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CC EXAM 2 ACTUAL EXAM WITH QUESTIONS AND
DETAILED ANSWERS THE LATEST UPDATED EXAM
BANK INCLUDING EXPERT VERIFIED SOLUTIONS
FOR A SURE PASS
A patient presents with atypical symptoms of acute myocardial infarction (AMI).
The highest nursing priority would include assessment for
a. Elevated serum CK-MB marker
b. 12 lead ECG changes with atrial fibrillation
c. 12 lead ECG changes with a prolonged PR interval
d. high serum homocysteine levels - ANSWER: a. Elevated serum CK-MB as a
cardiac marker
A patient has just returned from a percutaneous coronary intervention (PCI) with
balloon angioplasty and placement of bare metal stents (BMS). The nurse explains
that with this type of stent
a. Bleeding is a lower risk compared to drug-eluting stents
b. daily aspirin therapy alone is used to prevent clot formation for this type of stent
c. Dual anti-platelet therapy is used to decrease occlusion of the stent caused by
fibrous tissue regrowth
d. It is best for the patient to take two anti-platelet medications everyday for at
least one year - ANSWER: d. It is best for the patient to take two anti-platelet
medications everyday for at least one year
The nurse understands that the pathophysiology of a NSTEMI (non-ST elevated
myocardial infarction) is
a. Permanent damage to the myocardium, and either endocardial or epicardial layer
of the heart
b. Infarction that extended through the full thickness of the myocardium
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c. A mild infarction due to the an occlusion of the left circumflex artery
d. Infarction located somewhere other than the anterior surface of the heart -
ANSWER: a. Permanent damage to the myocardium, and either endocardial or
epicardial layer of the heart
The nurse is aware that the most common complications after an "on pump"
cardiac surgery are
a. Atelectasis and atrial fibrillation
b. Sternal wound infection and sepsis
c. Pulmonary embolus and respiratory failure
d. Ventricular arrhythmia and pericardial tamponade - ANSWER: a. Atelectasis
and atrial fibrillation
A postoperative patient following an on-pump mechanical valve replacement has
hypokalemia. The nurse recognizes this complication is most likely caused by
a. Ruptured or hemolyzed cells
b. Hemodilution during cardio-pulmonary bypass
c. Administration of banked blood
d. heparinization during cardio-pulmonary bypass - ANSWER: b. Hemodilution
during cardio-pulmonary bypass
A patient returns to the unit following coronary artery bypass graft surgery
(CABG). BP is 210/104mmHg, P 99/minute, RR 12/minute, T-95.7F, cardiac
index (CI) 2.3 L/min/m2, PAP 30/15 mmHg. Current meds infusing: nitroprusside
(Nipride), insulin, and dobutamine (dobutrex). Based on the admission assessment
data, the nurses highest priority at the time is the
a. Pulmonary artery pressures
b. Glucose level
c. Cardiac contractility
CC EXAM 2 ACTUAL EXAM WITH QUESTIONS AND
DETAILED ANSWERS THE LATEST UPDATED EXAM
BANK INCLUDING EXPERT VERIFIED SOLUTIONS
FOR A SURE PASS
A patient presents with atypical symptoms of acute myocardial infarction (AMI).
The highest nursing priority would include assessment for
a. Elevated serum CK-MB marker
b. 12 lead ECG changes with atrial fibrillation
c. 12 lead ECG changes with a prolonged PR interval
d. high serum homocysteine levels - ANSWER: a. Elevated serum CK-MB as a
cardiac marker
A patient has just returned from a percutaneous coronary intervention (PCI) with
balloon angioplasty and placement of bare metal stents (BMS). The nurse explains
that with this type of stent
a. Bleeding is a lower risk compared to drug-eluting stents
b. daily aspirin therapy alone is used to prevent clot formation for this type of stent
c. Dual anti-platelet therapy is used to decrease occlusion of the stent caused by
fibrous tissue regrowth
d. It is best for the patient to take two anti-platelet medications everyday for at
least one year - ANSWER: d. It is best for the patient to take two anti-platelet
medications everyday for at least one year
The nurse understands that the pathophysiology of a NSTEMI (non-ST elevated
myocardial infarction) is
a. Permanent damage to the myocardium, and either endocardial or epicardial layer
of the heart
b. Infarction that extended through the full thickness of the myocardium
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c. A mild infarction due to the an occlusion of the left circumflex artery
d. Infarction located somewhere other than the anterior surface of the heart -
ANSWER: a. Permanent damage to the myocardium, and either endocardial or
epicardial layer of the heart
The nurse is aware that the most common complications after an "on pump"
cardiac surgery are
a. Atelectasis and atrial fibrillation
b. Sternal wound infection and sepsis
c. Pulmonary embolus and respiratory failure
d. Ventricular arrhythmia and pericardial tamponade - ANSWER: a. Atelectasis
and atrial fibrillation
A postoperative patient following an on-pump mechanical valve replacement has
hypokalemia. The nurse recognizes this complication is most likely caused by
a. Ruptured or hemolyzed cells
b. Hemodilution during cardio-pulmonary bypass
c. Administration of banked blood
d. heparinization during cardio-pulmonary bypass - ANSWER: b. Hemodilution
during cardio-pulmonary bypass
A patient returns to the unit following coronary artery bypass graft surgery
(CABG). BP is 210/104mmHg, P 99/minute, RR 12/minute, T-95.7F, cardiac
index (CI) 2.3 L/min/m2, PAP 30/15 mmHg. Current meds infusing: nitroprusside
(Nipride), insulin, and dobutamine (dobutrex). Based on the admission assessment
data, the nurses highest priority at the time is the
a. Pulmonary artery pressures
b. Glucose level
c. Cardiac contractility
