Question 1

In the acute phase after STEMI,fibrinolytic therapy is used in combination with heparin to recanalize the coronary artery.The initial heparin bolus is

Accepted Answer

A)  60 units/kg maximum 5000 units. 
B)  30 units/kg maximum 3000 units. 
C)  25 units/kg maximum of 2500 units. 
D)  12 units/kg maximum of 1000 units. 
A)  60 units/kg maximum 5000 units. 
B)  30 units/kg maximum 3000 units. 
C)  25 units/kg maximum of 2500 units. 
D)  12 units/kg maximum of 1000 units.

Question 2

A patient has been newly diagnosed with stable angina.He tells the nurse he knows a lot about his diagnosis already because his father had the same diagnosis 15 years ago.The nurse asks him to state what he already knows about angina.Which of the following responses by the patient indicates the need for additional education?

Accepted Answer

A)  He should stop smoking. 
B)  He can no longer drink colas or coffee. 
C)  He can no longer get a strong back massage. 
D)  He should take stool softeners to prevent straining. 
A)  He should stop smoking. 
B)  He can no longer drink colas or coffee. 
C)  He can no longer get a strong back massage. 
D)  He should take stool softeners to prevent straining.

Question 3

A patient is admitted to the ICU with diagnosis of fever of unknown origin.The patient is complaining of fatigue,malaise,joint pain,and shivering.VS include: T 103F,HR 90 beats/min,RR 22 breaths/min,BP 132/78,and O2 sat 94% on 2L/NC.Blood cultures are ordered.The patient has a history of MI 3 months ago.The nurse suspects that the patient has developed

Accepted Answer

A)  CAD. 
B)  heart failure. 
C)  endocarditis. 
D)  pulmonary embolus. 
A)  CAD. 
B)  heart failure. 
C)  endocarditis. 
D)  pulmonary embolus.

Question 4

An essential aspect of teaching that may prevent recurrence of heart failure is

Accepted Answer

A)  notifying the physician if a 2-lb weight gain occurs in 24 hours. 
B)  compliance with diuretic therapy. 
C)  taking nitroglycerin if chest pain occurs. 
D)  assessment of an apical pulse. 
A)  notifying the physician if a 2-lb weight gain occurs in 24 hours. 
B)  compliance with diuretic therapy. 
C)  taking nitroglycerin if chest pain occurs. 
D)  assessment of an apical pulse.

Question 5

A patient with diagnosis of CAD with chest pain is admitted into the critical care unit.The patient is suddenly awakened with severe chest pain.Three nitroglycerin sublingual tablets are administered 5 minutes apart without relief.A 12-lead ECG reveals nonspecific ST segment elevation.This patient probably has

Accepted Answer

A)  silent ischemia. 
B)  stable angina. 
C)  unstable angina. 
D)  Prinzmetal angina. 
A)  silent ischemia. 
B)  stable angina. 
C)  unstable angina. 
D)  Prinzmetal angina.

Question 6

One of the reasons that contributes to higher mortality rates from acute MI in women is:

Accepted Answer

A)  waiting longer to seek medical care. 
B)  being younger when symptoms occur. 
C)  risk factors associated with MI are more stronger in women than men. 
D)  women have smaller hearts than men. 
A)  waiting longer to seek medical care. 
B)  being younger when symptoms occur. 
C)  risk factors associated with MI are more stronger in women than men. 
D)  women have smaller hearts than men.

Question 7

Medical management of hypertrophic cardiomyopathy includes

Accepted Answer

A)  beta-blockers. 
B)  positive inotropes. 
C)  an intensive exercise regimen. 
D)  aortic valve replacement. 
A)  beta-blockers. 
B)  positive inotropes. 
C)  an intensive exercise regimen. 
D)  aortic valve replacement.

Question 8

A patient presents with severe substernal chest pain.The patient exclaims,"This is the most severe pain I have ever felt!" The patient reports that the pain came on suddenly about 2 hours ago and that three sublingual nitroglycerin tablets have not relieved the pain.The 12-lead ECG reveals only the following abnormalities: T-wave inversion in leads I,aVL,V?,and V?; pathologic Q waves in leads II,III,and aVF; ST segment elevation in leads V?,V?,V?,and V?.Which of the following is probably accurate about this patient?

Accepted Answer

A)  This patient has an old lateral wall infarction. 
B)  This patient is having an inferior wall infarction. 
C)  This patient is having an acute anterior wall infarction. 
D)  This patient is having a posterior wall infarction. 
A)  This patient has an old lateral wall infarction. 
B)  This patient is having an inferior wall infarction. 
C)  This patient is having an acute anterior wall infarction. 
D)  This patient is having a posterior wall infarction.

