Exam 1: NUR265 / NUR 265 (Latest 2026/
2027 Update) Advanced Concepts of Medical-
Surgical Nursing Guide| Questions &
Answers| Grade A| 100% Correct (Verified
Solutions)- Galen
a specialty dealing with human responses to life-threatening problems? -
ANSWER critical care nursing
EF (ejection fraction) = amount of blood pumped out of left ventricle; normal
percentage? - ANSWER 55-70%
taking critical care nursing & interprofessional teams to non-critical care settings? -
ANSWER Rapid Response Teams (RRT)
CADs? - ANSWER circulatory assist devices
back flow of blood in right atrium = what signs/symptoms? - ANSWER
goes back into the rest of the body; JVD, abdominal ascites, edema
back flow of blood in left atrium = what signs/symptoms? - ANSWER
goes back into the lungs; crackles, wet sounds
,transition between ICU & general care units or discharge; still at risk for serious
complications, but less than ICU; pts on this floor include those scheduled for:
cardiac procedures, awaiting heart transplant, receiving stable doses of vasoactive
drugs, weaning from prolonged ventilation; more cost effective than ICU? -
ANSWER PCU (progressive care unit) or TCU (transitional care
unit)
CCRN? - ANSWER critical care registered nurse certification
PCCN? - ANSWER progressive care certification for nurses
CCRN-E? - ANSWER tele ICU certification
CMC? - ANSWER cardiac medicine certified
CSC? - ANSWER cardiac surgery certified
70% of ICU pts report moderate to severe unrelieved pain; most are on continuous
IV sedation such as propofol & fentanyl; sedation holiday is used to? -
ANSWER neuro exam q 24 hrs
layers of the heart? - ANSWER 1) endocardium = innermost
2) myocardium = middle
3) epicardium = outermost
,4) pericardium = surrounds the entire heart
atrioventricular valves? - ANSWER tricuspid & mitral
semilunar valves? - ANSWER pulmonic & aortic
S1 sound is the closure of the? - ANSWER atrioventricular
valves (tricuspid & mitral)
S2 sound is the closure of the? - ANSWER semilunar valves
(pulmonic & aortic)
S3 is known as a ventricular gallop & is heard right after S2; can be normal but can
also be associated with? - ANSWER heart failure & mitral
regurgitation
S4 is heard right before S1 & S2; can be normal but can also be associated with? -
ANSWER aortic stenosis & cardiac myopathy
_____ valve is bi-leaflet & all the rest are tri-leaflet? - ANSWER
mitral
systole is when _____ close and ____ open? - ANSWER AV
valves close & semilunar open
, diastole is when ___ close & ____ open? - ANSWER AV
valves open & semilunar close
the left coronary artery branches off from the aorta & branches into what 2
sections? - ANSWER circumflex artery & left anterior
descending artery
the right coronary artery branches off from the aorta & branches into what 2
sections? - ANSWER right marginal artery & posterior
descending artery
normal pacemaker of the heart; determines HR; 60-100 beats/min? - ANSWER
SA node
secondary pacemaker of the heart: AV node; _____ beats/min? - ANSWER
40-60
secondary pacemaker of the heart: His-Purkinje fibers; ___ beats/min? -
ANSWER 20-40
cells ability to spontaneously send an impulse? - ANSWER
automaticity
2027 Update) Advanced Concepts of Medical-
Surgical Nursing Guide| Questions &
Answers| Grade A| 100% Correct (Verified
Solutions)- Galen
a specialty dealing with human responses to life-threatening problems? -
ANSWER critical care nursing
EF (ejection fraction) = amount of blood pumped out of left ventricle; normal
percentage? - ANSWER 55-70%
taking critical care nursing & interprofessional teams to non-critical care settings? -
ANSWER Rapid Response Teams (RRT)
CADs? - ANSWER circulatory assist devices
back flow of blood in right atrium = what signs/symptoms? - ANSWER
goes back into the rest of the body; JVD, abdominal ascites, edema
back flow of blood in left atrium = what signs/symptoms? - ANSWER
goes back into the lungs; crackles, wet sounds
,transition between ICU & general care units or discharge; still at risk for serious
complications, but less than ICU; pts on this floor include those scheduled for:
cardiac procedures, awaiting heart transplant, receiving stable doses of vasoactive
drugs, weaning from prolonged ventilation; more cost effective than ICU? -
ANSWER PCU (progressive care unit) or TCU (transitional care
unit)
CCRN? - ANSWER critical care registered nurse certification
PCCN? - ANSWER progressive care certification for nurses
CCRN-E? - ANSWER tele ICU certification
CMC? - ANSWER cardiac medicine certified
CSC? - ANSWER cardiac surgery certified
70% of ICU pts report moderate to severe unrelieved pain; most are on continuous
IV sedation such as propofol & fentanyl; sedation holiday is used to? -
ANSWER neuro exam q 24 hrs
layers of the heart? - ANSWER 1) endocardium = innermost
2) myocardium = middle
3) epicardium = outermost
,4) pericardium = surrounds the entire heart
atrioventricular valves? - ANSWER tricuspid & mitral
semilunar valves? - ANSWER pulmonic & aortic
S1 sound is the closure of the? - ANSWER atrioventricular
valves (tricuspid & mitral)
S2 sound is the closure of the? - ANSWER semilunar valves
(pulmonic & aortic)
S3 is known as a ventricular gallop & is heard right after S2; can be normal but can
also be associated with? - ANSWER heart failure & mitral
regurgitation
S4 is heard right before S1 & S2; can be normal but can also be associated with? -
ANSWER aortic stenosis & cardiac myopathy
_____ valve is bi-leaflet & all the rest are tri-leaflet? - ANSWER
mitral
systole is when _____ close and ____ open? - ANSWER AV
valves close & semilunar open
, diastole is when ___ close & ____ open? - ANSWER AV
valves open & semilunar close
the left coronary artery branches off from the aorta & branches into what 2
sections? - ANSWER circumflex artery & left anterior
descending artery
the right coronary artery branches off from the aorta & branches into what 2
sections? - ANSWER right marginal artery & posterior
descending artery
normal pacemaker of the heart; determines HR; 60-100 beats/min? - ANSWER
SA node
secondary pacemaker of the heart: AV node; _____ beats/min? - ANSWER
40-60
secondary pacemaker of the heart: His-Purkinje fibers; ___ beats/min? -
ANSWER 20-40
cells ability to spontaneously send an impulse? - ANSWER
automaticity
