Column #1
Cardiogenic shock after MI is treated with:
A. Defibrillation
B. Pacemaker
C. Intra-aortic balloon pump
D. Beta blockers
C.Intra-aortic balloon pump
Least concerning postpartum cardiac finding:
A. Decreased urine output
B. Weight gain
C. Pedal edema
D. Dyspnea
C. Pedal edema
Ejection fraction 52% means:
A. Heart failure
B. 52% blood pumped each beat
C. Half heart working
D. Poor output
B. 52% blood pumped each beat
Pacemaker capture indicated by:
A. No spikes
B. Spike without QRS
C. Spike followed by QRS
D. Irregular rhythm
C. Spike followed by QRS
New atrial fibrillation priority:
A. ECG
B. Assess BP and perfusion
C. Cardioversion
D. Give meds
B. Assess BP and perfusion
Digoxin + furosemide increases risk for:
A. Hypercalcemia
B. Digoxin toxicity
C. Hypernatremia
D. Fluid overload
B. Digoxin toxicity
Most concerning symptom postpartum with cardiac disease:
A. Fatigue
B. Headache
C. Shortness of breath
D. Mild tachycardia
C. Shortness of breath
CPR error:
A. Start compressions first
B. 30:2 ratio
C. 2–2.4 inch depth
D. Give breaths first
D. Give breaths first
VSD:
A. Needs surgery immediately
B. Closes spontaneously often
C. Requires anticoagulants
D. Blocks pulmonary flow
B. Closes spontaneously often
Defibrillation treats:
A. A-fib
B. Heart block
C. Pulseless VT
D. PVCs
C. Pulseless VT
Which statement indicates misunderstanding of metoprolol?
A. Take pulse before medication
B. Take daily
C. Report dizziness
D. Take only when short of breath
D. Take only when short of breath
Incorrect teaching for cardiac disease in pregnancy:
A. Fatigue expected
B. Skipped beats possible
C. No breastfeeding allowed
D. High fiber diet
C. No breastfeeding allowed
Most concerning with bradycardia:
A. Constipation
B. Confusion
C. Edema
D. Leg cramps
B. Confusion
Lasix teaching priority:
A. Increase vitamin K
B. Avoid salt substitutes
C. Rise slowly
D. Drink fluids quickly
C. Rise slowly
Bradycardia unresponsive to atropine → next:
A. Cardioversion
B. Defibrillation
C. Pacing
D. Echo
C. Pacing
Heart failure teaching is effective when patient states:
A. Increase fluids
B. Weigh weekly
C. Limit sodium
D. Avoid activity
C. Limit sodium
Complete heart block treatment:
A. Ablation
B. LVAD
C. Cardioversion
D. Pacemaker
D. Pacemaker
AICD teaching correct:
A. Stops heart disease
B. No need meds
C. Shock may be felt
D. No follow-up needed
C. Shock may be felt
Next step for stable arrhythmia:
A. Defibrillate
B. Atropine
C. 12-lead ECG
D. CPR
C. 12-lead ECG
Cardioversion teaching correct:
A. No sedation
B. Drive home
C. NPO ignored
D. Sedation given
D. Sedation given
Pregnant patient with unilateral leg swelling should:
A. Be reassured
B. Increase fluids
C. Be further evaluated
D. Rest at home
C. Be further evaluated
New pacemaker + HR 40 + dizziness → nurse should:
A. Reassure
B. Trendelenburg
C. Check pacemaker
D. Give calcium blocker
C. Check pacemaker
Lisinopril effective when:
A. Dry cough
B. Low HR
C. Improved activity
D. Increased appetite
C. Improved activity
Mechanical valve teaching:
A. Temporary anticoagulants
B. Lifelong anticoagulants
C. No monitoring needed
D. Stop meds in 1 month
B. Lifelong anticoagulants
Thoracic aneurysm cause (young patient):
A. Diabetes
B. Atherosclerosis
C. Congenital defect
D. HDL
C. Congenital defect