Cardiac Complex Care Final Exam
Questions and Answers Verified Solutions
Latest Update 2026/2027
Question:
sinus bradycardia characteristics.
Answer:
Rate is < 60 bpm, normal PR interval and QRS
Question:
PEEP SE.
Answer:
decreased systemic BP, decreased O2, decreased venous return to the heart, barotrauma, increased
ICP
Question:
12 lead EKG.
Answer:
gold standard
Question:
digoxin indications.
Answer:
Indications: heart failure, afib, atrial flutter, paroxysmal atrial tachycardiaAction: increases the
force of myocardial contraction, prolongs refractory period of the AV node, decreases conduction
through SA and AV nodes
,Question:
Ventilator-associated pneumonia.
Answer:
Lab evidence of WBCs or Gram stain of material from a respiratory secretion specimen of
acceptable quality and/or presence of respiratory pathogens on quantitative cultures from pts with
IVAC
Question:
Port-a-Cath - tunnel central venous access device.
Answer:
Surgically implanted - used to give intravenous fluids, blood transfusions, chemotherapy, and other
drugs
Question:
ipratropium assessment.
Answer:
Inhalation: assess respiratory status before and at peak, have pt rinse mouth after use, assess oral
cavity for stomatitisIntranasal: avoid
inhalation during administrationExpected outcomes: inhalation - bronchodilation; intranasal -
reduction in rhinorrhea
Question:
sedation complication.
Answer:
Oversedation is common but does not lead to optimal outcomes (longer time in the hospital and on
the vent) DO NOT OVERSEDATE
Question:
dilaudid assessment.
Answer:
,6x more potent than morphine sulfate; pay close attention to correct drug and dose when drawing
up opioids and sound alike medicationsExpected outcomes: decreased pain
Question:
surgery complications psychosocial.
Answer:
signs of anxiety, additional support related to pts condition
Question:
impella assessment.
Answer:
Assess vital signs, heart rate and rhythm, blood pressure, perfusion, essentially hemodynamics,
assess for bleeding, and proper positioning of the device
Question:
asystole.
Answer:
Complete absence of any ventricular rhythm, no pulses and no perfusion
Question:
P wave.
Answer:
atrial depolarization and contraction
Question:
heart cath assessment.
Answer:
Monitor for hypotension, hypokalemia, and dysrhythmiasDocument and report to HCP or rapid
response immediately
, Question:
delirium assessment.
Answer:
Intensive care delirium screening checklistCardinal features:Disturbed LOC with reduced ability to
focus, either a change in cognition or development of a perpetual disturbance, hallucinations or
delusions not required for dx
Question:
surgery complications respiratory.
Answer:
patient airway, SpO2 >95%, rate, pattern, and depth of breathing to determine adequacy of gas
exchange - talking is NOT a reliable indicator of adequate gas exchange
Question:
Spike but no P wave or QRS after.
Answer:
Failure to capture ECG
Question:
intra-aortic balloon pump important to.
Answer:
important that the leg it is on stays straight so it doesn't bend and rip through the vessel and cause
bleeding
Question:
Positive End-Expiratory Pressure (PEEP).
Answer:
Questions and Answers Verified Solutions
Latest Update 2026/2027
Question:
sinus bradycardia characteristics.
Answer:
Rate is < 60 bpm, normal PR interval and QRS
Question:
PEEP SE.
Answer:
decreased systemic BP, decreased O2, decreased venous return to the heart, barotrauma, increased
ICP
Question:
12 lead EKG.
Answer:
gold standard
Question:
digoxin indications.
Answer:
Indications: heart failure, afib, atrial flutter, paroxysmal atrial tachycardiaAction: increases the
force of myocardial contraction, prolongs refractory period of the AV node, decreases conduction
through SA and AV nodes
,Question:
Ventilator-associated pneumonia.
Answer:
Lab evidence of WBCs or Gram stain of material from a respiratory secretion specimen of
acceptable quality and/or presence of respiratory pathogens on quantitative cultures from pts with
IVAC
Question:
Port-a-Cath - tunnel central venous access device.
Answer:
Surgically implanted - used to give intravenous fluids, blood transfusions, chemotherapy, and other
drugs
Question:
ipratropium assessment.
Answer:
Inhalation: assess respiratory status before and at peak, have pt rinse mouth after use, assess oral
cavity for stomatitisIntranasal: avoid
inhalation during administrationExpected outcomes: inhalation - bronchodilation; intranasal -
reduction in rhinorrhea
Question:
sedation complication.
Answer:
Oversedation is common but does not lead to optimal outcomes (longer time in the hospital and on
the vent) DO NOT OVERSEDATE
Question:
dilaudid assessment.
Answer:
,6x more potent than morphine sulfate; pay close attention to correct drug and dose when drawing
up opioids and sound alike medicationsExpected outcomes: decreased pain
Question:
surgery complications psychosocial.
Answer:
signs of anxiety, additional support related to pts condition
Question:
impella assessment.
Answer:
Assess vital signs, heart rate and rhythm, blood pressure, perfusion, essentially hemodynamics,
assess for bleeding, and proper positioning of the device
Question:
asystole.
Answer:
Complete absence of any ventricular rhythm, no pulses and no perfusion
Question:
P wave.
Answer:
atrial depolarization and contraction
Question:
heart cath assessment.
Answer:
Monitor for hypotension, hypokalemia, and dysrhythmiasDocument and report to HCP or rapid
response immediately
, Question:
delirium assessment.
Answer:
Intensive care delirium screening checklistCardinal features:Disturbed LOC with reduced ability to
focus, either a change in cognition or development of a perpetual disturbance, hallucinations or
delusions not required for dx
Question:
surgery complications respiratory.
Answer:
patient airway, SpO2 >95%, rate, pattern, and depth of breathing to determine adequacy of gas
exchange - talking is NOT a reliable indicator of adequate gas exchange
Question:
Spike but no P wave or QRS after.
Answer:
Failure to capture ECG
Question:
intra-aortic balloon pump important to.
Answer:
important that the leg it is on stays straight so it doesn't bend and rip through the vessel and cause
bleeding
Question:
Positive End-Expiratory Pressure (PEEP).
Answer:
