Name: Score:
192 Multiple choice questions
Term 1 of 192
An open surgical procedure that repairs the valve by suturing the torn leaflets, chordae tendinae,
or papillary muscles is called
angioplasty.
valve replacement.
valvuloplasty.
coronary artery bypass grafting
(CABG).
Term 2 of 192
You are caring for a patient with a failing right ventricle and elevated pulmonary vascular
resistance. Which of the following agents is indicated?
Nitroglycerin
Milrinone
Nitroprusside
Nicardipine
,Term 3 of 192
Your postoperative cardiac surgery patient has the following lab results: Na 142 mEq/L; K 4.7
mEq/L; Mg 12.4 mg/dL; Phos 2.8 mg/dL; Ca 9.2 mg/dL. Administration of which of the following is
indicated?
250 mL 5% albumin
1 mEq/kg sodium bicarbonate
20 mEq calcium gluconate
Albuterol via nebulizer
Term 4 of 192
One hour after extubation, a diabetic coronary artery bypass surgery patient is becoming slightly
lethargic. Arterial blood gas (ABG) analysis yielded the following results: pH, 7.33; PaO2, 80 mm
Hg; PaCO2, 50 mm Hg; SaO2, 95%; HCO3, 28 mEq/L; base excess, 0.5. The nurse should first
Obtain a blood glucose level
Obtain a 12-lead ECG
Treat metabolic acidosis
Stimulate patient to breathe
Term 5 of 192
Causes of an increased CVP may include
hypervolemia, mitral regurgitation, and third spacing.
ascites, pulmonary hypertension, and diuresis.
cardiac tamponade, pneumothorax, and third spacing.
hypervolemia, pneumothorax, and tricuspid stenosis.
,Term 6 of 192
In addition to a decreasing BP, which of the following assessment findings is consistent with
cardiac tamponade?
Urine output of 42 to 50 mL/h
Central venous pressure (CVP) of 11 to 20 mm Hg
Cardiac output 4.0 to 5.1 L/min
SvO2 58% to 65%
Definition 7 of 192
Poor contractility. Postoperatively, because patients have dilated ventricles from the aortic
regurgitation and its associated aortic insufficiency, they may require administration of intravenous
vasodilators. Agents such as milrinone (Primacor®) and dobutamine (Dobutrex®) may be indicated
for inotropic support and to promote ventricular emptying.
An example of a Type II neurologic
deficit is
a. delirium.
b. agitation.
c. transient ischemic attack.
d. cognitive decline.
Following repair for aortic reguritation, what is the most common condition/complication he
nurse should be observant for?
Which prophylactic treatment could be utilized to reduce the incidence of rhythm
problems in postop patients?
A patient presents with acute arterial occlusion of one of his upper limbs. Which of the
following drugs should the nurse prepare to administer to the patient?
A. Streptokinase
B. Heparin
C. Warfarin
D. Urokinase
, Term 8 of 192
Which of the following is not an advantage of MICS over traditional CABG?
Shorter operative time
Breastbone not retracted
Less blood loss
Better cosmetic results
Term 9 of 192
The most important therapy ordered for a postoperative CABG patient who has received an
arterial graft as an alternative conduit is the use of
beta-blockers to prevent tachycardia.
calcium channel-blockers to prevent artery spasm.
anticoagulants to prevent thrombus formation.
phenylephrine (Neosynephrine) to maintain MAP greater than 75.
Term 10 of 192
What areas are supplied by the LAD?
Left atrium, left ventricle, ventricular seputm
Left atrium, right ventricle, aortic arch
Right atrium, left ventricle, pulmonary veins
Right atrium, right ventricle, interventricular septum
192 Multiple choice questions
Term 1 of 192
An open surgical procedure that repairs the valve by suturing the torn leaflets, chordae tendinae,
or papillary muscles is called
angioplasty.
valve replacement.
valvuloplasty.
coronary artery bypass grafting
(CABG).
Term 2 of 192
You are caring for a patient with a failing right ventricle and elevated pulmonary vascular
resistance. Which of the following agents is indicated?
Nitroglycerin
Milrinone
Nitroprusside
Nicardipine
,Term 3 of 192
Your postoperative cardiac surgery patient has the following lab results: Na 142 mEq/L; K 4.7
mEq/L; Mg 12.4 mg/dL; Phos 2.8 mg/dL; Ca 9.2 mg/dL. Administration of which of the following is
indicated?
250 mL 5% albumin
1 mEq/kg sodium bicarbonate
20 mEq calcium gluconate
Albuterol via nebulizer
Term 4 of 192
One hour after extubation, a diabetic coronary artery bypass surgery patient is becoming slightly
lethargic. Arterial blood gas (ABG) analysis yielded the following results: pH, 7.33; PaO2, 80 mm
Hg; PaCO2, 50 mm Hg; SaO2, 95%; HCO3, 28 mEq/L; base excess, 0.5. The nurse should first
Obtain a blood glucose level
Obtain a 12-lead ECG
Treat metabolic acidosis
Stimulate patient to breathe
Term 5 of 192
Causes of an increased CVP may include
hypervolemia, mitral regurgitation, and third spacing.
ascites, pulmonary hypertension, and diuresis.
cardiac tamponade, pneumothorax, and third spacing.
hypervolemia, pneumothorax, and tricuspid stenosis.
,Term 6 of 192
In addition to a decreasing BP, which of the following assessment findings is consistent with
cardiac tamponade?
Urine output of 42 to 50 mL/h
Central venous pressure (CVP) of 11 to 20 mm Hg
Cardiac output 4.0 to 5.1 L/min
SvO2 58% to 65%
Definition 7 of 192
Poor contractility. Postoperatively, because patients have dilated ventricles from the aortic
regurgitation and its associated aortic insufficiency, they may require administration of intravenous
vasodilators. Agents such as milrinone (Primacor®) and dobutamine (Dobutrex®) may be indicated
for inotropic support and to promote ventricular emptying.
An example of a Type II neurologic
deficit is
a. delirium.
b. agitation.
c. transient ischemic attack.
d. cognitive decline.
Following repair for aortic reguritation, what is the most common condition/complication he
nurse should be observant for?
Which prophylactic treatment could be utilized to reduce the incidence of rhythm
problems in postop patients?
A patient presents with acute arterial occlusion of one of his upper limbs. Which of the
following drugs should the nurse prepare to administer to the patient?
A. Streptokinase
B. Heparin
C. Warfarin
D. Urokinase
, Term 8 of 192
Which of the following is not an advantage of MICS over traditional CABG?
Shorter operative time
Breastbone not retracted
Less blood loss
Better cosmetic results
Term 9 of 192
The most important therapy ordered for a postoperative CABG patient who has received an
arterial graft as an alternative conduit is the use of
beta-blockers to prevent tachycardia.
calcium channel-blockers to prevent artery spasm.
anticoagulants to prevent thrombus formation.
phenylephrine (Neosynephrine) to maintain MAP greater than 75.
Term 10 of 192
What areas are supplied by the LAD?
Left atrium, left ventricle, ventricular seputm
Left atrium, right ventricle, aortic arch
Right atrium, left ventricle, pulmonary veins
Right atrium, right ventricle, interventricular septum
