Question 1

A nurse is planning to give pre-procedure teaching to a patient about the benefits of percutaneous transluminal coronary angioplasty (PTCA ). Which of the following is the most important for the patient to be taught?

Accepted Answer

A) The stent helps to increase the coronary blood flow 
B) The procedure is done through distal arteries. 
C) Balloon pressure decreases plaque size and stretches the vessel. 
D) The goal is to increase blood flow by reducing plaque build-up.

Question 2

Which of the following statements correctly represents the significance of outcome evaluation?

Accepted Answer

A) It helps in better recovery and follow-up of the patient 
B) Outcome evaluation is often useful in evaluating the effectiveness of interventions and identifies areas of improvement 
C) Outcome evaluation is a useful tool for ensuring regular follow-up of patient 
D) Outcome evaluation is useful in identifying factors which influence recovery

Question 3

The nurse is assessing the tests of a patient with a diagnosis of acute right-sided heart failure. What parameter would be elevated in right-sided heart failure?

Accepted Answer

A) Central venous pressure (CVP) 
B) Cardiac output 
C) Left-ventricular end-diastolic pressure 
D) Pulmonary capillary wedge pressure (PCWP)

Question 4

What should be the focus of the team taking pre-operative care of a patient who will be undergoing cardiac transplant surgery?

Accepted Answer

A) Immunosuppression, acute renal failure, arrhythmia, left ventricular dysfunction 
B) Immunosuppression, acute renal failure, tachycardia, right ventricular dysfunction 
C) Immunosuppression, acute renal failure, bradycardia, and right ventricular dysfunction 
D) Immunosuppression, cardiac failure, left ventricular dysfunction, arrhythmia

Question 5

A patient is being discharged from the hospital after undergoing PTCA. What advice should the nurse give to the patient about follow up tests?

Accepted Answer

A) Repeat INR every month for 6 months 
B) Cardiac stress testing to be performed 2-6 months after the procedure 
C) Repeat cardiac enzymes every month for 6 months 
D) Repeat cardiac enzymes, hematocrit, INR every month

Question 6

A patient recovering from CABG surgery develops renal failure. What measures should the attending nurse take to maintain urine output?

Accepted Answer

A) Administer IV fluids to hydrate the patient 
B) Send the patient for hemodialysis 
C) Low-dose dopamine infusion, furosemide by IV bolus or continuous infusion. 
D) Send the patient for peritoneal dialysis

Question 7

A patient is being released from hospital after treatment of congestive heart failure. His son is anxious to know if the progression and severity of the disease can be prevented by lifestyle modification or prophylactic medications. What advice should the attending nurse give him?

Accepted Answer

A) Avoid alcohol and smoking, maintain proper blood pressure, reduce salt and fluid intake, and maintain an active lifestyle 
B) Treatment of co-morbidities can significantly help prevent progression of disease 
C) Avoiding alcohol and smoking and diet containing low sodium and fat are enough 
D) Nothing needs to be done except for maintaining an active lifestyle

Question 8

In which leadership style is power used to influence team members?

Accepted Answer

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

Question 9

A patient is scheduled to have mitral valve replacement surgery. He has been taking warfarin therapy because he has atrial fibrillation (AF). What changes to the patient's anticoagulant therapy should the nurse consider?

Accepted Answer

A) Stop warfarin on the day of surgery 
B) Stop warfarin 4-5 days before surgery 
C) Stop warfarin 4-5 days prior to surgery; give a heparin product prior to surgery. 
D) Continue warfarin therapy

Question 10

A patient with history of arterial trauma presents to emergency with severe pain in right lower limb. Which of the following findings during the nursing assessment indicates arterial occlusion?

Accepted Answer

A) Paraesthesia 
B) Paralysis 
C) Pulselessness 
D) All of above

Question 11

A patient presents with acute arterial occlusion of one of his upper limbs. Which of the following drugs should the nurse prepared to administer to the patient?

Accepted Answer

A) Clopidogrel 
B) Heparin 
C) Warfarin 
D) Urokinase

Question 12

The patient was on cardiopulmonary bypass while undergoing CABG surgery. What should be the first parameter the nurse should assess before weaning the patient from cardiopulmonary bypass?

Accepted Answer

A) Serum magnesium 
B) Pulmonary status 
C) Body temperature 
D) Urine output

Question 13

What are the possible post-operative complications of PCTA of a lower extremity that a nurse must be aware of?

Accepted Answer

A) Myocardial infarction, angina 
B) Vasospasm, thrombus formation, arterial dissection, vessel perforation, compartment syndrome 
C) Aneurysmal rupture, dissection of the aorta 
D) Circulatory shock, renal failure

Question 14

Team causes, team processes, team effectiveness, and team building are variables of which team building models?

Accepted Answer

A) Cognitive motivational model of team effectiveness 
B) Traditional model of team effectiveness 
C) Interventional model of team effectiveness 
D) Philosophical model of team effectiveness

Question 15

A patient with venous insufficiency has questions about the anatomy of venous system. What are the important parts of venous system that the nurse should explain?

Accepted Answer

A) The superficial venous system, communicating venous system, deep venous system, and venous valves 
B) The deep venous system 
C) The superficial venous system 
D) The valves

Exam 1: Intervention

A nurse is planning to give pre-procedure teaching to a patient about the benefits of percutaneous transluminal coronary angioplasty (PTCA ) . Which of the following is the most important for the patient to be taught?