Cardiac PCCN

1

Which of the following is most likely the cause of a systolic murmur auscultated at the R sternal border, 2nd ICS?

1

A murmur associated with mitral stenosis is best auscultated

1

pt presents in heart failure with acute SOB. When auscultating lung sounds you observe crackles through all lung fields. You also expect to hear which heart tone?

1

pt with mitral insufficiency is prone to which of the following dysrhythmias?

1

pt with aortic stenosis, you can expect which of the following upon exam

1

Which of the following is used to treat coronary vasospasm caused by variant (prinzmetal's) angina?

1

pt presents with chest pain and ST segment elevation in leads II, III and aVF. You know the patient is experiencing an infarction in which wall of the heart?

1

56 yo F presents with sub-sternal chest pain. 12 lead ECG reveals ST segment elevation in leads II, III, and aVF. You would expect reciprocal changes in which leads?

1

pt with an inferior wall MI and right ventricular infarction develops tachycardia and hypotension. What would be the best initial treatment for hypotension?

1

Which of the following complications would the nurse assess for after an arteriogram?

1

Which type of heart block would you monitor for if your patient has an anterior wall MI?

1

pt with mid sternal chest pain that is bettwe when sitting up and leaning forward. NSAIDs are the only medication relieving the pain. the pt is likely experiencing

1

58 year old with anterior wall MI 2 days ago has CP and dizziness, upon auscultation you note a new loud systolic murmur. what do you suspect may be the issue

1

Clinical signs of cardiogenic shock secondary to acute left ventricular failure include:

1

HF pt develops hypotension, tachycardia, decreasing LOC, cool clammy skin, decreasing UOP and tachypnea. Which would be included in plan of care?

1

HF pt develops hypotension, tachycardia, decreasing LOC, cool clammy skin, decreasing UOP & tachypnea. Which would be included in plan of care?

1

the primary effect & rationale for using dobutamine in cardiogenic shock is to

1

signs of cardiac tamponade include

1

A 54 yo patient with mild HF goes into SVT at a rate of 176, BP is 96/58. vagal maneuvers were unsuccessful. The nurse should anticipate which of the following?

1

52 yo male just underwent CABG x3. He has been in NSR and suddenly converts into Afib at a rate of 160. His BP drops to 72/46 & is feeling SOB. You anticipate which of the following?

1

Ibutilide (corvert) 1mg IV over 10 min is started for a pt in rapid Afib, you know you must discontinue ibutilide for which of the following reasons?

1

Long term medical management for heart failure include which of the following?

1

A medication regimen for a patient with hypertrophic cardiomyopathy would include

1

pt is POD for cardiac transplant. develops symptomatic bradycardia, your best action would be

PCCN review questions

Cardiac PCCN

Which of the following is most likely the cause of a systolic murmur auscultated at the R sternal border, 2nd ICS?

A murmur associated with mitral stenosis is best auscultated

pt presents in heart failure with acute SOB. When auscultating lung sounds you observe crackles through all lung fields. You also expect to hear which heart tone?

pt with mitral insufficiency is prone to which of the following dysrhythmias?

pt with aortic stenosis, you can expect which of the following upon exam

Which of the following is used to treat coronary vasospasm caused by variant (prinzmetal's) angina?

pt presents with chest pain and ST segment elevation in leads II, III and aVF. You know the patient is experiencing an infarction in which wall of the heart?

56 yo F presents with sub-sternal chest pain. 12 lead ECG reveals ST segment elevation in leads II, III, and aVF. You would expect reciprocal changes in which leads?

pt with an inferior wall MI and right ventricular infarction develops tachycardia and hypotension. What would be the best initial treatment for hypotension?

Which of the following complications would the nurse assess for after an arteriogram?

Which type of heart block would you monitor for if your patient has an anterior wall MI?

pt with mid sternal chest pain that is bettwe when sitting up and leaning forward. NSAIDs are the only medication relieving the pain. the pt is likely experiencing

58 year old with anterior wall MI 2 days ago has CP and dizziness, upon auscultation you note a new loud systolic murmur. what do you suspect may be the issue

Clinical signs of cardiogenic shock secondary to acute left ventricular failure include:

HF pt develops hypotension, tachycardia, decreasing LOC, cool clammy skin, decreasing UOP and tachypnea. Which would be included in plan of care?

HF pt develops hypotension, tachycardia, decreasing LOC, cool clammy skin, decreasing UOP & tachypnea. Which would be included in plan of care?

the primary effect & rationale for using dobutamine in cardiogenic shock is to

signs of cardiac tamponade include

A 54 yo patient with mild HF goes into SVT at a rate of 176, BP is 96/58. vagal maneuvers were unsuccessful. The nurse should anticipate which of the following?

52 yo male just underwent CABG x3. He has been in NSR and suddenly converts into Afib at a rate of 160. His BP drops to 72/46 & is feeling SOB. You anticipate which of the following?