NURS 480 FINAL EXAM REVIEW
QUESTIONS AND CORRECT DETAILED
ANSWERS | NEW UPDATE 2025
Aspirin (ASA) mechanism of action? - ANSWER decreases platelet aggregation
and reduces likelihood of thrombus formation
Measuring CVP is used for what? - ANSWER to check how fluids, which aid in
perfusion, are affecting organs and the body
What is checked after giving IVF to check for efficacy? - ANSWER 1. CVP
2. BP
What should be given to increase CVP? - ANSWER 1. IVF first, then check CVP
2. then give Lopressor and norepinephrine to increased CVP if pt still low CVP
What are the three most common disease causes of elevated CVP? - ANSWER
1. heart failure
2. SIADH
3. renal disease
Common blood transfusion reactions are? - ANSWER 1. hemolytic
2. anaphalytic
,Hemolytic reaction to blood transfusion signs and first step? - ANSWER sudden
flank pain
STOP the infusion
Anaphyltic reaction to blood transfusion signs and first step - ANSWER SOB and
redness at IV site
STOP the infusion
Reasons for cardiac rehabilitations - ANSWER to help pt return safely to ADLs
Chest pain priority interventions - ANSWER 1. 12 lead ECG- STEMI v non STEMI
a. ST depression and/ or T wave inversion indicated ISCHMIC issues
2. LABS
a. CMK
b. Tropinin I and T
c. Myoglobin
Common cues of MI - ANSWER 1. palpitations
2. diaphoresis
3. anxiety
4. nausea
, Signs of MI in diabetics - ANSWER 1. fatigue (epigastric pain/ heartburn)
2. shoulder blade pain
Cardiac catheterization post procedure care - ANSWER 1. VS
2. Assess for bleeding/ hematoma
3. Neuro check
a. Q15 * 4
b. 30 min * 2
c. 1 hr * 4
d. Q4 gr
4. Bed rest with supine position with extremity STRAIGHT
The pacer spike for a pacemaker should come where on a EKG? - ANSWER
before the QRS complex
Atrial fibrillation CM - ANSWER ?????
ventricular tachycardia treatment - ANSWER If MONOMORPHIC & stable -> \
1. amiodarone IV or procainamide
POLYMORPHIC->>
1. phenytoin or IV mag
2. Cardiovert if drug therapy FAILS and pt has PULSE
QUESTIONS AND CORRECT DETAILED
ANSWERS | NEW UPDATE 2025
Aspirin (ASA) mechanism of action? - ANSWER decreases platelet aggregation
and reduces likelihood of thrombus formation
Measuring CVP is used for what? - ANSWER to check how fluids, which aid in
perfusion, are affecting organs and the body
What is checked after giving IVF to check for efficacy? - ANSWER 1. CVP
2. BP
What should be given to increase CVP? - ANSWER 1. IVF first, then check CVP
2. then give Lopressor and norepinephrine to increased CVP if pt still low CVP
What are the three most common disease causes of elevated CVP? - ANSWER
1. heart failure
2. SIADH
3. renal disease
Common blood transfusion reactions are? - ANSWER 1. hemolytic
2. anaphalytic
,Hemolytic reaction to blood transfusion signs and first step? - ANSWER sudden
flank pain
STOP the infusion
Anaphyltic reaction to blood transfusion signs and first step - ANSWER SOB and
redness at IV site
STOP the infusion
Reasons for cardiac rehabilitations - ANSWER to help pt return safely to ADLs
Chest pain priority interventions - ANSWER 1. 12 lead ECG- STEMI v non STEMI
a. ST depression and/ or T wave inversion indicated ISCHMIC issues
2. LABS
a. CMK
b. Tropinin I and T
c. Myoglobin
Common cues of MI - ANSWER 1. palpitations
2. diaphoresis
3. anxiety
4. nausea
, Signs of MI in diabetics - ANSWER 1. fatigue (epigastric pain/ heartburn)
2. shoulder blade pain
Cardiac catheterization post procedure care - ANSWER 1. VS
2. Assess for bleeding/ hematoma
3. Neuro check
a. Q15 * 4
b. 30 min * 2
c. 1 hr * 4
d. Q4 gr
4. Bed rest with supine position with extremity STRAIGHT
The pacer spike for a pacemaker should come where on a EKG? - ANSWER
before the QRS complex
Atrial fibrillation CM - ANSWER ?????
ventricular tachycardia treatment - ANSWER If MONOMORPHIC & stable -> \
1. amiodarone IV or procainamide
POLYMORPHIC->>
1. phenytoin or IV mag
2. Cardiovert if drug therapy FAILS and pt has PULSE
