Question 1

Adenosine is an antidysrhythmic agent that is given primarily what reason?

Accepted Answer

A)  To convert supraventricular tachycardias 
B)  To suppress premature ventricular contractions (PVCs) 
C)  To treat second and third degree AV blocks 
D)  To coarsen ventricular fibrillation so that defibrillation is effective 
A)  To convert supraventricular tachycardias 
B)  To suppress premature ventricular contractions (PVCs) 
C)  To treat second and third degree AV blocks 
D)  To coarsen ventricular fibrillation so that defibrillation is effective

Question 2

A patient has an implantable cardioverter defibrillator (ICD)for chronic ventricular tachydysrhythmias.What action should the nurse take when the patient's rhythm deteriorates to ventricular fibrillation?

Accepted Answer

A)  Apply an external defibrillator to the patient. 
B)  Call a code and start cardiopulmonary resuscitation (CPR) on the patient. 
C)  Wait for the ICD to defibrillate the patient. 
D)  Turn the ICD off and administer epinephrine. 
A)  Apply an external defibrillator to the patient. 
B)  Call a code and start cardiopulmonary resuscitation (CPR) on the patient. 
C)  Wait for the ICD to defibrillate the patient. 
D)  Turn the ICD off and administer epinephrine.

Question 3

A patient is diagnosed with third-degree heart failure.The nurse reviews the patient's medication list.Which classifications of drugs should be avoided with this patient?

Accepted Answer

A)  Nonsteroidal antiinflammatory drugs (NSAIDs) 
B)  Antidysrhythmics 
C)  Angiotensin-converting enzyme (AC
E)  inhibitors 
D)  Calcium channel blockers 
E)  Beta-blockers 
A)  Nonsteroidal antiinflammatory drugs (NSAIDs) 
B)  Antidysrhythmics 
C)  Angiotensin-converting enzyme (AC
E)  inhibitors 
D)  Calcium channel blockers 
E)  Beta-blockers

Question 4

A transvenous pacemaker is inserted through the right subclavian vein and threaded into the right ventricle.The pacemaker is placed on demand at a rate of 70.What is the three letter code for this pacing mode?

Accepted Answer

A)  VVI 
B)  AOO 
C)  DDD 
D)  VAT 
A)  VVI 
B)  AOO 
C)  DDD 
D)  VAT

Question 5

Noninvasive emergency pacing is best achieved via the use of which type of temporary pacing?

Accepted Answer

A)  Transvenous (endocardial) 
B)  Epicardial 
C)  Transthoracic 
D)  Transcutaneous 
A)  Transvenous (endocardial) 
B)  Epicardial 
C)  Transthoracic 
D)  Transcutaneous

Question 6

When is a patient a candidate for a surgical repair of an abdominal aortic aneurysm (AAA)?

Accepted Answer

A)  Size is 1 cm 
B)  Patient experiencing symptoms 
C)  Aneurysm size unchanged over several years 
D)  Size less than 4 cm 
A)  Size is 1 cm 
B)  Patient experiencing symptoms 
C)  Aneurysm size unchanged over several years 
D)  Size less than 4 cm

Question 7

Nursing interventions after angioplasty would include which of the following?

Accepted Answer

A)  Elevating the head of the bed to 45 degrees 
B)  Hydration as a renal protection measure 
C)  Assessing pedal pulses on the involved limb every 15 minutes for the first 2 hours after the procedure 
D)  Monitoring the vascular hemostatic device for signs of bleeding 
E)  Educating the patient on the necessity of staying supine for 1 to 2 hours after the procedure 
A)  Elevating the head of the bed to 45 degrees 
B)  Hydration as a renal protection measure 
C)  Assessing pedal pulses on the involved limb every 15 minutes for the first 2 hours after the procedure 
D)  Monitoring the vascular hemostatic device for signs of bleeding 
E)  Educating the patient on the necessity of staying supine for 1 to 2 hours after the procedure

Question 8

How does a percutaneous transluminal coronary angioplasty (PTCA)improve blood flow?

Accepted Answer

A)  The balloon stretches the vessel wall, fractures the plaque, and enlarges the vessel lumen. 
B)  Medication is delivered through the catheter that dissolves the plague and enhances vessel patency. 
C)  The balloon removes blood clots from the vessel improving patency of the vessel. 
D)  The balloon compresses the plaque against the vessel wall enlarging the vessel lumen. 
A)  The balloon stretches the vessel wall, fractures the plaque, and enlarges the vessel lumen. 
B)  Medication is delivered through the catheter that dissolves the plague and enhances vessel patency. 
C)  The balloon removes blood clots from the vessel improving patency of the vessel. 
D)  The balloon compresses the plaque against the vessel wall enlarging the vessel lumen.

Question 9

A patient is admitted with left-sided heart failure and a blood pressure of 220/118 mm Hg.Which drug will be most effective in decreasing the blood pressure and reducing afterload?

Accepted Answer

A)  Dopamine 
B)  Verapamil 
C)  Propranolol 
D)  Sodium nitroprusside 
A)  Dopamine 
B)  Verapamil 
C)  Propranolol 
D)  Sodium nitroprusside

Question 10

A nurse is providing care to a patient on fibrinolytic therapy.Which of the following statements from the patient warrants further assessment and intervention by the nurse?

