NUR 254 Test 1 Review Questions with 100% Correct Answers

Initial dose of amiodarone bolus IV Correct Answer 300mg The med is administrated rapid iv push resulting In a brief flatline, used for SVT, code cart must be at bedside Correct Answer adenosine What are the doses for adenosine? Correct Answer 6mg, 12 mg, 12mg rapid IV push Medication used PRN for angina Correct Answer Nitro- warn of HA, low BP Each large box on the ecg paper represents how many seconds Correct Answer 20 seconds Wo serum lab tests that would be elevated with MI Correct Answer CK (CREATININE KINASE) and Troponin What complication of CABG presents with manifestations of decreased urinary output, crackles, jvd, s3 gallop Correct Answer pump failure (heart failure) Most carbohydrates in the diet should be complex such as whole grains. Name 2 foods that would be considered complex carbs Correct Answer whole grain breads/pasta, legumes, potatoes What would a high CVP reading indicate (normal readings are 3-12mmhg)(dehydrated means 2-3mmhg)(20-22mmhg hypervolemia) Correct Answer hypervolemia What would you see on an EKG with a pt with Hyperkalemia? Correct Answer peaked T waves A PATIENT WITH HIGH LDL SHOULD BE ADVISED TO REPLACE FOODS HIGH IN SATURATED FAT WITH FOODS HIGHER IN UNSATURATED FAT. NAME THREE (3) FOODS THE PATIENT SHOULD AVOID THAT ARE HIGH IN SATURATED FAT. Correct Answer BUTTER, CHEESE, MILK, CREAM, ICE CREAM, COCONUT OIL AND FATTY MEATS ASIDE FROM PACER SPIKES WITH SUBSEQUENT P WAVES OR QRS COMPLEXES, HOW WOULD A NURSE ASSESS THE INTENDED OUTCOMES OF A PACEMAKER? (THERE ARE SEVERAL, NAME AT LEAST ONE CORRECTLY) Correct Answer HEART RATE >60, NORMOTENSIVE, SKIN COLOR APPROPRIATE WHICH CLASS OF ANTIHYPERTENSIVE MEDICATIONS HAS A COMMON SIDE EFFECTS OF COUGH, HYPERKALEMIA (TOO HIGH) AND HYPOTENSION? Correct Answer ANGIOTENSION CONVERTING ENZYME (ACE) INHIBITORS THIS ANTICHOLINERGIC MEDICATION IS ADMINISTERED 0.5 MG TO 1 MG IV PUSH FOR SYMPTOMATIC BRADYCARDIA Correct Answer ATROPINE CHEST PAIN RELIEVED BY REST IS REFERRED TO AS Correct Answer STABLE ANGINA NAME THREE (3) MODIFIABLE RISK FACTORS FOR CAD Correct Answer HYPERLIPIDEMIA CIGARETTE SMOKING/TOBACCO USE HTN DM OBESITY ATHEROGENIC DIET ORAL CONTRACEPTIVES (HRT) PHYSICAL INACTIVITY METABOLIC SYNDROME ULTIMATELY THE RECOMMENDED GOAL FOR PHYSICAL ACTIVITY FOR CORONARY ARTERY DISEASE IS: Correct Answer 30 minutes per day most days (5-6 days a week) MOST CARBOHYDRATES IN THE DIET SHOULD BE COMPLEX SUCH AS WHOLE GRAINS. NAME TWO (2) FOODS THAT WOULD BE CONSIDERED COMPLEX CARBOHYDRATES. Correct Answer WHOLE GRAIN BREADS/PASTA, LEGUMES, POTATOES, RICE, STARCHY VEGETABLES. USED TO INCREASE CARDIAC OUTPUT WHILE AWAITING A HEART TRANSPLANT Correct Answer ventricular assistive device THIS IS THE UMBRELLA TERM FOR UNSTABLE ANGINA, THAT IS WORSE THAN TYPICAL ANGINA, LASTS GREATER THAN 15 MINUTES, INDICATES MYOCARDIAL INJURY, AND IS OFTEN A PRECURSOR TO MYOCARDIAL INFARCTION? Correct Answer ACS- acute coronary syndrome CHEST PAIN WITH MI IS TYPICALLY DESCRIBED AS (NAME AT LEAST 3): Correct Answer UNRELIEVED BY REST/NITROGLYCERIN, OCCURS AT REST, RADIATING, CRUSHING/SQUEEZING, ASSOCIATED FACTORS (DYSPNEA, DIAPHORESIS) WHICH COMPLICATION OF CABG HAS MANIFESTATIONS OF MUFFLED HEART TONES, CT DRAINAGE ABRUPTLY SUBSIDING, HYPOTENSION AND TACHYCARDIA? Correct Answer cardiac tamponade