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Cardiology Exam Questions: Cardiac Rhythms and Interventions, Exams of Nursing

City University of New York (CUNY) - Hostos Community CollegeNursing

A series of multiple-choice questions focused on cardiology, specifically addressing the identification, treatment, and management of various cardiac conditions and rhythms. It covers topics such as angina pectoris, myocardial infarction, cardiogenic shock, and atrial fibrillation, providing potential answers and indicating the correct responses. The questions also delve into the use of thrombolytics, cardiac catheterization, and the interpretation of hemodynamic parameters like cvp and paop. This material is useful for medical students, nursing students, and healthcare professionals seeking to test their knowledge and understanding of cardiac care. The document also includes questions on ventilator management and trauma care related to cardiac conditions, offering a comprehensive review of critical cardiac concepts. (449 characters)

Typology: Exams

2024/2025

Available from 05/28/2025

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BKAT 9R Actual Exam Questions | 100%
Correct Answers | Verified 2025 Version
Initial measure for the treatment of angina pectoris does not include which response below?
1. resting
2. beta blockers
3. oxygen
4. nitroglycerine - ✔✔beta blockers
The classical ECG change with muscle injury in acute myocardial infarction is:
1. presence of a Q wave
2. ST segment elevation
3. myocardial electrical irritability
4. a peaked T wave - ✔✔ST segment elevation
Elevated cardiac iso-enzyme generally does not occur in which response below?
1. Closed chest injury
2. pericarditis
3. congestive heart failure
4. cardiac surgery - ✔✔Congestive heart failure
The major therapeutic goal in the treatment of cardiogenic shock is to:
1. Increase the afterload
2. Improve renal perfusion
3. Increase cardiac output
4. Decrease fluid volume - ✔✔Increase cardiac output
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Download Cardiology Exam Questions: Cardiac Rhythms and Interventions and more Exams Nursing in PDF only on Docsity!

BKAT 9R Actual Exam Questions | 100%

Correct Answers | Verified 2025 Version

Initial measure for the treatment of angina pectoris does not include which response below?

  1. resting
  2. beta blockers
  3. oxygen
  4. nitroglycerine - ✔✔beta blockers The classical ECG change with muscle injury in acute myocardial infarction is:
  5. presence of a Q wave
  6. ST segment elevation
  7. myocardial electrical irritability
  8. a peaked T wave - ✔✔ST segment elevation Elevated cardiac iso-enzyme generally does not occur in which response below?
  9. Closed chest injury
  10. pericarditis
  11. congestive heart failure
  12. cardiac surgery - ✔✔Congestive heart failure The major therapeutic goal in the treatment of cardiogenic shock is to:
  13. Increase the afterload
  14. Improve renal perfusion
  15. Increase cardiac output
  16. Decrease fluid volume - ✔✔Increase cardiac output

You receive orders to starte Nipride and Dobutamine in your patient with end-stage cardiomyopathy. How will this treatment regimen affect cardiac output?

