NUR 254 Test 1
Initial dose of amiodarone bolus IV - ANS300mg
The med is administrated rapid iv push resulting In a brief flatline, used for SVT, code cart must
be at bedside - ANSadenosine
what are the doses for adenosine? - ANS6mg, 12 mg, 12mg rapid IV push
medication used PRN for angina - ANSNitro- warn of HA, low BP
Each large box on the ecg paper represents how many seconds - ANS20 seconds
wo serum lab tests that would be elevated with MI - ANSCK (CREATININE KINASE) and Troponin
What complication of CABG presents with manifestations of decreased urinary output, crackles,
jvd, s3 gallop - ANSpump failure (heart failure)
Most carbohydrates in the diet should be complex such as whole grains. Name 2 foods that
would be considered complex carbs - ANSwhole grain breads/pasta, legumes, potatoes
What would a high CVP reading indicate (normal readings are 3-12mmhg)(dehydrated means 2-
3mmhg)(20-22mmhg hypervolemia) - ANShypervolemia
what would you see on an EKG with a pt with Hyperkalemia? - ANSpeaked 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. - ANSBUTTER, 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) - ANSHEART RATE >60, NORMOTENSIVE, SKIN COLOR APPROPRIATE
WHICH CLASS OF ANTIHYPERTENSIVE MEDICATIONS HAS A COMMON SIDE EFFECTS OF COUGH,
HYPERKALEMIA (TOO HIGH) AND HYPOTENSION? - ANSANGIOTENSION CONVERTING ENZYME
(ACE) INHIBITORS
THIS ANTICHOLINERGIC MEDICATION IS ADMINISTERED 0.5 MG TO 1 MG IV PUSH FOR
SYMPTOMATIC BRADYCARDIA - ANSATROPINE
CHEST PAIN RELIEVED BY REST IS REFERRED TO AS - ANSSTABLE ANGINA
NAME THREE (3) MODIFIABLE RISK FACTORS FOR CAD - ANSHYPERLIPIDEMIA
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: - ANS30 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. - ANSWHOLE
GRAIN BREADS/PASTA, LEGUMES, POTATOES, RICE, STARCHY VEGETABLES.
USED TO INCREASE CARDIAC OUTPUT WHILE AWAITING A HEART TRANSPLANT - ANSventricular
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? - ANSACS- acute coronary syndrome
CHEST PAIN WITH MI IS TYPICALLY DESCRIBED AS (NAME AT LEAST 3): - ANSUNRELIEVED 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? - ANScardiac tamponade
WHAT IS THE NORMAL MEASUREMENT IN SECONDS FOR THE PR INTERVAL? - ANS0.12- 0.20
seconds
WHAT IS THE NORMAL MEASURMENT IN SECONDS FOR THE QRS COMPLEX? - ANS0.6-0.10
seconds
THESE TWO (2) ABNORMALITIES ARE SEEN WITH MYOCARDIAL INFARCTION. - ANSST
ELEVATION AND PATHOLOGIC Q WAVES***
A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK THAT HAS PROGRESSED TO THIRD DEGREE
(COMPLETE) HEART BLOCK. WHAT IS THE PRIORITY INTERVENTION? - ANSpacemaker
Initial dose of amiodarone bolus IV - ANS300mg
The med is administrated rapid iv push resulting In a brief flatline, used for SVT, code cart must
be at bedside - ANSadenosine
what are the doses for adenosine? - ANS6mg, 12 mg, 12mg rapid IV push
medication used PRN for angina - ANSNitro- warn of HA, low BP
Each large box on the ecg paper represents how many seconds - ANS20 seconds
wo serum lab tests that would be elevated with MI - ANSCK (CREATININE KINASE) and Troponin
What complication of CABG presents with manifestations of decreased urinary output, crackles,
jvd, s3 gallop - ANSpump failure (heart failure)
Most carbohydrates in the diet should be complex such as whole grains. Name 2 foods that
would be considered complex carbs - ANSwhole grain breads/pasta, legumes, potatoes
What would a high CVP reading indicate (normal readings are 3-12mmhg)(dehydrated means 2-
3mmhg)(20-22mmhg hypervolemia) - ANShypervolemia
what would you see on an EKG with a pt with Hyperkalemia? - ANSpeaked 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. - ANSBUTTER, 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) - ANSHEART RATE >60, NORMOTENSIVE, SKIN COLOR APPROPRIATE
WHICH CLASS OF ANTIHYPERTENSIVE MEDICATIONS HAS A COMMON SIDE EFFECTS OF COUGH,
HYPERKALEMIA (TOO HIGH) AND HYPOTENSION? - ANSANGIOTENSION CONVERTING ENZYME
(ACE) INHIBITORS
THIS ANTICHOLINERGIC MEDICATION IS ADMINISTERED 0.5 MG TO 1 MG IV PUSH FOR
SYMPTOMATIC BRADYCARDIA - ANSATROPINE
CHEST PAIN RELIEVED BY REST IS REFERRED TO AS - ANSSTABLE ANGINA
NAME THREE (3) MODIFIABLE RISK FACTORS FOR CAD - ANSHYPERLIPIDEMIA
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: - ANS30 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. - ANSWHOLE
GRAIN BREADS/PASTA, LEGUMES, POTATOES, RICE, STARCHY VEGETABLES.
USED TO INCREASE CARDIAC OUTPUT WHILE AWAITING A HEART TRANSPLANT - ANSventricular
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? - ANSACS- acute coronary syndrome
CHEST PAIN WITH MI IS TYPICALLY DESCRIBED AS (NAME AT LEAST 3): - ANSUNRELIEVED 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? - ANScardiac tamponade
WHAT IS THE NORMAL MEASUREMENT IN SECONDS FOR THE PR INTERVAL? - ANS0.12- 0.20
seconds
WHAT IS THE NORMAL MEASURMENT IN SECONDS FOR THE QRS COMPLEX? - ANS0.6-0.10
seconds
THESE TWO (2) ABNORMALITIES ARE SEEN WITH MYOCARDIAL INFARCTION. - ANSST
ELEVATION AND PATHOLOGIC Q WAVES***
A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK THAT HAS PROGRESSED TO THIRD DEGREE
(COMPLETE) HEART BLOCK. WHAT IS THE PRIORITY INTERVENTION? - ANSpacemaker
