Copy and Edit

Cardiac PCCN

Description

PCCN review questions
Alyssa Magill
Quiz by Alyssa Magill, updated more than 1 year ago
Alyssa Magill
Created by Alyssa Magill almost 5 years ago
415
0
0

Resource summary

Question 1

Question
Which of the following is most likely the cause of a systolic murmur auscultated at the R sternal border, 2nd ICS?
Answer
  • Mitral stenosis
  • Aortic stenosis
  • Mitral insufficiency
  • Aortic insufficiency

Question 2

Question
A murmur associated with mitral stenosis is best auscultated
Answer
  • at the left mid-clavicular line, during diastole
  • at the left mid-clavicular line, during systole
  • at the right sternal border, during diastole
  • at the right sternal border, during systole

Question 3

Question
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?
Answer
  • S4
  • Split S1
  • Pericardial friction rub
  • S3

Question 4

Question
pt with mitral insufficiency is prone to which of the following dysrhythmias?
Answer
  • complete heart block
  • AV dissociation
  • A fib
  • 2nd degree AV block, type 1

Question 5

Question
pt with aortic stenosis, you can expect which of the following upon exam
Answer
  • narrowed pulse pressure
  • diastolic murmur
  • systolic murmur
  • widened pulse pressure

Question 6

Question
Which of the following is used to treat coronary vasospasm caused by variant (prinzmetal's) angina?
Answer
  • alpha-adrenergic blocking agent
  • beta-adrenergic blocking agent
  • calcium channel blocking agent
  • cholinergic agent

Question 7

Question
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?
Answer
  • Anterior wall
  • Inferior wall
  • Posterior wall
  • Lateral wall

Question 8

Question
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?
Answer
  • v1, v2
  • I, aVL
  • aVR, aVL, v1
  • v3, v4

Question 9

Question
pt with an inferior wall MI and right ventricular infarction develops tachycardia and hypotension. What would be the best initial treatment for hypotension?
Answer
  • Nitroglycerin infusion
  • Dopamine infusion
  • Dobutamine
  • Fluid (crystalloid) boluses

Question 10

Question
Which of the following complications would the nurse assess for after an arteriogram?
Answer
  • impaired renal function
  • acid-base imbalance
  • elevated liver enzymes
  • increased mean arterial pressure

Question 11

Question
Which type of heart block would you monitor for if your patient has an anterior wall MI?
Answer
  • 1st degree AV block
  • 2nd degree type I (Wenckebach)
  • 2nd degree type II
  • sinus bradycardia

Question 12

Question
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
Answer
  • acute anterior wall MI
  • acute pericarditis
  • acute lateral wall MI
  • acute decompensated heart failure

Question 13

Question
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
Answer
  • acute tricuspid regurgitation
  • acute aortic stenosis
  • L ventricular outflow obstruction
  • acute papillary muscle dysfunction

Question 14

Question
Clinical signs of cardiogenic shock secondary to acute left ventricular failure include:
Answer
  • hypotension, S4 heart sound, pericardial friction rub
  • S3 heart sound, hypotension, systolic murmur
  • diastolic murmur, s4 heart sound, hypertension
  • crackles, s3 heart sound, hypotension

Question 15

Question
HF pt develops hypotension, tachycardia, decreasing LOC, cool clammy skin, decreasing UOP and tachypnea. Which would be included in plan of care?
Answer
  • positive inotropic agents, diuretics & vasodilators ensuring BP & perfusion are adequate
  • ACE inhibitors, adenosine, beta blockers
  • beta blockers, diuretics, CCBs
  • negative inotropic medications, digoxin, anti-dysrhythmics

Question 16

Question
HF pt develops hypotension, tachycardia, decreasing LOC, cool clammy skin, decreasing UOP & tachypnea. Which would be included in plan of care?
Answer
  • positive inotropic agents, diuretics, vasodilators ensuring BP & perfusion are adequate
  • ACE inhibitors, adenosine, beta blockers
  • beta blockers, diuretics, CCBs
  • negative inotropic medications, digoxin, antidysrhythmics

Question 17

Question
the primary effect & rationale for using dobutamine in cardiogenic shock is to
Answer
  • decrease myocardial ischemia
  • improve urine output
  • improve myocardial contractility
  • increase oxygen consumption

Question 18

Question
signs of cardiac tamponade include
Answer
  • increased CVP, narrow pulse pressure & hypertension
  • wide mediastinum on chest xray, narrow pulse pressure & hypotension
  • widening pulse pressure, hypotension & elevated CVP
  • a fall in SBP > 10mmHg during inspiration, decreased CVP & hypotension

Question 19

Question
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?
Answer
  • administration of amiodarone 150mg followed by an infusion
  • synchronized cardioversion
  • administration of adenosine
  • precordial thump to the mid-sternum

Question 20

Question
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?
Answer
  • Adenosine 6mg rapid IVP
  • Defibrillation with 100 joules
  • synchronized cardioversion with 100 joules
  • Diltiazem bolus followed by an infusion

Question 21

Question
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?
Answer
  • prolonged PR interval
  • development of PJCs
  • Narrowing QRS
  • prolonged QT interval

Question 22

Question
Long term medical management for heart failure include which of the following?
Answer
  • beta blockers, ACE inhibitors & aldosterone antagonists
  • ACE inhibitors, ARBs and vasopressors
  • ARBs, beta blockers & CCBs
  • Beta blockers, ACE inhibitors & CCBs

Question 23

Question
A medication regimen for a patient with hypertrophic cardiomyopathy would include
Answer
  • cardiac glycosides & beta blockers
  • beta blockers & vasopressors
  • CCBs & beta blockers
  • vasopressors & inotropes

Question 24

Question
pt is POD for cardiac transplant. develops symptomatic bradycardia, your best action would be
Answer
  • administer atropine 1mg IV and apply 100% O2
  • connect epicardial pacing wires to a generator and pace the patient
  • give atropine and start an Isuprel infusion
  • start a dopamine infusion
Show full summary Hide full summary

Want to create your own Quizzes for free with GoConqr? Learn more.

Similar

Nervous System
4everlakena
Diabetes Mellitus
Kirsty Jayne Buckley
Renal System A&P
Kirsty Jayne Buckley
Oxygenation
Jessdwill
Clostridium Difficile
Kirsty Jayne Buckley
Definitions
katherinethelma
Clinical Governance
Kirsty Jayne Buckley
CMS Interpretive Guidelines for Complaint/Grievances
Lydia Elliott, Ed.D
NCLEX RN SAMPLE TEST
MrPRCA
NURS 310 EXAM 1 PRACTIC EXAM
harlacherha
Skin Integrity and Wound Care
cpeters
Browse Library