COMPLETE QUESTIONS FULLY SOLVED
◉ The classical ECG change with muscle injury in acute myocardial
infarction is:
1. presence of a Q wave
2. ST segment elevation
3. myocardial electrical irritability
4. a peaked T wave. Answer: ST segment elevation
◉ Elevated cardiac iso-enzyme generally does not occur in which
response below?
1. Closed chest injury
2. pericarditis
3. congestive heart failure
4. cardiac surgery. Answer: Congestive heart failure
◉ The major therapeutic goal in the treatment of cardiogenic shock
is to:
1. Increase the afterload
2. Improve renal perfusion
3. Increase cardiac output
,4. Decrease fluid volume. Answer: Increase cardiac output
◉ You receive orders to starte Nipride and Dobutamine in your
patient with end-stage cardiomyopathy. How will this treatment
regimen affect cardiac output?
1. Increase preload and reduces afterload
2. Reduces preload and increases afterload
3. Reduces preload and afterload and improves contractility
4. Reduces preload and improves contractility. Answer: Reduces
preload and afterload and improves contractility
◉ In dealing with a depressed patient during the first days post AMI
the most appropriate nursing action would be:
1. Encourage to patient to ventilate his/her concerns
2. Provide for privacy so the patient can rest
3. Limit visits only to family members
4. Provide a quiet environment for the patient. Answer: Encourage
the patient to ventilate his/her concerns
◉ Mr. Seamore is receiving thrombolytics (TPA) 3 hours after an
AMI. Which of the following would most likely require discontinuing
the infusion?
1. PVCs
2. Bleeding gums
, 3. Oozing at the insertion site
4. Change in mental status. Answer: Change in mental status
◉ The following monitor would indicate that the pulmonary artery
(Swan Ganz) catheter is in which position?
1. Superior vena cava
2. Right ventricle
3. Pulmonary artery
4. Pulmonary artery occlusion (wedge). Answer: Pulmonary artery
occlusion (wedge)
◉ A systolic murmur that is auscultated at the 2nd intercostal space,
right sternal border is called:
1. aortic insufficiency
2. aortic stenosis
3. pulmonary insufficiency
4. pulmonic stenosis. Answer: aortic stenosis
◉ Which of the following wave patterns indicates proper functioning
of an arterial line?. Answer: High to low
◉ After an arterial catheter is removed, direct pressure should
generally be applied to the artery: