20996125
Descrição
Quiz por Alyssa Magill, atualizado more than 1 year ago
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Criado por Alyssa Magill
aproximadamente 4 anos atrás
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Questão 1
Questão
Which of the following is most likely the cause of a systolic murmur auscultated at the R sternal border, 2nd ICS?
Responda
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Mitral stenosis
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Aortic stenosis
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Mitral insufficiency
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Aortic insufficiency
Questão 2
Questão
A murmur associated with mitral stenosis is best auscultated
Responda
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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
Questão 3
Questão
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?
Responda
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S4
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Split S1
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Pericardial friction rub
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S3
Questão 4
Questão
pt with mitral insufficiency is prone to which of the following dysrhythmias?
Responda
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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
Questão 5
Questão
pt with aortic stenosis, you can expect which of the following upon exam
Responda
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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
Questão 6
Questão
Which of the following is used to treat coronary vasospasm caused by variant (prinzmetal's) angina?
Responda
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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
Questão 7
Questão
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?
Responda
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Anterior wall
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Inferior wall
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Posterior wall
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Lateral wall
Questão 8
Questão
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?
Responda
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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
Questão 9
Questão
pt with an inferior wall MI and right ventricular infarction develops tachycardia and hypotension. What would be the best initial treatment for hypotension?
Responda
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Nitroglycerin infusion
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Dopamine infusion
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Dobutamine
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Fluid (crystalloid) boluses
Questão 10
Questão
Which of the following complications would the nurse assess for after an arteriogram?
Responda
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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
Questão 11
Questão
Which type of heart block would you monitor for if your patient has an anterior wall MI?
Responda
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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
Questão 12
Questão
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
Responda
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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
Questão 13
Questão
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
Responda
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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
Questão 14
Questão
Clinical signs of cardiogenic shock secondary to acute left ventricular failure include:
Responda
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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
Questão 15
Questão
HF pt develops hypotension, tachycardia, decreasing LOC, cool clammy skin, decreasing UOP and tachypnea. Which would be included in plan of care?
Responda
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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
Questão 16
Questão
HF pt develops hypotension, tachycardia, decreasing LOC, cool clammy skin, decreasing UOP & tachypnea. Which would be included in plan of care?
Responda
-
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
Questão 17
Questão
the primary effect & rationale for using dobutamine in cardiogenic shock is to
Responda
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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
Questão 18
Questão
signs of cardiac tamponade include
Responda
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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
Questão 19
Questão
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?
Responda
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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
Questão 20
Questão
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?
Responda
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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
Questão 21
Questão
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?
Responda
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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
Questão 22
Questão
Long term medical management for heart failure include which of the following?
Responda
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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
Questão 23
Questão
A medication regimen for a patient with hypertrophic cardiomyopathy would include
Responda
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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
Questão 24
Questão
pt is POD for cardiac transplant. develops symptomatic bradycardia, your best action would be
Responda
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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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