Adult Health 2: Exam 2 Questions With Complete Solutions
Which statement correctly describes the purpose of the intra-aortic balloon pump (IABP) as treatment
for cardiogenic shock?
A laser is used to break up clots that have occluded the coronary artery.
2
A balloon is placed in the coronary artery to flatten plaque and improve coronary blood flow.
3
An expandable mesh device is inserted into the coronary artery to maintain patency.
4
The IABP improves coronary blood flow during diastole and reduces afterload during systole. -
(ANSWER)The IABP improves coronary blood flow during diastole and reduces afterload during systole
After receiving change-of-shift report in the coronary care unit, which patient does the nurse assess
first?
The patient with acute coronary syndrome who has a 3-pound weight gain and dyspnea
2
The patient with percutaneous coronary angioplasty who has a dose of heparin scheduled
3
The patient who had bradycardia after a myocardial infarction and now has a paced heart rate of 64
beats/min
4
A patient who has first-degree heart block, rate 68 beats/min, after having an inferior myocardial
infarction - (ANSWER)The patient with acute coronary syndrome who has a 3-pound weight gain and
dyspnea
What symptom of cardiac tamponade may occur in a patient after coronary artery bypass graft (CABG)
surgery?
1
Cessation of previously heavy mediastinal drainage
2
Rise in overall body temperature and chills
3
,Adult Health 2: Exam 2 Questions With Complete Solutions
Blood pressure increase of 10 mm Hg higher on inspiration
4
Pulmonary artery wedge pressure greater than the right atrial pressure - (ANSWER)Cessation of
previously heavy mediastinal drainage
What is the disadvantage of off-pump coronary artery bypass (OPCAB) surgery performed on patients
with coronary artery disease (CAD)?
1
Longer hospital stays
2
Increased risk for infection
3
Increased cost
4
Need for skilled surgeons - (ANSWER)Need for skilled surgeons
Which is the most suitable body temperature for cardiopulmonary bypass?
90° F
95° F
96° F
102° F - (ANSWER)96° F
After thrombolytic therapy, the nurse working in the cardiac catheterization laboratory would be
alarmed to notice which sign?
1-inch backup of blood in the IV tubing
, Adult Health 2: Exam 2 Questions With Complete Solutions
Facial drooping
Partial thromboplastin time (PTT) 68 seconds
Report of chest pressure during dye injection - (ANSWER)Facial drooping
What should be the temperature of warm cardioplegia?
1
90 o F
2
93 o F
95 o F
98 o F - (ANSWER)98 o F
Which drug is an inotrope that may be used to maintain organ perfusion in a patient who had heart
failure after a myocardial infarction (MI)?
Nitroglycerin (NTG)
Dobutamine
3
Fenoldopam
4
Milrinone - (ANSWER)Dobutamine
What should a patient do if he has new-onset angina at home?
Which statement correctly describes the purpose of the intra-aortic balloon pump (IABP) as treatment
for cardiogenic shock?
A laser is used to break up clots that have occluded the coronary artery.
2
A balloon is placed in the coronary artery to flatten plaque and improve coronary blood flow.
3
An expandable mesh device is inserted into the coronary artery to maintain patency.
4
The IABP improves coronary blood flow during diastole and reduces afterload during systole. -
(ANSWER)The IABP improves coronary blood flow during diastole and reduces afterload during systole
After receiving change-of-shift report in the coronary care unit, which patient does the nurse assess
first?
The patient with acute coronary syndrome who has a 3-pound weight gain and dyspnea
2
The patient with percutaneous coronary angioplasty who has a dose of heparin scheduled
3
The patient who had bradycardia after a myocardial infarction and now has a paced heart rate of 64
beats/min
4
A patient who has first-degree heart block, rate 68 beats/min, after having an inferior myocardial
infarction - (ANSWER)The patient with acute coronary syndrome who has a 3-pound weight gain and
dyspnea
What symptom of cardiac tamponade may occur in a patient after coronary artery bypass graft (CABG)
surgery?
1
Cessation of previously heavy mediastinal drainage
2
Rise in overall body temperature and chills
3
,Adult Health 2: Exam 2 Questions With Complete Solutions
Blood pressure increase of 10 mm Hg higher on inspiration
4
Pulmonary artery wedge pressure greater than the right atrial pressure - (ANSWER)Cessation of
previously heavy mediastinal drainage
What is the disadvantage of off-pump coronary artery bypass (OPCAB) surgery performed on patients
with coronary artery disease (CAD)?
1
Longer hospital stays
2
Increased risk for infection
3
Increased cost
4
Need for skilled surgeons - (ANSWER)Need for skilled surgeons
Which is the most suitable body temperature for cardiopulmonary bypass?
90° F
95° F
96° F
102° F - (ANSWER)96° F
After thrombolytic therapy, the nurse working in the cardiac catheterization laboratory would be
alarmed to notice which sign?
1-inch backup of blood in the IV tubing
, Adult Health 2: Exam 2 Questions With Complete Solutions
Facial drooping
Partial thromboplastin time (PTT) 68 seconds
Report of chest pressure during dye injection - (ANSWER)Facial drooping
What should be the temperature of warm cardioplegia?
1
90 o F
2
93 o F
95 o F
98 o F - (ANSWER)98 o F
Which drug is an inotrope that may be used to maintain organ perfusion in a patient who had heart
failure after a myocardial infarction (MI)?
Nitroglycerin (NTG)
Dobutamine
3
Fenoldopam
4
Milrinone - (ANSWER)Dobutamine
What should a patient do if he has new-onset angina at home?