  1. Increase preload and reduces afterload
  2. Reduces preload and increases afterload
  3. Reduces preload and afterload and improves contractility
  4. Reduces preload and improves contractility - ✔✔Reduces preload and afterload and improves contractility In dealing with a depressed patient during the first days post AMI the most appropriate nursing action would be:
  5. Encourage to patient to ventilate his/her concerns
  6. Provide for privacy so the patient can rest
  7. Limit visits only to family members
  8. Provide a quiet environment for the patient - ✔✔Encourage the patient to ventilate his/her concerns Mr. Seamore is receiving thrombolytics (TPA) 3 hours after an AMI. Which of the following would most likely require discontinuing the infusion?
  9. PVCs
  10. Bleeding gums
  11. Oozing at the insertion site
  12. Change in mental status - ✔✔Change in mental status The following monitor would indicate that the pulmonary artery (Swan Ganz) catheter is in which position?
  13. Superior vena cava
  14. Right ventricle
  15. Pulmonary artery
  16. Pulmonary artery occlusion (wedge) - ✔✔Pulmonary artery occlusion (wedge) A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called:
  1. right atrium
  2. vena cava - ✔✔left ventricle The normal pulmonary artery pressure is:
  3. (10-20)/(0-4) mean 5 - 10
  4. (21-30)/(5-15) mean 11 - 20
  5. (31-35)/(16-20) mean 21 - 30
  6. (36-45)/(21-23) mean 31 - 33 - ✔✔ 11 - 2 How many mm Hg is the normal PAOP
  7. 1 - 3
  8. 6 - 12
  9. 15 - 20
  10. 21 - 26 - ✔✔ 6 - 12 An elevated PAOP may indicate:
  11. Hypovolemia
  12. Peripheral vasodilation
  13. systemic hypotension
  14. left ventricular failure - ✔✔left ventricular failure Mr. Adams, a 68 yo patient, complains of feeling "a little funny in his chest." His ECG shows atrial fibrillation/flutter. Which of the following medications could be used to treat his cardiac rhythm?
  15. Digoxin
  16. Nifedipine
  17. Diltiazem
  18. Adenosine - ✔✔Diltiazem A QRS complex wider than 0.12 seconds most likely indicates:
  1. Normal sinus node conduction
  2. Bundle branch block
  3. Second degree heart block
  4. myocardial infarction - ✔✔bundle branch block The following rhythm represents: - ✔✔First degree HB Special care should be exercised when administering IV dopamine because:
  5. Infiltration leads to tissue necrosis
  6. High doses may lead to a profound bradycardia
  7. Precipitation can occur when used in a dextrose IV solution
  8. even low doses decrease renal perfusion - ✔✔Infiltration leads to tissue necrosis The following strip is: - ✔✔Aflutter A strong ventricular stimulus is potentially dangerous when it lands on the:
  9. U wave
  10. P wave
  11. T wave
  12. QRS complex - ✔✔T wave The rhythm strip below shows: - ✔✔VTach An indication for use of an external cardiac pacemaker includes:
  13. paroxysmal atria tachycardia
  14. Ventricular fibrillation
  15. Wenckebach (Mobitz Block Type 1)
  16. Symptomatic complete heart block - ✔✔Symptomatic complete heart block
  1. a trial of atropine
