The use of an arterial line may be indicated for which of the following:
a. for monitoring vasopressor use
b. patient is on mechanical ventilation
c. receiving continuous IV fluids
d. for administration of prescribed drugs - CORRECT ANSWER-a. for monitoring
vasopressor use
Your patient is admitted to the ED with a prolonged P-R interval. This indicates:
a. normal sinus node conduction
b. bundle branch block
c. heart block
d. myocardial infarction - CORRECT ANSWER-c. heart block
A 30 yo female comes to the ED complaining of fever for several days. She states that
she recently cut her leg while gardening. Her heart rate is 132, respirations 24, BP
80/64, and temperature 38.6° C. The most likely problem could be:
a. tetanus
b. the flu
c. sepsis
d. dehydration - CORRECT ANSWER-c. sepsis
Elevated cardiac iso-enzymes generally do not occur in which of the following?
a. congestive heart failure
b. pericarditis
c. closed chest injury
d. AMI - CORRECT ANSWER-a. congestive heart failure
The major therapeutic goal in the treatment of cardiogenic shock is to:
a. increase the afterload
b. lower the BUN
c. increase cardiac output
d. decrease fluid volume - CORRECT ANSWER-c. increase cardiac output
, In dealing with a severely depressed patient in the ED, the initial nursing action should
be:
a. encouraging the patient to verbalize his/her concerns
b. providing for additional privacy for the patient
c. restricting visits from the family members
d. facilitating a safe environment for the patient - CORRECT ANSWER-d. facilitating a
safe environment for the patient
A 55 year old female comes to the ED with an acute onset of constant epigastric pain
while at a restaurant. She is awake, alert, and very anxious. The priority for this patient
is:
a. obtain an order for an antacid
b. do a 12 lead ECG
c. ask her about previous pain like this
d. obtain a family cardiac history - CORRECT ANSWER-b. do a 12 lead ECG
Which of the following is not generally used as an initial measure for the treatment of
angina pectoris?
a. rest
b. ativan
c. oxygen
d. nitroglycerine - CORRECT ANSWER-b. ativan
The classical ECG change in acute myocardial infarction (AMI) is a:
a. wide Q wave
b. ST segment elevation
c. prolonged P- interval
d. ST segment depression - CORRECT ANSWER-b. ST segment elevation
Mr Seamore, who is able to talk to you, is receiving thrombolytics (TPA) following an
acute CVA. Which of the following would most likely require stopping the infusion?
a. improvement in motor movement
b. complaint of mild headache
c. an onset of agitation
d. deterioration in mental status - CORRECT ANSWER-d. deterioration in mental status
Indications for use of an external cardiac pacemaker include: