Test
Cardiac PCCN
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Preguntas del test (24)
1Which of the following is most likely the cause of a systolic murmur auscultated at the R sternal border, 2nd ICS?
- AMitral stenosis
- BAortic stenosis
- CMitral insufficiency
- DAortic insufficiency
2A murmur associated with mitral stenosis is best auscultated
- Aat the left mid-clavicular line, during diastole
- Bat the left mid-clavicular line, during systole
- Cat the right sternal border, during diastole
- Dat the right sternal border, during systole
3pt 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?
- AS4
- BSplit S1
- CPericardial friction rub
- DS3
4pt with mitral insufficiency is prone to which of the following dysrhythmias?
- Acomplete heart block
- BAV dissociation
- CA fib
- D2nd degree AV block, type 1
5pt with aortic stenosis, you can expect which of the following upon exam
- Anarrowed pulse pressure
- Bdiastolic murmur
- Csystolic murmur
- Dwidened pulse pressure
6Which of the following is used to treat coronary vasospasm caused by variant (prinzmetal's) angina?
- Aalpha-adrenergic blocking agent
- Bbeta-adrenergic blocking agent
- Ccalcium channel blocking agent
- Dcholinergic agent
7pt 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?
- AAnterior wall
- BInferior wall
- CPosterior wall
- DLateral wall
856 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?
- Av1, v2
- BI, aVL
- CaVR, aVL, v1
- Dv3, v4
9pt with an inferior wall MI and right ventricular infarction develops tachycardia and hypotension. What would be the best initial treatment for hypotension?
- ANitroglycerin infusion
- BDopamine infusion
- CDobutamine
- DFluid (crystalloid) boluses
10Which of the following complications would the nurse assess for after an arteriogram?
- Aimpaired renal function
- Bacid-base imbalance
- Celevated liver enzymes
- Dincreased mean arterial pressure
11Which type of heart block would you monitor for if your patient has an anterior wall MI?
- A1st degree AV block
- B2nd degree type I (Wenckebach)
- C2nd degree type II
- Dsinus bradycardia
12pt 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
- Aacute anterior wall MI
- Bacute pericarditis
- Cacute lateral wall MI
- Dacute decompensated heart failure
1358 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
- Aacute tricuspid regurgitation
- Bacute aortic stenosis
- CL ventricular outflow obstruction
- Dacute papillary muscle dysfunction
14Clinical signs of cardiogenic shock secondary to acute left ventricular failure include:
- Ahypotension, S4 heart sound, pericardial friction rub
- BS3 heart sound, hypotension, systolic murmur
- Cdiastolic murmur, s4 heart sound, hypertension
- Dcrackles, s3 heart sound, hypotension
15HF pt develops hypotension, tachycardia, decreasing LOC, cool clammy skin, decreasing UOP and tachypnea. Which would be included in plan of care?
- Apositive inotropic agents, diuretics & vasodilators ensuring BP & perfusion are adequate
- BACE inhibitors, adenosine, beta blockers
- Cbeta blockers, diuretics, CCBs
- Dnegative inotropic medications, digoxin, anti-dysrhythmics
16HF pt develops hypotension, tachycardia, decreasing LOC, cool clammy skin, decreasing UOP & tachypnea. Which would be included in plan of care?
- Apositive inotropic agents, diuretics, vasodilators ensuring BP & perfusion are adequate
- BACE inhibitors, adenosine, beta blockers
- Cbeta blockers, diuretics, CCBs
- Dnegative inotropic medications, digoxin, antidysrhythmics
17the primary effect & rationale for using dobutamine in cardiogenic shock is to
- Adecrease myocardial ischemia
- Bimprove urine output
- Cimprove myocardial contractility
- Dincrease oxygen consumption
18signs of cardiac tamponade include
- Aincreased CVP, narrow pulse pressure & hypertension
- Bwide mediastinum on chest xray, narrow pulse pressure & hypotension
- Cwidening pulse pressure, hypotension & elevated CVP
- Da fall in SBP > 10mmHg during inspiration, decreased CVP & hypotension
19A 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?
- Aadministration of amiodarone 150mg followed by an infusion
- Bsynchronized cardioversion
- Cadministration of adenosine
- Dprecordial thump to the mid-sternum
2052 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?
- AAdenosine 6mg rapid IVP
- BDefibrillation with 100 joules
- Csynchronized cardioversion with 100 joules
- DDiltiazem bolus followed by an infusion
21Ibutilide (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?
- Aprolonged PR interval
- Bdevelopment of PJCs
- CNarrowing QRS
- Dprolonged QT interval
22Long term medical management for heart failure include which of the following?
- Abeta blockers, ACE inhibitors & aldosterone antagonists
- BACE inhibitors, ARBs and vasopressors
- CARBs, beta blockers & CCBs
- DBeta blockers, ACE inhibitors & CCBs
23A medication regimen for a patient with hypertrophic cardiomyopathy would include
- Acardiac glycosides & beta blockers
- Bbeta blockers & vasopressors
- CCCBs & beta blockers
- Dvasopressors & inotropes
24pt is POD for cardiac transplant. develops symptomatic bradycardia, your best action would be
- Aadminister atropine 1mg IV and apply 100% O2
- Bconnect epicardial pacing wires to a generator and pace the patient
- Cgive atropine and start an Isuprel infusion
- Dstart a dopamine infusion
Información
- Descripción
- PCCN review questions
- Autor
- Alyssa Magill
- Idioma
- English
- Visitas
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