Question 9

One differentiating factor between stable angina and unstable angina is that stable angina

Accepted Answer

A)  responds predictably well to nitrates. 
B)  is not precipitated by activity. 
C)  has a low correlation to CAD. 
D)  is a result of coronary artery spasm. 
A)  responds predictably well to nitrates. 
B)  is not precipitated by activity. 
C)  has a low correlation to CAD. 
D)  is a result of coronary artery spasm.

Question 10

Which of the following effects can be associated with physical exercise?

Accepted Answer

A)  Decreased LDL cholesterol 
B)  Increased HDL cholesterol 
C)  Decreased triglycerides 
D)  Increased insulin resistance 
E)  Decreased incidence of depression 
A)  Decreased LDL cholesterol 
B)  Increased HDL cholesterol 
C)  Decreased triglycerides 
D)  Increased insulin resistance 
E)  Decreased incidence of depression

Question 11

Which of the following assessment findings is most specific for acute onset of pulmonary edema?

Accepted Answer

A)  Pulmonary crackles 
B)  Peripheral edema 
C)  Pink, frothy sputum 
D)  Elevated central venous pressure 
A)  Pulmonary crackles 
B)  Peripheral edema 
C)  Pink, frothy sputum 
D)  Elevated central venous pressure

Question 12

Which of the following clinical manifestations are indicative of left ventricular failure?

Accepted Answer

A)  Cool, pale extremities 
B)  Jugular venous distention 
C)  Liver tenderness 
D)  Weak peripheral pulses 
E)  Rales 
A)  Cool, pale extremities 
B)  Jugular venous distention 
C)  Liver tenderness 
D)  Weak peripheral pulses 
E)  Rales

Question 13

You are teaching a patient with endocarditis about his diagnosis.Which statement below is correct?

Accepted Answer

A)  Endocarditis is a viral infection that is easily treated with antibiotics. 
B)  The risk of this diagnosis is occlusion of the coronary arteries. 
C)  A long course of antibiotics is needed to treat this disorder. 
D)  Complications are rare after antibiotics have been started. 
A)  Endocarditis is a viral infection that is easily treated with antibiotics. 
B)  The risk of this diagnosis is occlusion of the coronary arteries. 
C)  A long course of antibiotics is needed to treat this disorder. 
D)  Complications are rare after antibiotics have been started.

Question 14

A patient is admitted for palliative care for end-stage heart failure.The nurse's primary goal is

Accepted Answer

A)  to reverse heart failure with the use of diuretics. 
B)  to increase activity tolerance. 
C)  symptom management and relief of pain. 
D)  to increase cardiac output related to alteration of contractility. 
A)  to reverse heart failure with the use of diuretics. 
B)  to increase activity tolerance. 
C)  symptom management and relief of pain. 
D)  to increase cardiac output related to alteration of contractility.

Question 15

Which of the following clinical manifestations is usually the first symptom of peripheral arterial disease (PAD)?

Accepted Answer

A)  Cramping when walking 
B)  Thrombophlebitis 
C)  Pulmonary embolism 
D)  Cordlike veins 
A)  Cramping when walking 
B)  Thrombophlebitis 
C)  Pulmonary embolism 
D)  Cordlike veins

Exam 15: Cardiovascular Disorders

In the acute phase after STEMI,fibrinolytic therapy is used in combination with heparin to recanalize the coronary artery.The initial heparin bolus is

An essential aspect of teaching that may prevent recurrence of heart failure is

One of the reasons that contributes to higher mortality rates from acute MI in women is:

Medical management of hypertrophic cardiomyopathy includes

One differentiating factor between stable angina and unstable angina is that stable angina

Which of the following effects can be associated with physical exercise?

Which of the following assessment findings is most specific for acute onset of pulmonary edema?

Which of the following clinical manifestations are indicative of left ventricular failure?

You are teaching a patient with endocarditis about his diagnosis.Which statement below is correct?

A patient is admitted for palliative care for end-stage heart failure.The nurse's primary goal is

Which of the following clinical manifestations is usually the first symptom of peripheral arterial disease (PAD)?

Critical Care Nursing Practice

Ethical Issues

Legal Issues

Genetics and Genomics in Critical Care

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations and Management

Nutrition Alterations and Management

Pain and Pain Management

Sedation,Agitation,Delirium: Assessment and Management

End-Of-Life Issues

Cardiovascular Anatomy and Physiology

Cardiovascular Clinical Assessment

Cardiovascular Diagnostic Procedures

Cardiovascular Therapeutic Management

Pulmonary Anatomy and Physiology

Pulmonary Clinical Assessment

Pulmonary Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Anatomy and Physiology

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Anatomy and Physiology

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Anatomy and Physiology

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Anatomy and Physiology

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Burns

Organ Donation and Transplantation

Hematologic Disorders and Oncologic Emergencies

The Obstetric Patient

The Pediatric Patient

The Older Adult Patient

The Perianesthesia Patient

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