keep HIB at 45 degrees
|| || || ||
What is stress testing? - CORRECTANSWER - Client exercises the cardiac
|| || || || || | || || || || ||
muscles by walking on a treadmill
|| || || || || ||
, How is a pulmonary artery catheter instered? - CORRECT ANSWER - Into a
|| || || || || || || || | || || ||
large vein (internal jugular, femoral, subclavian, brachial) and threaded through
|| || || || || || || || || |
the right atria and ventricle into a branch of the PA
|| || || || || || || || || || ||
PA catheters have multiple lumens and components. What are they and what are
| | || || || || | || || || || ||
they used for? - CORRECT ANSWER - Proximal Lumen: measures right
|| || || || || | || || || || ||
atrial pressure (central venous pressure or CVP), infuse IV fluids, and obtain
|| || || || || || || || || || || ||
venous blood samples
|| || ||
DistalLumen: Measures PAP (PAsystolic, PA diastolic, mean PA pressure,and PA
| | | | | | | | | | | ||
wedge pressure), NOT USED FOR IV FLUIDS
|| || || || || || ||
Balloon Inflation Port: PAWP measurement, should be deflated and locked in
|| || || | | | | | || |
position when not in use
|| || || || ||
Thermistor: measures temp difference between the right atrium and the PA in order | || || || || || || || | || | ||
to determine CO
|| || ||
What measure the preload of the right and left heart? - CORRECT ANSWER -
| || || || || || || || || || || | ||
Right: CVP ||
Left: PAWP ||
Whatare manifestation for elevated CVPand PAWP? - CORRECT ANSWER
| | | | | | | || || |
- Crackles in lungs
|| || ||
JVD
Hepatomegaly
Peripheral edema ||