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ATTACK of the Heart
TICK TOCK Stop
Heart and Soul
Breathe Baby Breathe
Potpourri
100
ST elevation and absence of an "R" wave in V1-V4 would be indicative of
A. Anterior-septal wall infarction B. Inferior wall ischemia C. Anterior-septal wall ischemia D. Anterior-lateral wall infarction
100
Which of the following is an expected outcome from an Intra-Aortic Balloon Pump
A. Decreased mean systemic B/P B. Increased cardiac output C. Increased PCWP D. All of the above
100
A patient admitted to the ICU in the early stages of septic shock presents with
A. Weak and thready pulses and a low B/P B. Decreased urinary output C. Warm and flushed skin D. Hyperpnea with pulmonary congestion
100
Patient in ICU post cardiac arrest: FI02 0.8, pH 7.31, pC02 42, p02 60, 02 sat 85% and a HC03 18
A. Compensated metabolic acidosis B. Uncompensated respiratory acidosis C. Uncompensated metabolic alkalosis D. Uncompensated metabolic acidosis
100
A patient is admitted with diagnosis of alcohol dependence. Which of the following would indicate the patient is likely experiencing withdrawal
A. B/P 94/66, HR 100, tremors, hot dry skin B. B/P 156/94, HR 108, moist damp skin, restlessness C. B/P 120/74, HR 84, tremors, nausea, vomiting D. B/P 170.102, HR 72, headache, nausea, vomiting
200
The reciprocal changes which occur with an inferior wall MI are seen as ST depression in leads
A. II, III, AVF B. V1-V4 C. II, AVL D. I, AVL
200
All post operative cardiac surgery patients develop
A. Pericarditis B. Electrolyte imbalances C. Hypoxia D. Atelectasis
200
Which of the following sugns is NOT characteristic of cardiac tamponade
A. Widening pulse pressure B. Rising CVP C. Wide mediastinum on x-ray D. A fall in systolic B/P of more than 10 mmHg during inspiration
200
A patient with status asthmaticus is admitted. His breath sounds are diminished throughout his lung fields. RR=40. After giving your patient an aerosol bronchodilator, your patient sounds worse as they are now louder. This indicates
A. The patient has gotten worse B. The need for anesthesia to be present STAT C. The patient is getting better D. The patient does not have asthma
200
Your patient with pneumonia has a past medical hx of Type 2 Diabetes and HTN. During the day she is alert, oriented, and cooperative. In the late evening and early morning, she is confused and pulls at her oxygen and IV lines. Your initial response is
A. Administer haloperidol per the PRN order B. Place the patient in soft wrist restraints C. Optimize sleep-wake cycles by controlling lighting and noise D. Assign an unlicensed assistive personnel (sitter or aide) to observe the patient
300
Which of the following complications is most likely to occur in acute inferior myocardial infaction
A. Mobitz Type I hear block (Wenkebach) B. Paroxysmal atrial tachycardia (PAT) C. Right Bundle Branch Block (RBBB) D. Cardiogenic shock
300
Which of the following kinds of shock is characterized by increased venous capacitance and pooling
A. Hypovolemic shock B. Cardiogenic shock C. Distributive shock (Septic) D. Obstructive shock
300
The most serious EKG finding associated with Anterior wall MI is
A. Fasicular blocks and tachycardia B. RBBB and second degree blocks C. Few ventricular ectopic beats D. Raid supraventricular rhythms
300
Which of the following disease states does NOT cause hypoxia due to a primary mechanism of V/Q mismatching
A. Bronchospastic disease B. Pulmonary emphysema C. Adult respiratory distress syndrome D. Pulmonary embolization
300
During patient care rounds, the attending physician asks the physical therapist and nurse for inpit on the best ways to encourage a patient to increase his mobility. The physician is facilitating which clinical competency
A. Facilitator of learning B. Clinical Inquiry C. Collaboration D. Advocacy
400
The treatment modality for a patient with RVF from an inferior wall MI would include
A. Nipride and low dose dopamine B. Normal saline fluid challenges C. Lasix and preload reducers D. Lidocaine and afterload reducers
400
The early stages of septic shock are characterized by
A. Vasoconstriction with the release of histamine B. Increased cardiac output with peripheral vasocinstriction C. Vasodilatation with fluid loss and the release of leukocytes D. Increased cardiac output with decreased vascular resistance
400
The hemodynamic parameter which clinically measures afterload is
A. Central venous pressure (CVP) B. Mean arterial pressure (MAP) C. Systemic vascular resistance (SVR) D. Left ventricular end-diastolic presssure (LVedp)
400
Which of the following statement regarding ARDS is true
A. There is a decrease capillary permeability B. There is damage to type II pneumocytes with a decrease of surfactant C. There is an increase in lung compliance D. There is an increase in functional residual capacity
400
The Hippocratic Oath is a fundamental principle which focuses on what medical ethic
A. Treat all patients with respect B. Do No Harm C. Uncertain prognosis D. Patient perceptions of a poor outcome
500
Clinical manifestations of cardiogenic shock following an Anterior wall MI include all of the following EXCEPT
A. Distended neck veins B. Pulmonary caongestion, rales C. Presence of an S 3 D. Low CVP reading
500
The signs of hyperventilation, diminished sensorium, and increased cardiac output are often found in which form of shock
A. Neurogenic B. Septic C. Hypovolemic D. Cardiogenic
500
A patient with blood pressure of 200/142 mm Hg would have which of the following forms of hypertension
A. Essential hypertension B. Accelerated hypertension C. Malignant hypertension D. Hypertensive encephalopathy
500
Initial nursing assessment findings in the patient with an acute pulmonary embolism includes
A. Chest pain, ST changes, pulmonary edema B. Rales, rhonchi, tachycardia C. Chest pain, dyspnea, cough D. Tachypnea, bradycardia, rales
500
Which of the following is among the most important needs of family members during critical illness
A. To know the status of transfer plans B. To be near the patient C. To be kept informed D. To participate in treatment decisions