BSMH Advanced Arrhythmia Course Exam |
Bon Secours Mercy Health Nursing Educa on
Exam Prepara on 2026 Already Passed
angina could be triggered by ? - Answers-ea ng a heavy meal
Exp: blood shunted to the GI area which decreases blood availability to the myocardium
loca ons of chest pain? - Answers-typically felt behind the sternum and may radiate to:neck,
jaw, shoulders, and along the inner aspect of the le arm.
what is the classic finding of angina? - Answers-it is relieved with rest or nitroglycerine
Pt. educa on for nitroglycerin? - Answers-1. keep in a dark bo le
2.renew every 6 months
3.place under tongue, never swallowed
4. can take every 5 minutes x 3 doses
5. call 911 a er the first dose if pain is not relieved
decrease in cardiac output, expect the pulse to be? - Answers-weak, thready pulse
signs of hypokalemia? - Answers-muscle weakness
fa gue
muscle cramps
cons pa on
,inverted T waves and a U wave on ekg
metabolic syndrome increases the risk of? - Answers-heart disease
spironolactone is a potassium sparing diure c that could? - Answers-poten ate fluid and
electrolyte imbalances ( if given with potassium supplements, hyperkalemia can occur)
how do bet-blockers work? end in -olol - Answers-decreases heart rate and blood pressure.
mask the signs of hypoglycemia or worsen asthma because of bronchoconstric on
why should you avoid discon nuing an -hypertensives medica ons abruptly? - Answers-
increase risk for rebound hypertension
ACE inhibitors and Angiotensin 2 receptor blockers (ARBs) increase the risk of? - Answers-
hyperkalemia
ACE inhibitors, how do they work? ends in -pril - Answers-stop angiotensin 1 from conver ng to
angiotensin 2 (powerful vasoconstrictor) thereby lowering total peripheral vascular resistance
and blood pressure
How to take a proper blood pressure reading? - Answers-instruct pt. to not eat or drink for 30
mins
support arm at heart level
make sure both feet are flat on the floor
the target organs affected by long standing hypertension? - Answers-re nopathy
neuropathy
nephropathy
,decrease in output could cause what? - Answers-decrease in ssue perfusion which results in
organ failure
Following a pulmonary artery pressure reading you should deflate the balloon. Why? - Answers-
to restore the blood flow through the pulmonary artery
Straining with bowel movements is not good because? - Answers-it triggers the valsalva
maneuver which increases intrathoracic pressure decreasing the venous blood flow to the heart
and results in decrease cardiac output.
change pa ents posi on slowly to prebent? - Answers-orthosta c hypotension
Low central venous pressure levels could suggests? - Answers-could suggest dehydra on or
overdiuresis
increase central venous pressure could suggest? - Answers-heart failure
increase central venous pressure provides a measurement of what? - Answers-measurement of
the volume of blood that returned to the right side of the heart (2-6 mm Hg)
Hemodynamic monitoring is performed where? - Answers-in ICU and allows for direct cardiac
monitoring
homocysteine - Answers-damage the endothelial lining of the arteries
increase risk for thrombus forma on and lead to stroke, CAD, and peripheral artery disease
, the radiology procedure ECHOCARDIOGRAM shows what about the heart? - Answers-direc on
of blood flow
heart shape and size
ventricular func on
ejec on frac on
the purpose of a cardiac stress test? - Answers-to determine the hearts ability to respond to
increase oxygen demand
this protein triggers sodium excre on and a decrease in volume? - Answers-Brain Natriure c
Pep de (BNP)
these protein levels increase as ventricular pressure increase in order to rid the body of excess
fluid? - Answers-Brain Natriure c Pep de (BNP)
BNP level greater than _____ suggests what? - Answers-BNP levels greater than 100 suggest
heart failure
contrast medium is contraindicated in what type of pa ents? - Answers-pa ents who are
allergic to iodine, shellfish or seafood
pa ents who are pregnant or has elevated crea nine levels
contrast medium is? - Answers-nephrotoxic
Premature Ventricular Contrac ons could trigger ? - Answers-life threatening dysrthymias
therapeu c INR levels for coumadin when used for a-fib is? - Answers-INR 2-3
Bon Secours Mercy Health Nursing Educa on
Exam Prepara on 2026 Already Passed
angina could be triggered by ? - Answers-ea ng a heavy meal
Exp: blood shunted to the GI area which decreases blood availability to the myocardium
loca ons of chest pain? - Answers-typically felt behind the sternum and may radiate to:neck,
jaw, shoulders, and along the inner aspect of the le arm.
