FCCN Level 1 - Questions With Precise Solutions
V1 Correct Ans - 4th intercostal space, R sternal border. Use
for dysrhythmias
lead III Correct Ans - to monitor patient who does not
currently have dysrhythmias or ischemia, injury, infarction
how to choose V1-V6 if injury or infarction? Correct Ans -
choose the lead that has most ST elevation
lead II Correct Ans - monitor P waves
V2 Correct Ans - 4th intercostal space, L sternal border.
V4 Correct Ans - 5th intercostal space, left midclavicular line
V3 Correct Ans - Midway between V2 and V4. Use for normal
rhythms with no arrhythmias
preload Correct Ans - the stretch before a contraction, when
the ventricle fills. how wet or dry the pt is
low preload Correct Ans - pt is dry, give fluids
high preload Correct Ans - pt is wet, give lasix, vasodilators,
dialysis
contractility Correct Ans - how much squeeze the heart has
low afterload Correct Ans - dilated arteries. caused by sepsis,
shock. transfer pt to ICU for vasoconstrictors
, high afterload Correct Ans - constricted arteries. can be caused
by hypothermia, hypovolemia, cardiogenic shock. treat the cause
afterload Correct Ans - the resistance the ventricle muscle has
to go up against to pump out the blood. how clamped down or
dilated the pt is
low contractility Correct Ans - give positive inotropes
positive inotropes Correct Ans - digoxin, dobutamine,
dopamine, milrinone
stable angina Correct Ans - chest pain that occurs when a
person is active or under severe stress. caused by imbalance of O2
delivery and demand
unstable angina Correct Ans - chest pain that occurs while a
person is at rest and not exerting himself. caused by plaque rupture
and thrombus formation
NSTEMI Correct Ans - ST depression or T wave inversion,
cardiac ischemia. thrombus is intermittently occlusive, causes non
full thickness infarction of myocardium
-Troponin elevated
ischemia is characterized by Correct Ans - flipped T waves, ST
depression
injury is characterized by Correct Ans - ST elevation
Infarction is characterized by Correct Ans - Q waves that form
after 24 hours, tissue is already dead
V1 Correct Ans - 4th intercostal space, R sternal border. Use
for dysrhythmias
lead III Correct Ans - to monitor patient who does not
currently have dysrhythmias or ischemia, injury, infarction
how to choose V1-V6 if injury or infarction? Correct Ans -
choose the lead that has most ST elevation
lead II Correct Ans - monitor P waves
V2 Correct Ans - 4th intercostal space, L sternal border.
V4 Correct Ans - 5th intercostal space, left midclavicular line
V3 Correct Ans - Midway between V2 and V4. Use for normal
rhythms with no arrhythmias
preload Correct Ans - the stretch before a contraction, when
the ventricle fills. how wet or dry the pt is
low preload Correct Ans - pt is dry, give fluids
high preload Correct Ans - pt is wet, give lasix, vasodilators,
dialysis
contractility Correct Ans - how much squeeze the heart has
low afterload Correct Ans - dilated arteries. caused by sepsis,
shock. transfer pt to ICU for vasoconstrictors
, high afterload Correct Ans - constricted arteries. can be caused
by hypothermia, hypovolemia, cardiogenic shock. treat the cause
afterload Correct Ans - the resistance the ventricle muscle has
to go up against to pump out the blood. how clamped down or
dilated the pt is
low contractility Correct Ans - give positive inotropes
positive inotropes Correct Ans - digoxin, dobutamine,
dopamine, milrinone
stable angina Correct Ans - chest pain that occurs when a
person is active or under severe stress. caused by imbalance of O2
delivery and demand
unstable angina Correct Ans - chest pain that occurs while a
person is at rest and not exerting himself. caused by plaque rupture
and thrombus formation
NSTEMI Correct Ans - ST depression or T wave inversion,
cardiac ischemia. thrombus is intermittently occlusive, causes non
full thickness infarction of myocardium
-Troponin elevated
ischemia is characterized by Correct Ans - flipped T waves, ST
depression
injury is characterized by Correct Ans - ST elevation
Infarction is characterized by Correct Ans - Q waves that form
after 24 hours, tissue is already dead