  2. preparing for transcutaneous pacing
  3. doing cardiac compressions
  4. using digoxin - ✔✔Preparing for transcutaneous pacing Your patient has atrial flutter with a ventricular response of 150 beats per minute. Therapy for this rhythm includes:
  5. Digoxin, a temporary pacemaker, potassium chloride
  6. Lidocaine, sodium bicarb, cardioversion
  7. Amiodarone, cardizem, cardioversion
  8. Isordil, nitropaste, pronestyl - ✔✔Amiodarone, cardizem, cardioversion Signs of cardiac tamponade do not include which response below?
  9. distended neck veins
  10. pulsus paradoxus
  11. decreased systolic pressure
  12. bradycardia - ✔✔bradycardia In the patient with ventricular fibrillation, the correct energy setting for the first defibrillation when using a biphasic defibrillator is how many joules?
  13. 240
  14. 360
  15. 150
  16. 80 - ✔✔ 150 A patient becomes apneic and pulseless. The monitor shows asystole. The drug that would most likely be used initially is:
  17. verapamil
  18. atropine
  19. epinephrine
  1. amiodarone - ✔✔Epinephrine The antidote for heparin is:
  2. Protamine sulfate
  3. Narcan
  4. Glucagone hydrochloride
  5. vitamin K - ✔✔Protamine sulfate The most important step in preventing central venous catheter related sepsis is:
  6. Use of a transparent membrane dressing
  7. Scrubbing access ports with alcohol
  8. using antibiotic ointment under the dressing
  9. thorough hand washing - ✔✔Thorough hand washing An excessive amount of chest tube drainage in the first few hours following thoracic surgery is how many ml's per hour?
  10. 150
  11. 75
  12. 50
  13. 30 - ✔✔ 150 A routine check of your patient's blood gas values show a pH of 7.40, pO2 of 98 mm Hg, pCO2 of 38 mm Hg, and HCO3 of 25 mEq. These results reflect:
  14. metabolic acidosis
  15. metabolic alkalosis
  16. normal values
  17. respiratory compensation - ✔✔normal values Before suctioning a patient, you adjust the vacuum pressure so that it is:
  1. check the functioning of the cuff - ✔✔check the functioning of the cuff The high pressure alarm on a volume respirator will not be triggered by which response below?
  2. biting on the tube
  3. pulmonary edema
  4. leaking cuff
  5. decreased lung compliance - ✔✔leaking cuff The most important reason for diminishing breath sounds in a motor vehicle crash victim with closed chest trauma is:
  6. chest pain when breathing normally
  7. a pulmonary bleed
  8. development of a pneumothorax
  9. cervical spinal-cord injury - ✔✔Development of a pneumothorax A moderately burned trauma patient is admitted to your unit. The most important treatment related to the burns during the first 24 hours after injury is:
  10. fluid replacement
  11. accurate administration of antibiotics
  12. pain relief measures
  13. early wound cultures - ✔✔fluid replacement Your trauma patient, who is 4 days post fracture of the right femur, suddenly develops shortness of breath. The most likely cause is:
  14. Fat embolus
  15. Pneumonia
  16. Pleural effusion
  17. Pulmonary edema - ✔✔Fat embolism

