Acute Care Final Study Questions and
Answers
EXAM 1
HEART WRITTEN EXAM:
Your have a patient in room 335 who has been told his SA node is not "FIRING" properly but
that the AV node is responding. You expect that the patients heart rate to be:
a. 35 bpm
b. 45 bpm
c. 75 bpm
d. 100 bpm Correct Ans-B
You know that the older pt has less _____________, which is the ability of the heart to
__________. Correct Ans-cardiac reserve;
adjust to increased demands from stressors
The P wave represents ___________________. In a normal EKG, the P wave precedes the
________________. Correct Ans-atrial depolarization
QRS complex
,Whens assessing an EKG for normal sinus rhythm, the _______________________ intervals are
regular. Correct Ans-R-R
Atrial dysrhythmias is abnormal electrical activity that results in stimulation outside the SA node
but within the atria. This can be caused by several different factors including: Correct Ans-
stress
hyopkalemia
MI ingestion of large meal
Occurs when one or more ectopic foci arise within the ventricles: Correct Ans-Ventricle
dysrhythmias
Your pt has just arrived to ED in ventricular tachycardia. You know that V-tach includes:
Correct Ans-Atrial rate cannot be determine
Ventricular rate 150-250
In V tach, Correct Ans-none of the QRS complexes will be preceded by P waves
A patient in V tach has high possibility of converting to ____________________ rhythm that
may result in asystole. Correct Ans-V-fib
Lt sided HF can result in: (SATA)
A DYSPNEA
B ORTHOPNEA
,C MEMORY LOSS
D DENTATION PROBLEMS
E OSTEOARTHRITIS
F PLEURAL EFFUSION/EDEMA
G PAROXYSMAL NOCTURNAL DYSPNEA
H EATING D/O Correct Ans-A, B, F, G
Rt sided HF can result in Correct Ans-liver enlargement and abdominal pain
formation of localized necrotic areas within the mycoardium, usually following the sudden
occlusion a coronary artery is referred to as
A PARADOXYL ANGINA
B MYOCARDIAL INFARCTION
C LT HF
D ANAPHYLYTIC SHOCK Correct Ans-B
3 MAJOR MECHANISMS TO COMPENSATE FOR PATHOLOGICAL CHANGES IN
CARDIAC OUTUT INCLUDE: (SATA)
A VENTRICULAR DIALATION
B ATRIAL DIALATION
C VENTRICULAR HYPERTROPHY
D BRADYCARDIA
E TACHYCARDIA
, F DECREASED SYSTOLIC OUTPUT Correct Ans-A, C, E
WHAT IS THE RESULT FROM SEVERE PAIN OR FROM VASOVAGAL REFLEXES
CONDUCTED FROM THE AREA OF DAMAGED MYOCARDIUM TO THE GI TRACT?
A DYSURIA
C CHOLEOLITHIASIS
C HIGH FEVER
D NAUSEA AND VOMIT Correct Ans-D
OCCURS WHEN THE O2 SUPPLY TO THE HEAR IS NOT SUFFICIENT
A ANGINA
B MI
C LT HF
D INCREASE AGE Correct Ans-A
THE OUTPOUCHING/DILATION OF THE AORTIC ARTERIAL WALL IS CALLED ----------
---- AND IS MORE COMMON IN------------- Correct Ans-AORTIC ANEURYSM, MEN
MAJOR RISK FACTOR FOR A DESCENDING ABDOMINAL AORTIC ANEURYSM ARE:
Correct Ans-MALE, >65 AGE, SMOKING
S/X OF RUPTURES AORTIC ANEURYSM INCLUDE: Correct Ans-SEVERE BACK
PAIN
Answers
EXAM 1
HEART WRITTEN EXAM:
Your have a patient in room 335 who has been told his SA node is not "FIRING" properly but
that the AV node is responding. You expect that the patients heart rate to be:
a. 35 bpm
b. 45 bpm
c. 75 bpm
d. 100 bpm Correct Ans-B
You know that the older pt has less _____________, which is the ability of the heart to
__________. Correct Ans-cardiac reserve;
adjust to increased demands from stressors
The P wave represents ___________________. In a normal EKG, the P wave precedes the
________________. Correct Ans-atrial depolarization
QRS complex
,Whens assessing an EKG for normal sinus rhythm, the _______________________ intervals are
regular. Correct Ans-R-R
Atrial dysrhythmias is abnormal electrical activity that results in stimulation outside the SA node
but within the atria. This can be caused by several different factors including: Correct Ans-
stress
hyopkalemia
MI ingestion of large meal
Occurs when one or more ectopic foci arise within the ventricles: Correct Ans-Ventricle
dysrhythmias
Your pt has just arrived to ED in ventricular tachycardia. You know that V-tach includes:
Correct Ans-Atrial rate cannot be determine
Ventricular rate 150-250
In V tach, Correct Ans-none of the QRS complexes will be preceded by P waves
A patient in V tach has high possibility of converting to ____________________ rhythm that
may result in asystole. Correct Ans-V-fib
Lt sided HF can result in: (SATA)
A DYSPNEA
B ORTHOPNEA
,C MEMORY LOSS
D DENTATION PROBLEMS
E OSTEOARTHRITIS
F PLEURAL EFFUSION/EDEMA
G PAROXYSMAL NOCTURNAL DYSPNEA
H EATING D/O Correct Ans-A, B, F, G
Rt sided HF can result in Correct Ans-liver enlargement and abdominal pain
formation of localized necrotic areas within the mycoardium, usually following the sudden
occlusion a coronary artery is referred to as
A PARADOXYL ANGINA
B MYOCARDIAL INFARCTION
C LT HF
D ANAPHYLYTIC SHOCK Correct Ans-B
3 MAJOR MECHANISMS TO COMPENSATE FOR PATHOLOGICAL CHANGES IN
CARDIAC OUTUT INCLUDE: (SATA)
A VENTRICULAR DIALATION
B ATRIAL DIALATION
C VENTRICULAR HYPERTROPHY
D BRADYCARDIA
E TACHYCARDIA
, F DECREASED SYSTOLIC OUTPUT Correct Ans-A, C, E
WHAT IS THE RESULT FROM SEVERE PAIN OR FROM VASOVAGAL REFLEXES
CONDUCTED FROM THE AREA OF DAMAGED MYOCARDIUM TO THE GI TRACT?
A DYSURIA
C CHOLEOLITHIASIS
C HIGH FEVER
D NAUSEA AND VOMIT Correct Ans-D
OCCURS WHEN THE O2 SUPPLY TO THE HEAR IS NOT SUFFICIENT
A ANGINA
B MI
C LT HF
D INCREASE AGE Correct Ans-A
THE OUTPOUCHING/DILATION OF THE AORTIC ARTERIAL WALL IS CALLED ----------
---- AND IS MORE COMMON IN------------- Correct Ans-AORTIC ANEURYSM, MEN
MAJOR RISK FACTOR FOR A DESCENDING ABDOMINAL AORTIC ANEURYSM ARE:
Correct Ans-MALE, >65 AGE, SMOKING
S/X OF RUPTURES AORTIC ANEURYSM INCLUDE: Correct Ans-SEVERE BACK
PAIN
