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1. When applying the ABC approach, which assessment takes priority when
hypotension is present?
A. Heart rate
B. Airway
C. Blood pressure
D. Oxygen saturation
ANSWER: C (Circulation—assess BP before HR)
2. Pacemaker spikes are present, but no QRS complex follows. This indicates:
A. Failure to sense
B. Failure to capture
C. Failure to pace
D. Ventricular fibrillation
ANSWER: B
3. Pacemaker spikes appear randomly and inconsistently throughout the ECG
tracing. This represents:
A. Failure to capture
, B. Failure to pace
C. Failure to sense
D. Demand pacing
ANSWER: C
4. Pacemaker spikes consistently precede each QRS complex with ventricular
capture. This rhythm is best described as:
A. Failure to sense
B. Failure to capture
C. Normal sinus rhythm
D. Ventricular paced rhythm
ANSWER: D
5. Normal mean arterial pressure (MAP) should be maintained above:
A. 50 mmHg
B. 55 mmHg
C. 60–65 mmHg
D. 75 mmHg
ANSWER: C
6. The most accurate method for continuous blood pressure monitoring is:
A. Automated cuff
B. Doppler ultrasound
C. Central venous catheter
D. Arterial line
ANSWER: D
7. An arterial line transducer should be leveled at which landmark?
A. Midclavicular line
, B. Jugular notch
C. Phlebostatic axis
D. Xiphoid process
ANSWER: C
8. Which of the following is a key nursing responsibility for arterial line
maintenance?
A. Flush once daily
B. Maintain pressure bag >300 mmHg
C. Remove alarms to reduce nuisance alerts
D. Zero only after insertion
ANSWER: B
9. Before removing an arterial line, the nurse must:
A. Apply pressure for 1 minute
B. Review anticoagulation status
C. Elevate the limb
D. Flush the line
ANSWER: B
10.Cardiac output is best defined as:
A. Oxygen delivery to tissues
B. Blood volume in circulation
C. HR × SV
D. CO ÷ BSA
ANSWER: C
11.Normal adult cardiac output is:
A. 2–4 L/min
, B. 3–5 L/min
C. 4–8 L/min
D. 6–10 L/min
ANSWER: C
12.Cardiac index differs from cardiac output because it:
A. Measures preload
B. Accounts for body surface area
C. Reflects oxygen consumption
D. Measures right heart output only
ANSWER: B
13.A late sign of poor perfusion in low cardiac output states is:
A. Tachycardia
B. Hypotension
C. Urine output <30 mL/hr
D. Cool skin
ANSWER: C
14.Which medication increases blood pressure by vasoconstriction and
inotropy?
A. Nitroglycerin
B. Aspirin
C. Dopamine
D. Heparin
ANSWER: C
15.Aspirin is used in ACS primarily to:
A. Reduce preload