CAD
A patient reports during a routine check-up that he is experiencing chest pain and shortness of breath while performing activities. He states the pain goes away when he rests. This is known as:
A. Unstable angina
B. Variant angina
C. Stable angina
D. Prinzmetal angina
C. Stable Angina
Stable angina is relieved by rest
100. Your patient’s angina has just been relieved by administration of nitroglycerine, however they now have a painful headache. What medication would you administer?
A. Motrin
B. Ibuprofen
C. Acetaminophen
D. Streptokinase
C. acetaminophen
What is the Cardiac Output Equation?
CO=HRxSV
A CABG (coronary artery bypass graft) operation is:
A. An operation performed to bypass blocked blood vessels in a patient's heart.
B. When a doctor puts a balloon into a patient's heart to squish fat back into the vessel walls.
C. An operation performed to bypass blocked vessels in a patient's leg.
D. None of the above.
A. An operation performed to bypass blocked blood vessels in a patient's heart.
Elevated Troponin levels indicate?
A. MI
B. CHF
C. HTN
D. Pulmonary Edema
A. MI
200 A UNIT NURSE ASSESSES A CLIENT WITH SOB, DIAPHORESIS, AND CHEST PAIN THAT RADIATES DOWN THE LEFT ARM. AFTER ACTIVATING THE MEDICAL RESPONSE TEAM, WHAT ACTIONS DOES THE NURSE PERFORM NEXT?
A. Admin O2, initiate telemetry, check vitals, prepare norepinephrine
B. Admin O2, check vitals, notify the cardiac catherization team
C. Adminster O2, start an IV, and administer morphine
D. Administer O2, initiate ECG, measure vitals, prepare sublingual nitroglycerin
D. Administer O2, initiate ECG, measure vitals, prepare sublingual nitroglycerin
200. Your patient is exhibiting shock symptoms from an unknown cause. What medication would you give?
A. Norepinephrine
B. Epinephrine
C. Dopamine
D. Dobutamine
C. Dopamine
200. True or False, the Frank-Starling law states that higher preload causes decreased contractility.
False: increased preload causes increased contractility to a point where the preload becomes too high and causes damage
200. A patient is having a MI, how fast do we need to get them into the Cardiac Catheterization lab?
A. 30 mins
B. 90 mins
C. 3 Hours
D. 8 Hours
B. 90 mins
The PTT for a patient oh Heparin therapy should be?
A. 1/3-1/2 the normal time
B. 1-1.5 the normal time
C. 1.5-2.5 the normal time
D. 2-3 the normal time
C. 1.5-2.5 the normal time
The nurse is monitoring a client who is taking propanolol. Which assessment finding indicates a potential adverse complication associated with this medication
A. Development and complaint of insomnia
B. The development of audible expiratory wheezes
C.A baseline bp of 150/80 followed by a bp of 138/72 after 2 doses
D. A baseline resting HR of 88 beats/min followed by a resting HR of 72 beats/min after 2 doses
B. The development of audible expiratory wheezes Bronchospasm
A patient calls the cardiac clinic you are working at and reports that they have taken 3 sublingual doses of nitroglycerin as prescribed for chest pain, but the chest pain is not relieved. What do you educate the patient to do next?
A. Take another dose of Nitroglycerin in 5 minutes.
B. Call 911 immediately
C. Lie down and rest to see if that helps with relieving the pain
D. Take two doses of Nitroglycerin in 5 minutes
B. Call 911 immediately
8. A patient has a blood pressure of 220/140. The physician prescribes a vasodilator. This medication will?
A. Decrease the patient’s blood pressure and increase cardiac afterload
B. Decrease the patient’s blood pressure and decrease cardiac afterload
C. Decrease the patient’s blood pressure and increase cardiac preload
D. Increase the patient’s blood pressure but decrease cardiac output.
B. Decrease the patient’s blood pressure and decrease cardiac afterload
True or False: In an IABP the device inflates during systole and deflates during diastole.
False
What does increased CRP indicate?
A. Myocardial Ischemia
B. Hypercoagulation
C. Hypocoagulation
D. Inflammation
D. Inflammation
You're providing education to a patient who will be undergoing a heart catheterization. Which statement by the patient requires you to re-educate the patient about this procedure?
A. "The brachial artery is most commonly used for this procedure."
B. "A dye is injected into the coronary arteries to assess for blockages."
C. "Not all patients who have a heart catheterization will need a stent placement."
D. "I will not be completely asleep and will be able to breathe on my own during the procedure."
A. "The brachial artery is most commonly used for this procedure."
Usually Radial
300. While caring for a patient with excessive vomiting, the nurse assesses a pulmonary artery occlusion pressure (PAOP) of 1 mm Hg and hourly urine output of 5 mL. The nurse anticipates which therapeutic intervention?
a.Diuretics
b.Intravenous fluids
c.Negative inotropic agents
d.Vasopressors
b.Intravenous fluids
9. What conditions below can result in an increased cardiac afterload? Select all that apply:
A. Vasoconstriction
B. Aortic stenosis
C. Vasodilation
D. Dehydration
E. Pulmonary Hypertension
A. Vasoconstriction
B. Aortic stenosis
E. Pulmonary HTN
300. Which device requires the patient to wear a rechargeable battery over their shoulder or on their hip?
A. Internalized Defibrillator
B. Internal Pacemaker
C. External Pacemaker
D. LVAD
D. LVAD
When do Troponin I levels begin to become abnormal?
A. 1 Hr
B. 2-4 Hrs
C. 14-18 Hrs
D. 5-7 days
B. 2-4 Hrs
A client is admitted to the hospital due to MI. what medical intervention does the nurse manage to increase coronary perfusion and decrease cardiac workload?
A. dobutamine IV
B. therapeutic hypothermia
C. intra-aortic balloon pump
D. external pacemaker
C. intra-aortic balloon pump
Which treatments below would decrease cardiac preload? Select all that apply:
A. IV fluid bolus
B. Norepinephrine
C. Nitroglycerin
D. Furosemide
C. Nitroglycerin
D. Furosemide
6. After pulmonary artery catheter insertion, the nurse assesses a pulmonary artery pressure of 45/25 mm Hg, a pulmonary artery occlusion pressure (PAOP) of 20 mm Hg, a cardiac output of 2.6 L/min and a cardiac index of 1.9 L/min/m2. Which physician order is of the highest priority?
a. Apply 50% oxygen via venture mask.
b. Insert an indwelling urinary catheter.
c. Begin a dobutamine (Dobutrex) infusion.
d. Obtain stat cardiac enzymes and troponin.
c. Begin a dobutamine (Dobutrex) infusion.
The pulmonary pressures are higher than normal, indicating elevated preload, and the cardiac index and output values are low. The priority order for the nurse to implement is to begin a dobutamine (Dobutrex) infusion to improve cardiac output, possibly reducing pulmonary artery occlusion pressures. The other treatments are important, but the dobutamine infusion is the most important at this time.
Which of the following is not a Percutaneous Coronary Intervention?
A. Cardiac Catheterization
B. Coronary Artery Bypass Graft
C. Angioplasty
D. Atherectomy
B. Coronary Artery Bypass Graft
PTT indicates the _______ pathway, while PT/INR indicates the ___________ pathway?
A. Intrinsic, Extrinsic
B. Extrinsic, Intrinsic
C. Coagulation, Thrombosis
D. Thrombosis, Coagulation
A. Intrinsic, Extrinsic