To help prevent ventilator acquired pneumonia (VAP), the most important nursing action would be to:

  1. keeping FIO2 at 60%
  2. changing the ventilator tubing qshift
  3. careful hand-washing and use of gloves when suctioning
  4. treat low peak-inspiratory pressures - ✔✔Careful hand-washing and use of gloves when suctioning The most important nursing activity for a patient admitted with the diagnosis of cervical spinal cord injury is:
  5. keeping the patient flat
  6. immobilizing the head
  7. noting change in feeling extremities
  8. doing hourly neuro checks - ✔✔Immobilizing the head In a patient with cervical spine injury, the most important observations the nurse makes concerns which of the following physiological parameters?
  9. heart rate
  10. respirations
  11. urinary output
  12. pupillary response to light - ✔✔respirations The earliest sign of increased intracranial pressure generally involves changes in:
  13. response to pain
  14. level of consciousness
  15. equality of pupillary reactions
  16. respiratory rate - ✔✔level of consciousness
  17. Deepening intracranial pressure is characterized by:
  18. tachycardia
  19. pinpoint pupils
  1. Increasingly severe headache, and slow and shallow breathing
  2. Hyperactivity, and diaphoresis and absence of urine ketones
  3. Dilated pupils, and flushed and warm skin
  4. Fruity breath, and deep and rapid breathing - ✔✔Fruity breath, and deep and rapid breathing Impending insulin shock (hypoglycemia) should be suspected when the diabetic patient complains of or manifests:
  5. Decreased skin turgor, abdominal pain, restlessness
  6. Flushed skin, tachycardia, Kussmal breathing
  7. Thirst, hypotension, fruity odor to the breath
  8. Weakness, headache, diaphoresis - ✔✔Weakness, headache, diaphoresis Measures that would be taken to treat a patient in diabetic ketoacidosis coma would not include which response below?
  9. Dextrose 50% IV infusion
  10. Insulin IV drip
  11. Potassium replacements
  12. IV fluid administration - ✔✔Dextrose 50% IV infusion Patients with diabetes mellitus who are acutely ill generally require a:
  13. higher dose of insulin
  14. restricted caloric intake
  15. decrease in fluid intake
  16. lower dose of insulin - ✔✔Higher dose of insulin The psychophysiologic stress response from acute illness and being in an ICU can result in decreased:
  17. Heart rate
  18. Alertness
  19. Systolic blood pressure
  1. Urine output - ✔✔Urine output Which of the following types of insulin when given sub-q will have a peak action within 2 to 4 hours?
  2. Hummulin Lente
  3. NPH
  4. Lantus (glargine)
  5. Regular - ✔✔Regular An unconscious trauma patient who was just admitted to the ICU is a diabetic who received his usual dose of sub-q NPH insulin at 7 AM. In how many hours after administration might you expect an insulin reaction to occur?
  6. 1 - 2
  7. 3 - 4
  8. 8 - 14
  9. 18 - 24 - ✔✔ 8 - 14 A dangerous effect of rapidly re-warming a hypothermic patient is:
  10. bradycardia
  11. vasodilation and hypotension
  12. seizure activity
  13. sudden rise in blood pressure - ✔✔vasodilation and hypotension Mrs.Smith, who is post-operative craniotomy patient has a fasting blood sugar of 100mg, complains of extreme thirst, and has a urine greater than 1,000 ml's over two hours. You should suspect:
  14. Increasing intracranial pressure
  15. Overproduction of ADH
  16. Acute adrenal insufficiency
  17. Diabetes insipidus - ✔✔Diabetes Insipidus
  1. High protein, low potassium, low sodium
  2. Restricted protein, high potassium, low sodium
  3. No protein, high potassium, high sodium
  4. Restricted protein, low potassium, low sodium - ✔✔Restricted protein, low potassium, low sodium Sudden development of dyspnea and sinus tachycardia in an acute renal failure patient would most likely indicate which of the following?
  5. Hyperkalemia
  6. Pulmonary embolism
  7. Fluid overload
  8. Infection - ✔✔Fluid overload ECG changes commonly seen in hyperkalemia are:
  9. narrow QRS, inverted T wave
  10. narrow QRS, high P wave
  11. wide QRS, inverted T wave
  12. wide QRS, tall peaked T wave - ✔✔Wide QRS, tall peaked T wave When feeding a patient using continuous tube feedings, the most important intervention in preventing aspiration is to:
  13. Keep the head of the bed elevated
  14. Aspirate stomach contents Q4-6h for residual
  15. check the position of the tube feeding each shift
  16. turn the patient frequently - ✔✔keep the head of the bed elevated Low intermittent suction of gastric contents is not generally used in which response below?
  17. to decompress abdominal distention
  18. to prevent aspiration
  19. when bowel sounds are absent
  1. to control bleeding - ✔✔To control bleeding The safe placement of a nasogastric tube in an unconscious patient can be best assessed by:
  2. instilling 30ml of normal saline through the tube
  3. aspirating gastric content
  4. checking the pH of the gastric aspirate
  5. obtaining radiographic confirmation - ✔✔obtaining radiographic confirmation While caring for a day-two post-operative exploratory laparotomy patient, you notice "coffeground" material coming from her nasogastric tube. You should:
  6. know this is a normal finding
  7. irrigate the tube right aware
  8. have the drainage tested for blood
  9. listen for overactive bowel sounds - ✔✔have the drainage tested for blood Your patient, who is receiving a blood transfusion, has a sudden increase in body temperature. Your first response is to:
  10. take the blood pressure
  11. check the blood type of the patient
  12. quickly observe for a rash
  13. stop the transfusion - ✔✔stop the transfusion In a symptomatic sinus bradycardia, which of the following could be used to increase the heart rate
  14. Propanolol
  15. Digoxin
  16. Atropine
  17. Verapamil - ✔✔Atropine Which of the following drugs will crystallize when given IV with D5S?
  1. decide on her husband's care, if he loses consciousness - ✔✔Decide on her husband's care, if he loses consciousness Examples of spiritual care for a seriously ill, conscious patient does not generally include which response below?
  2. staying with or being with the patient
  3. listening to the patient's concerns
  4. telling the patient that everything is going to be all right
  5. calling for a clergyman to visit the patient - ✔✔Telling the patient that everything is going to be alright