Question 1

Which of the following cardiac arrhythmias is most serious, and for which emergency defibrillation is often necessary to prevent sudden death?

Accepted Answer

A) Atrial flutter 
B) Atrial fibrillation 
C) Paroxysmal supraventricular tachycardia 
D) Ventricular fibrillation

Question 2

A patient has been diagnosed with aortic aneurysm of abdominal aorta having a diameter of 3.5 cm. What advice should the nurse give this patient about follow-up?

Accepted Answer

A) Come for follow up every year 
B) Come for follow up after 5 years 
C) Come for follow up every 2-3 years 
D) No need to come for follow up

Question 3

Which of the following anti-dysrhythmic class of drugs is not correctly matched with its mechanism of action?

Accepted Answer

A) Class II - Potassium channel openers 
B) Class I - Inhibition of sodium channels 
C) Class III - Inhibition of potassium efflux 
D) Class IV - Calcium channel blockers

Question 4

A nurse is examining a patient with constrictive pericarditis. Which of the following findings is not expected in this patient?

Accepted Answer

A) Pulsus paradoxus 
B) Kussmaul's sign 
C) Raised jugular venous pressure 
D) Slow "y" descent

Question 5

The nurse is taking care of a 50-year old patient who has undergone mitral valve replacement surgery. Patient suffers from perioperative myocardial infarction, doctor recommends continuous intravenous infusion of nitroglycerine. About which of the following parameters should the nurse be closely watchful?

Accepted Answer

A) Start medication using infusion pump 
B) Frequent monitoring of urine output 
C) Frequent monitoring of blood pressure 
D) Send for serum potassium

Question 6

Which of the following approaches are not used for reducing triglyceride levels?

Accepted Answer

A) Omega-3 fatty acids 
B) Antiplatelets 
C) Nicotinic acid 
D) Statins

Question 7

A nurse is explaining about foot care to a patient being discharged with peripheral vascular disease . Which of the following information should be included in instructions?

Accepted Answer

A) Walk barefoot during morning walks 
B) Use a heating pad to keep feet warm 
C) Avoid keeping legs crossed 
D) Use antibacterial ointment to treat small cuts on skin to prevent infection

Question 8

A patient arrives in the ER complaining of substernal chest pain, profuse sweating and shortness of breath. His vital signs are as follows: Temperature 37 C; HR 110; BP 160/100 mmHg; Respiration 30. Which of the following includes the immediate treatment of the patient?

Accepted Answer

A) Oxygen, sublingual nitroglycerin, followed by morphine if the nitroglycerin fails to relieve the pain 
B) Oxygen, morphine, aspirin followed by sublingual nitroglycerin if morphine fails to relieve the pain 
C) Oxygen, aspirin, sublingual nitroglycerin, no morphine due to elevated BP 
D) None of the above

Question 9

A patient with cyanosis is admitted to the emergency room without a diagnosis. Which of the nursing action is a priority in relation to oxygen administration?

Accepted Answer

A) Wait for the lab reports 
B) Wait for the physician to order oxygen administration 
C) Administer oxygen at 2 liters flow per minute 
D) Administer oxygen at 10 liters flow per minute and check the oxygen saturation of the patient

Question 10

Holter monitoring of a 65-year old female patient having cervical carcinoma stage 3 shows ventricular tachycardia resulting in syncope. The condition is treatable by implantable cardio-defibrillator. Which of the following is a contraindication of use of ICD in this patient?

Accepted Answer

A) Cervical carcinoma stage 3 
B) Ventricular tachycardia 
C) Age > 60 years 
D) Female gender

Question 11

Pericardial fluid has been aspirated and examined from a patient presenting with pericardial effusion. The fluid examination report shows a transudative fluid. Which of the following is unlikely to be the cause of this pericardial effusion?

Accepted Answer

A) Hypoalbuminemia/hypoproteinemia 
B) Congestive heart failure 
C) Aortic dissection 
D) Hypothyroidism

Question 12

You are working as RN in cardiac emergency. Which patient would you see first?

Accepted Answer

A) A patient with a history of deep vein thrombosis presenting with acute onset dyspnea and pink frothy sputum 
B) A patient presenting with exertional chest pain for last one month 
C) A patient with hypertension on regular medication presenting with postural giddiness 
D) A patient who has come from the medicine ward with an exacerbation of CHF requiring IV furosemide

Question 13

In which leadership style is the democratic process used for decisions among team members?

Accepted Answer

A) Laissez-faire 
B) Participative 
C) Transactional 
D) Transformational

Question 14

Which of the following is not a possible disciplinary action measure which can be taken if a nurse is found guilty of misconduct?

Accepted Answer

A) Suspension of license for a specified period of time 
B) Prosecution 
C) Prohibition of work in specified settings 
D) Revocation of license

Question 15

A patient is scheduled to undergo cardiac catheterization. He says to the nurse: "I am so afraid of the outcome of this surgery." What is the best response of the nurse?

Accepted Answer

A) I believe you're in good hands. Your surgeon is one of the best. 
B) Why are you afraid? 
C) You must have faith and look on the bright side. 
D) Tell me what concerns you have on this surgery.

Question 16

A nurse records an EKG of an asymptomatic person coming for routine check-up. After looking at the EKG, which of the following findings might the nurse say that there is nothing wrong with the EKG?

Accepted Answer

A) PR interval of 210 milliseconds 
B) Fibrillatory waves 
C) ST-T changes in precordial leads 
D) Saw-tooth pattern

Question 17

What is the basis of pacing of atria and ventricles in rate modulated pacing?

Accepted Answer

A) Intrinsic heart rate 
B) Keep pacing at a constant rate 
C) Physiological stress with increased heart rate 
D) Pacing only when demand of body increases during exercise

Question 18

Which of the following is a correctly matched correlation of jugular venous pulse?

Accepted Answer

A) Loss of "a" wave: atrial fibrillation 
B) Slow "y" descent: constrictive pericarditis 
C) Giant "a" waves: tricuspid regurgitation 
D) Sharp "y" descent: mitral valve prolapse

Question 19

The bypass pathway known as bundle of Kent is present in Wolf-Parkinson-White syndrome. Which anatomical structures are connected via the bundle of Kent?

Accepted Answer

A) Sinoatrial node and atrioventricular node 
B) Sinoatrial node and ventricle 
C) Atria and ventricle 
D) Atrioventricular node and ventricle

Question 20

Which of the following statements are not true about sick sinus syndrome?

Accepted Answer

A) Sick sinus syndrome is caused due to structural sinoatrial node disease 
B) Treatment is pacing for bradycardia and medicines for tachycardia 
C) It may present as complete heart block 
D) It may present as tachy-brady syndrome

Exam 3: AACN Cardiac Vascular Nursing