1631 MED-SURG I: EXAM 1- STUDY SET UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
1. What are the layers of the heart?
Answer:
Pericardium (outermost layer),
Myocardium (cardiac muscle)
endocardium (innermost layer).
Question:
2. What is the lub sound?
Answer:
tricuspid and bicuspid valves closing
Question:
3. What is the dub sound?
Answer:
aortic and pulmonary valves closing
Question:
4. What is the third step in conduction of the heart?
Answer:
AV node is the third step
,Question:
5. What is the second stop of blood circulation?
Answer:
Right Atrium
Question:
6. How does aging affect peripheral circulation?
Answer:
By the time a person reaches the age of 65 the heart's efficiency has reduced.
Decreased: efficiency, strength, cardiac output, elasticity of blood vessels;
atherosclerotic changes (hypertension); collateral coronary circulation; angina
less apparent (replaced with dyspnea); edema; decreased drug metabolism and
excretion
Question:
7. What are the requirements for a heart transplant?
Answer:
Suitable physiologic and chronologic age
End-stage heart disease that is no longer responding to medication.
Dilated cardiomyopathy
Inoperable coronary artery disease
Vigorous and healthy individual who would benefit from procedure
Compliance with medications
Demonstrated emotional stability and social support
Financial resources available
Question:
8. What would disqualify a patient needing a heart
transplant?
Answer:
Continuation of smoking, drinking and/or non-compliant to the required therapy.
Question:
9. What is the hearts natural pacemakers?
Answer:
Sinoatrial (SA) node
, Question:
10. What is an artificial pacemaker?
Answer:
A titanium device is used to initiate and control HR by delivering an electrical
impulse via an electrode to the myocardium.
Question:
11. What should be monitored after a pacemaker is placed?
Answer:
closely monitor HR, rhythm by apical pulse, and ECG monitoring
Question:
12. A patient just had a pacemaker placed, what should they
NOT do?
Answer:
anything "strenuous" such as weightlifting, swimming, golfing, after discharge
instruct patient to not lift on the surgical side over the head for 6-8 weeks.
Question:
13. What two diagnostic tests should not be done when you
have a pacemaker?
Answer:
MRI/ CT- Scans due to the use of magnets.
A strong magnet field can interfere with pacemaker rhythms and can even reset
pacemaker.
Question:
14. What does CAD stand for and what is it?
Answer:
coronary artery disease
narrowing of coronary arteries which provide blood to the heart tissue
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
1. What are the layers of the heart?
Answer:
Pericardium (outermost layer),
Myocardium (cardiac muscle)
endocardium (innermost layer).
Question:
2. What is the lub sound?
Answer:
tricuspid and bicuspid valves closing
Question:
3. What is the dub sound?
Answer:
aortic and pulmonary valves closing
Question:
4. What is the third step in conduction of the heart?
Answer:
AV node is the third step
,Question:
5. What is the second stop of blood circulation?
Answer:
Right Atrium
Question:
6. How does aging affect peripheral circulation?
Answer:
By the time a person reaches the age of 65 the heart's efficiency has reduced.
Decreased: efficiency, strength, cardiac output, elasticity of blood vessels;
atherosclerotic changes (hypertension); collateral coronary circulation; angina
less apparent (replaced with dyspnea); edema; decreased drug metabolism and
excretion
Question:
7. What are the requirements for a heart transplant?
Answer:
Suitable physiologic and chronologic age
End-stage heart disease that is no longer responding to medication.
Dilated cardiomyopathy
Inoperable coronary artery disease
Vigorous and healthy individual who would benefit from procedure
Compliance with medications
Demonstrated emotional stability and social support
Financial resources available
Question:
8. What would disqualify a patient needing a heart
transplant?
Answer:
Continuation of smoking, drinking and/or non-compliant to the required therapy.
Question:
9. What is the hearts natural pacemakers?
Answer:
Sinoatrial (SA) node
, Question:
10. What is an artificial pacemaker?
Answer:
A titanium device is used to initiate and control HR by delivering an electrical
impulse via an electrode to the myocardium.
Question:
11. What should be monitored after a pacemaker is placed?
Answer:
closely monitor HR, rhythm by apical pulse, and ECG monitoring
Question:
12. A patient just had a pacemaker placed, what should they
NOT do?
Answer:
anything "strenuous" such as weightlifting, swimming, golfing, after discharge
instruct patient to not lift on the surgical side over the head for 6-8 weeks.
Question:
13. What two diagnostic tests should not be done when you
have a pacemaker?
Answer:
MRI/ CT- Scans due to the use of magnets.
A strong magnet field can interfere with pacemaker rhythms and can even reset
pacemaker.
Question:
14. What does CAD stand for and what is it?
Answer:
coronary artery disease
narrowing of coronary arteries which provide blood to the heart tissue