what is the classic finding of angina? - Answers-it is relieved with rest or nitroglycerine
Pt. educa on for nitroglycerin? - Answers-1. keep in a dark bo le
2.renew every 6 months
3.place under tongue, never swallowed
4. can take every 5 minutes x 3 doses
5. call 911 a er the first dose if pain is not relieved
decrease in cardiac output, expect the pulse to be? - Answers-weak, thready pulse
signs of hypokalemia? - Answers-muscle weakness
fa gue
muscle cramps
cons pa on
,inverted T waves and a U wave on ekg
metabolic syndrome increases the risk of? - Answers-heart disease
spironolactone is a potassium sparing diure c that could? - Answers-poten ate fluid and
electrolyte imbalances ( if given with potassium supplements, hyperkalemia can occur)
how do bet-blockers work? end in -olol - Answers-decreases heart rate and blood pressure.
mask the signs of hypoglycemia or worsen asthma because of bronchoconstric on
why should you avoid discon nuing an -hypertensives medica ons abruptly? - Answers-
increase risk for rebound hypertension
ACE inhibitors and Angiotensin 2 receptor blockers (ARBs) increase the risk of? - Answers-
hyperkalemia
ACE inhibitors, how do they work? ends in -pril - Answers-stop angiotensin 1 from conver ng to
angiotensin 2 (powerful vasoconstrictor) thereby lowering total peripheral vascular resistance
and blood pressure
How to take a proper blood pressure reading? - Answers-instruct pt. to not eat or drink for 30
mins
support arm at heart level
make sure both feet are flat on the floor
the target organs affected by long standing hypertension? - Answers-re nopathy
neuropathy
nephropathy
,decrease in output could cause what? - Answers-decrease in ssue perfusion which results in
organ failure
Following a pulmonary artery pressure reading you should deflate the balloon. Why? - Answers-
to restore the blood flow through the pulmonary artery
Straining with bowel movements is not good because? - Answers-it triggers the valsalva
maneuver which increases intrathoracic pressure decreasing the venous blood flow to the heart
and results in decrease cardiac output.
change pa ents posi on slowly to prebent? - Answers-orthosta c hypotension
Low central venous pressure levels could suggests? - Answers-could suggest dehydra on or
overdiuresis
increase central venous pressure could suggest? - Answers-heart failure
increase central venous pressure provides a measurement of what? - Answers-measurement of
the volume of blood that returned to the right side of the heart (2-6 mm Hg)
Hemodynamic monitoring is performed where? - Answers-in ICU and allows for direct cardiac
monitoring
homocysteine - Answers-damage the endothelial lining of the arteries
increase risk for thrombus forma on and lead to stroke, CAD, and peripheral artery disease
, the radiology procedure ECHOCARDIOGRAM shows what about the heart? - Answers-direc on
of blood flow
heart shape and size
ventricular func on
ejec on frac on
the purpose of a cardiac stress test? - Answers-to determine the hearts ability to respond to
increase oxygen demand
this protein triggers sodium excre on and a decrease in volume? - Answers-Brain Natriure c
Pep de (BNP)
these protein levels increase as ventricular pressure increase in order to rid the body of excess
fluid? - Answers-Brain Natriure c Pep de (BNP)
BNP level greater than _____ suggests what? - Answers-BNP levels greater than 100 suggest
heart failure
contrast medium is contraindicated in what type of pa ents? - Answers-pa ents who are
allergic to iodine, shellfish or seafood
pa ents who are pregnant or has elevated crea nine levels
contrast medium is? - Answers-nephrotoxic
Premature Ventricular Contrac ons could trigger ? - Answers-life threatening dysrthymias
therapeu c INR levels for coumadin when used for a-fib is? - Answers-INR 2-3
