100% CORRECT ANSWERS!!
Mr Adams, a 68 yo pt, c/o feeling "a little funny in his chest". His ECG shows Afib/flutter.
Which of the following meds could be used to tx his cardiac rhythm? - CORRECT
ANSWER-Diltiazem
A QRS complex wider that .12 sec most likely indicates: - CORRECT ANSWER-BBB
Special care should be exercised when administering IV Dopamine because -
CORRECT ANSWER-Infiltration leads to tissue necrosis
A strong ventricular stimulus is potentially dangerous when it lands on the: - CORRECT
ANSWER-T wave
indication for use of external cardiac pacemaker includes - CORRECT ANSWER-
symptomatic complete heart block
Initial drug tx for sustained V tach when a pulse is present - CORRECT ANSWER-
Amiodorone 150mg IV over 10 min
In dealing with a depressed pt during the first days post AMI the most appropriate
nursing action would be: - CORRECT ANSWER-Encourage the patient to ventilate
his/her concerns
Mr Seamore is receiving thrombolytics (TPA) 3 hrs after an AMI. Which of the following
would most likely require discontinuing the infusion? - CORRECT ANSWER-change in
mental status
The following monitor pattern would indicate that the pulmonary artery (swan ganz)
catheter is in which position? - CORRECT ANSWER-Pulmonary artery occlusion
(wedge)
Initial measures for the treatment of angina pectoris do not include which response
below? - CORRECT ANSWER-Beta Blockers
The classical ECG change with muscle injury in acute myocardial infarction is: -
CORRECT ANSWER-ST segment elevation
, Elevated cardiac iso-enzymes generally do not occur in which response below? -
CORRECT ANSWER-CHF
The major therapeutic goal in the treatment of cariogenic shock is to: - CORRECT
ANSWER-Increased CO
You receive orders to start nitroprusside and dobutamine in your patient with end-stage
cardiomyopathy. How will this tx regimen affect CO? - CORRECT ANSWER-Reduces
preload and after load and improves contractility
A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is
called: - CORRECT ANSWER-Aortic stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? -
CORRECT ANSWER-High to low
After an arterial catheter is removed, direct pressure should be applied to the artery for
how long? - CORRECT ANSWER-8-10 minutes
A CVP reading directly reflects pressure in the: - CORRECT ANSWER-Right atrium
An elevated CVP reading may indicate: - CORRECT ANSWER-Rt heart failure
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: -
CORRECT ANSWER-Lt ventricle
The normal pulmonary artery pressure is: - CORRECT ANSWER-11-20
How many mmHg is the normal PAOP? - CORRECT ANSWER-6-12
An elevated PAOP may indicate: - CORRECT ANSWER-Lt ventricular failure
The cardiac rhythm of A flutter is: - CORRECT ANSWER-Hazardous, as the ventricular
rate may suddenly increase
Upon recognizing V fib in an ICU, the next thing the nurse should do is: - CORRECT
ANSWER-Establish Unresponsiveness
The tx in an emergency situation for complete heart block is: - CORRECT ANSWER-
Preparing for transcutaneous pacing
Your pt has A flutter with a ventricular response of 150 bpm, therapy for this rhythm
includes: - CORRECT ANSWER-Amiodarone, Cardizem, Cardioversion