20996125
Descripción
Test por Alyssa Magill, actualizado hace más de 1 año
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Creado por Alyssa Magill
hace alrededor de 4 años
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Pregunta 1
Pregunta
Which of the following is most likely the cause of a systolic murmur auscultated at the R sternal border, 2nd ICS?
Respuesta
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Mitral stenosis
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Aortic stenosis
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Mitral insufficiency
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Aortic insufficiency
Pregunta 2
Pregunta
A murmur associated with mitral stenosis is best auscultated
Respuesta
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at the left mid-clavicular line, during diastole
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at the left mid-clavicular line, during systole
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at the right sternal border, during diastole
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at the right sternal border, during systole
Pregunta 3
Pregunta
pt presents in heart failure with acute SOB. When auscultating lung sounds you observe crackles through all lung fields. You also expect to hear which heart tone?
Respuesta
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S4
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Split S1
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Pericardial friction rub
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S3
Pregunta 4
Pregunta
pt with mitral insufficiency is prone to which of the following dysrhythmias?
Respuesta
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complete heart block
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AV dissociation
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A fib
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2nd degree AV block, type 1
Pregunta 5
Pregunta
pt with aortic stenosis, you can expect which of the following upon exam
Respuesta
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narrowed pulse pressure
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diastolic murmur
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systolic murmur
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widened pulse pressure
Pregunta 6
Pregunta
Which of the following is used to treat coronary vasospasm caused by variant (prinzmetal's) angina?
Respuesta
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alpha-adrenergic blocking agent
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beta-adrenergic blocking agent
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calcium channel blocking agent
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cholinergic agent
Pregunta 7
Pregunta
pt presents with chest pain and ST segment elevation in leads II, III and aVF. You know the patient is experiencing an infarction in which wall of the heart?
Respuesta
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Anterior wall
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Inferior wall
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Posterior wall
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Lateral wall
Pregunta 8
Pregunta
56 yo F presents with sub-sternal chest pain. 12 lead ECG reveals ST segment elevation in leads II, III, and aVF. You would expect reciprocal changes in which leads?
Respuesta
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v1, v2
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I, aVL
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aVR, aVL, v1
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v3, v4
Pregunta 9
Pregunta
pt with an inferior wall MI and right ventricular infarction develops tachycardia and hypotension. What would be the best initial treatment for hypotension?
Respuesta
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Nitroglycerin infusion
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Dopamine infusion
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Dobutamine
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Fluid (crystalloid) boluses
Pregunta 10
Pregunta
Which of the following complications would the nurse assess for after an arteriogram?
Respuesta
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impaired renal function
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acid-base imbalance
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elevated liver enzymes
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increased mean arterial pressure
Pregunta 11
Pregunta
Which type of heart block would you monitor for if your patient has an anterior wall MI?
Respuesta
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1st degree AV block
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2nd degree type I (Wenckebach)
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2nd degree type II
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sinus bradycardia
Pregunta 12
Pregunta
pt with mid sternal chest pain that is bettwe when sitting up and leaning forward. NSAIDs are the only medication relieving the pain. the pt is likely experiencing
Respuesta
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acute anterior wall MI
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acute pericarditis
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acute lateral wall MI
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acute decompensated heart failure
Pregunta 13
Pregunta
58 year old with anterior wall MI 2 days ago has CP and dizziness, upon auscultation you note a new loud systolic murmur. what do you suspect may be the issue
Respuesta
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acute tricuspid regurgitation
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acute aortic stenosis
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L ventricular outflow obstruction
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acute papillary muscle dysfunction
Pregunta 14
Pregunta
Clinical signs of cardiogenic shock secondary to acute left ventricular failure include:
Respuesta
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hypotension, S4 heart sound, pericardial friction rub
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S3 heart sound, hypotension, systolic murmur
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diastolic murmur, s4 heart sound, hypertension
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crackles, s3 heart sound, hypotension
Pregunta 15
Pregunta
HF pt develops hypotension, tachycardia, decreasing LOC, cool clammy skin, decreasing UOP and tachypnea. Which would be included in plan of care?
Respuesta
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positive inotropic agents, diuretics & vasodilators ensuring BP & perfusion are adequate
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ACE inhibitors, adenosine, beta blockers
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beta blockers, diuretics, CCBs
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negative inotropic medications, digoxin, anti-dysrhythmics
Pregunta 16
Pregunta
HF pt develops hypotension, tachycardia, decreasing LOC, cool clammy skin, decreasing UOP & tachypnea. Which would be included in plan of care?
Respuesta
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positive inotropic agents, diuretics, vasodilators ensuring BP & perfusion are adequate
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ACE inhibitors, adenosine, beta blockers
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beta blockers, diuretics, CCBs
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negative inotropic medications, digoxin, antidysrhythmics
Pregunta 17
Pregunta
the primary effect & rationale for using dobutamine in cardiogenic shock is to
Respuesta
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decrease myocardial ischemia
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improve urine output
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improve myocardial contractility
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increase oxygen consumption
Pregunta 18
Pregunta
signs of cardiac tamponade include
Respuesta
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increased CVP, narrow pulse pressure & hypertension
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wide mediastinum on chest xray, narrow pulse pressure & hypotension
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widening pulse pressure, hypotension & elevated CVP
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a fall in SBP > 10mmHg during inspiration, decreased CVP & hypotension
Pregunta 19
Pregunta
A 54 yo patient with mild HF goes into SVT at a rate of 176, BP is 96/58. vagal maneuvers were unsuccessful. The nurse should anticipate which of the following?
Respuesta
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administration of amiodarone 150mg followed by an infusion
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synchronized cardioversion
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administration of adenosine
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precordial thump to the mid-sternum
Pregunta 20
Pregunta
52 yo male just underwent CABG x3. He has been in NSR and suddenly converts into Afib at a rate of 160. His BP drops to 72/46 & is feeling SOB. You anticipate which of the following?
Respuesta
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Adenosine 6mg rapid IVP
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Defibrillation with 100 joules
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synchronized cardioversion with 100 joules
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Diltiazem bolus followed by an infusion
Pregunta 21
Pregunta
Ibutilide (corvert) 1mg IV over 10 min is started for a pt in rapid Afib, you know you must discontinue ibutilide for which of the following reasons?
Respuesta
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prolonged PR interval
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development of PJCs
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Narrowing QRS
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prolonged QT interval
Pregunta 22
Pregunta
Long term medical management for heart failure include which of the following?
Respuesta
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beta blockers, ACE inhibitors & aldosterone antagonists
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ACE inhibitors, ARBs and vasopressors
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ARBs, beta blockers & CCBs
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Beta blockers, ACE inhibitors & CCBs
Pregunta 23
Pregunta
A medication regimen for a patient with hypertrophic cardiomyopathy would include
Respuesta
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cardiac glycosides & beta blockers
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beta blockers & vasopressors
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CCBs & beta blockers
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vasopressors & inotropes
Pregunta 24
Pregunta
pt is POD for cardiac transplant. develops symptomatic bradycardia, your best action would be
Respuesta
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administer atropine 1mg IV and apply 100% O2
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connect epicardial pacing wires to a generator and pace the patient
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give atropine and start an Isuprel infusion
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start a dopamine infusion
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