Accepted Answer

A)  "My back is killing me!" 
B)  "There is blood on my toothbrush!" 
C)  "Look at the bruises on my arms!" 
D)  "My arm is bleeding where my IV is!" 
A)  "My back is killing me!" 
B)  "There is blood on my toothbrush!" 
C)  "Look at the bruises on my arms!" 
D)  "My arm is bleeding where my IV is!"

Question 11

Through what mechanism does enalapril decrease blood pressure?

Accepted Answer

A)  Direct arterial vasodilation 
B)  Block the conversion of angiotensin I to angiotensin II 
C)  Increase fluid excretion at the loop of Henle 
D)  Peripheral vasoconstriction and central vasodilation. 
A)  Direct arterial vasodilation 
B)  Block the conversion of angiotensin I to angiotensin II 
C)  Increase fluid excretion at the loop of Henle 
D)  Peripheral vasoconstriction and central vasodilation.

Question 12

A patient suddenly develops a wide QRS complex tachycardia.The patient's heart rate is 220 beats/min and regular; blood pressure is 96/40 mm Hg; and respiratory rate is 22 breaths/min,and the patient is awake without complaint except for palpitations.Which of the following interventions would be best to try first?

Accepted Answer

A)  Adenosine 6 mg rapid IV push 
B)  Lidocaine 1 mg/kg IV push 
C)  Verapamil 5 mg IV push 
D)  Digoxin 0.5 mg IV push 
A)  Adenosine 6 mg rapid IV push 
B)  Lidocaine 1 mg/kg IV push 
C)  Verapamil 5 mg IV push 
D)  Digoxin 0.5 mg IV push

Question 13

What two medications are commonly prescribed at discharge for patients who have had a coronary artery stent placed?

Accepted Answer

A)  Aspirin and prasugrel 
B)  Aspirin and abciximab 
C)  Clopidogrel and eptifibatide 
D)  Tirofiban and tricagrelor 
A)  Aspirin and prasugrel 
B)  Aspirin and abciximab 
C)  Clopidogrel and eptifibatide 
D)  Tirofiban and tricagrelor

Question 14

Which mechanism is responsible for the augmentation of coronary arterial blood flow and increased myocardial oxygen supply seen with the intraaortic balloon pump?

Accepted Answer

A)  The vacuum created in the aorta as a result of balloon deflation 
B)  Diastolic inflation with retrograde perfusion 
C)  Forward flow to the peripheral circulation 
D)  Inflation during systole to augment blood pressure 
A)  The vacuum created in the aorta as a result of balloon deflation 
B)  Diastolic inflation with retrograde perfusion 
C)  Forward flow to the peripheral circulation 
D)  Inflation during systole to augment blood pressure

Question 15

A patient is admitted after a positive exercise treadmill test with a diagnosis of coronary artery disease (CAD)and stable angina.Radiographic tests show that the patient has blockage in the left main coronary artery and four other vessels.The nurse anticipates that the patient's treatment plan will include what treatment or procedure?

Accepted Answer

A)  Medical therapy 
B)  PCI 
C)  TAVR 
D)  CABG 
A)  Medical therapy 
B)  PCI 
C)  TAVR 
D)  CABG

Exam 15: Cardiovascular Therapeutic Management

Adenosine is an antidysrhythmic agent that is given primarily what reason?

A patient has an implantable cardioverter defibrillator (ICD)for chronic ventricular tachydysrhythmias.What action should the nurse take when the patient's rhythm deteriorates to ventricular fibrillation?

A patient is diagnosed with third-degree heart failure.The nurse reviews the patient's medication list.Which classifications of drugs should be avoided with this patient?

A transvenous pacemaker is inserted through the right subclavian vein and threaded into the right ventricle.The pacemaker is placed on demand at a rate of 70.What is the three letter code for this pacing mode?

Noninvasive emergency pacing is best achieved via the use of which type of temporary pacing?

When is a patient a candidate for a surgical repair of an abdominal aortic aneurysm (AAA)?

Nursing interventions after angioplasty would include which of the following?

How does a percutaneous transluminal coronary angioplasty (PTCA)improve blood flow?

A patient is admitted with left-sided heart failure and a blood pressure of 220/118 mm Hg.Which drug will be most effective in decreasing the blood pressure and reducing afterload?

A nurse is providing care to a patient on fibrinolytic therapy.Which of the following statements from the patient warrants further assessment and intervention by the nurse?

Through what mechanism does enalapril decrease blood pressure?

What two medications are commonly prescribed at discharge for patients who have had a coronary artery stent placed?

Which mechanism is responsible for the augmentation of coronary arterial blood flow and increased myocardial oxygen supply seen with the intraaortic balloon pump?

Critical Care Nursing Practice

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Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Nutrition Alterations and Management

Pain and Pain Management

Sedation,Agitation,and Delirium Management

End-Of-Life Care

Cardiovascular Anatomy and Physiology

Cardiovascular Clinical Assessment

Cardiovascular Diagnostic Procedures

Cardiovascular Disorders

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

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Shock,sepsis,and Multiple-Organ Dysfunction Syndrome

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