Certification Exam Questions and
Answers
ACEeinhibitorse-eCORRECTeANSWER--ACEe-Ie(drugseendingeine"pril"ecaptopril)e
-
InhibiteconversioneofeangiotensioneIetoeangiotensioneIIeresultingeinereducedesalteandewaterer
etention.
ACEeinhibitorse-eCORRECTeANSWER--
Promoteevasodilatationeandediuresisedecreasingebloodevolume,eresultingeineaedecreaseeinet
heeheart'seworkload
-Mayebeetheefirstemedicationeprescribede
-Monitorepatienteforehyperkalemiaeandehypotension.
AcuteeCoronaryeSyndromeeoreAcuteeMyocardialeInfarctione-eCORRECTeANSWER-
Lifeethreateningeconditionecharacterizedebyetheeformationeofelocalizedenecroticeareaewithine
theemyocardium
Aldosteroneeantagonistse(ALDOeANT)e-eCORRECTeANSWER--
Methyldopae(Aldomet),eclonidinee(Catapres)
-ActseoneCNS,eaffectingenorepinephrine
AnginaeDiagnosticeFindingse-eCORRECTeANSWER--ECG
Resting
Exercise
-CoronaryeAngiograme
Remainsetheegoldestandardeinediagnosingetheepercentageeofeblockageeinecoronaryearteries
.
AnginaePectorise-eCORRECTeANSWER-
Clinicalesyndromeeusuallyecharacterizedebyeepisodeseofepaineorepressureeineanteriorechest,
ecausedebyeinsufficientecoronaryebloodeflow.
AnginaePharmacologiceTherapye-eCORRECTeANSWER--Nitrates
e*Dilatesevessels,ecausingedecreasedeperipheraleresistance,edecreasedeBPeandepoolingeofe
bloodeinetheebody
-ßeadrenergiceblockers
e*DecreaseeHR,eBPeandecontractilityeofeheart
-Calciumechanneleblockers
, e*ActeoneSAenodeetoeslowehearterateeandedecreaseestrengtheofeheartemuscleecontraction
-AntiplateleteandeAnticoagulants
e*Preventseplateleteaggregationeandesubsequentethrombosis,ewhicheimpedesebloodeflow
-Oxygen
AnginaePrecipitatingeFactorse-eCORRECTeANSWER--Physicaleexertion
-Temperatureeextremes
-Eatingeaeheavyemeal
-Emotionalestress
-Smoking
-Sexualeactivity.
AngiotensineReceptoreBlockerse(ARB)e-eCORRECTeANSWER--
Angiotensinereceptoreblockerse(drugseendingeine"sartan"elosartaneoreCozaar)
-BlocketheeeffectseofeangiotensineIIeatetheereceptoresite.
-Reduceseperipheraleresistance.
ArterialeUlcerse-eCORRECTeANSWER--Typicallyesmall,ecirculareandedeep
-Onetipseofetoeseoreinetheewebespacesebetweenetheetoes
-Gangreneeofetoeeresultsefrometraumaetoearea
-Paineisedescribedeaseintermittenteclaudication.
-NoeEdemae(noteenougheblood)
ArteriosclerosiseMedicaleManagemente-eCORRECTeANSWER--Avoideparticularestimuli
e*Cold
e*Tobacco
e*Stress
-Pharmacologic
e*Calciumechanneleblockere(nifedipine:elowedoseevasodilator)
ArteriosclerosiseNursingeDiagnosise-eCORRECTeANSWER--
Ineffectiveeorealteredeperipheraletissueeperfusioner/tecompromisedecirculation
-Chronicepainer/teimpairedeabilityeofeperipheralevesselsetoesupplyetissuesewitheoxygen
-RiskeforeImpairedeSkineIntegrityer/tedecreasedeperipheralecirculation
-Deficienteknowledgeeregardingeself-careeactivities.
ArteriosclerosiseNursingeinterventionse-eCORRECTeANSWER--
ImprovingePeripheraleArterialeCirculation
e*Positioneofeextremity
e*Exercise
-PromotingeVasodilationeandePreventinge*VasculareCompression
e*Smokingecessation.
e*Warmeblanketetoeabdomen.
e*Avoidecoldetemperatures.
e*Adequateelooseefittingeclothing.