Critical Care Exam Study Guide Chapter 27 Prep U
Questions With All Correct Answers
A nurse is caring for a client who is exhibiting signs and symptoms
characteristic of a myocardial infarction (MI). Which statement
describes priorities the nurse should establish while performing the
physical assessment?
a) Prepare the client for pulmonary artery catheterization. b) Assess the
client's level of pain and administer prescribed analgesics.
c) Assess the client's level of anxiety and provide emotional support.
d) Ensure that the client's family is kept informed of his status.
correct answer -b) Assess the client's level of pain and administer
prescribed analgesics.
A physician treating a client in the cardiac care unit for atrial arrhythmia
orders metoprolol (Lopressor), 25 mg P.O. two times per day.
Metoprolol inhibits the action of sympathomimetics at beta1-receptor
sites. Where are these sites mainly located?
a) Heart
b) Lungs
c)
d) correct answer -a) Heart
A client in the emergency department complains of squeezing
substernal pain that radiates to the left shoulder and jaw. He also
complains of nausea, diaphoresis, and shortness of breath. What
should the nurse do?
a) Administer oxygen, attach a cardiac monitor, take vital signs, and
administer sublingual nitroglycerin.
,b) Complete the client's registration information, perform an
electrocardiogram, gain I.V. access, and take vital signs.
c) Gain I.V. access, give sublingual nitroglycerin, and alert the cardiac
catheterization team.
d) Alert the cardiac catheterization team, administer oxygen, attach a
cardiac monitor, and notify the physician. correct answer -a)
Administer oxygen, attach a cardiac monitor, take vital signs, and
administer sublingual nitroglycerin.
A client with severe angina pectoris and electrocardiogram changes is
seen by a physician in the emergency department. In terms of serum
testing, it's most important for the physician to order cardiac:
a) creatine kinase.
b) myoglobin.
c) lactate dehydrogenase.
d) troponin. correct answer -d) troponin.
Which medication is an antidote to heparin?
a) Clopidogrel
b) Protamine sulfate
c) Alteplase
d) Aspirin correct answer -b) Protamine sulfate
A client comes to the Emergency Department (ED) complaining of
precordial chest pain. In describing the pain, the client describes it as
pressure with a sudden onset. What disease process would you suspect
in this client?
a) Cardiogenic shock
b) Venous occlusive disease
c) Coronary artery disease
, d) Raynaud's disease correct answer -c) Coronary artery disease
A client is receiving intravenous heparin to prevent blood clots. The
order is for heparin 1,200 units per hour. The pharmacy sends 25,000
units of heparin in 500 mL of D5W. At how many mL per hour will the
nurse infuse this solution? Enter the correct number ONLY.
____________ mL per hour correct answer -24 mL per hour
The public health nurse is participating in a health fair, and she
interviews a woman with a history of hypertension who is currently
smoking one pack of cigarettes per day. She has had no manifestations
of coronary artery disease (CAD) but a recent low-density lipoprotein
(LDL) level of 154 mg/dL was found. Based on her assessment, the
nurse would expect that this patient would be treated in what way?
a) Diet and drug therapy
b) Drug therapy and smoking cessation
c) Diet therapy and smoking cessation
d) Diet therapy only correct answer -c) Diet therapy and smoking
cessation
Following a percutaneous transluminal coronary angioplasty (PTCA),
which of the following medications classifications would be used to
prevent thrombus formation in the stent?
a) Antiplatelets
b) Beta blockers
c) Nitrates
d) Calcium channel blockers correct answer -a) Antiplatelets
Questions With All Correct Answers
A nurse is caring for a client who is exhibiting signs and symptoms
characteristic of a myocardial infarction (MI). Which statement
describes priorities the nurse should establish while performing the
physical assessment?
a) Prepare the client for pulmonary artery catheterization. b) Assess the
client's level of pain and administer prescribed analgesics.
c) Assess the client's level of anxiety and provide emotional support.
d) Ensure that the client's family is kept informed of his status.
correct answer -b) Assess the client's level of pain and administer
prescribed analgesics.
A physician treating a client in the cardiac care unit for atrial arrhythmia
orders metoprolol (Lopressor), 25 mg P.O. two times per day.
Metoprolol inhibits the action of sympathomimetics at beta1-receptor
sites. Where are these sites mainly located?
a) Heart
b) Lungs
c)
d) correct answer -a) Heart
A client in the emergency department complains of squeezing
substernal pain that radiates to the left shoulder and jaw. He also
complains of nausea, diaphoresis, and shortness of breath. What
should the nurse do?
a) Administer oxygen, attach a cardiac monitor, take vital signs, and
administer sublingual nitroglycerin.
,b) Complete the client's registration information, perform an
electrocardiogram, gain I.V. access, and take vital signs.
c) Gain I.V. access, give sublingual nitroglycerin, and alert the cardiac
catheterization team.
d) Alert the cardiac catheterization team, administer oxygen, attach a
cardiac monitor, and notify the physician. correct answer -a)
Administer oxygen, attach a cardiac monitor, take vital signs, and
administer sublingual nitroglycerin.
A client with severe angina pectoris and electrocardiogram changes is
seen by a physician in the emergency department. In terms of serum
testing, it's most important for the physician to order cardiac:
a) creatine kinase.
b) myoglobin.
c) lactate dehydrogenase.
d) troponin. correct answer -d) troponin.
Which medication is an antidote to heparin?
a) Clopidogrel
b) Protamine sulfate
c) Alteplase
d) Aspirin correct answer -b) Protamine sulfate
A client comes to the Emergency Department (ED) complaining of
precordial chest pain. In describing the pain, the client describes it as
pressure with a sudden onset. What disease process would you suspect
in this client?
a) Cardiogenic shock
b) Venous occlusive disease
c) Coronary artery disease
, d) Raynaud's disease correct answer -c) Coronary artery disease
A client is receiving intravenous heparin to prevent blood clots. The
order is for heparin 1,200 units per hour. The pharmacy sends 25,000
units of heparin in 500 mL of D5W. At how many mL per hour will the
nurse infuse this solution? Enter the correct number ONLY.
____________ mL per hour correct answer -24 mL per hour
The public health nurse is participating in a health fair, and she
interviews a woman with a history of hypertension who is currently
smoking one pack of cigarettes per day. She has had no manifestations
of coronary artery disease (CAD) but a recent low-density lipoprotein
(LDL) level of 154 mg/dL was found. Based on her assessment, the
nurse would expect that this patient would be treated in what way?
a) Diet and drug therapy
b) Drug therapy and smoking cessation
c) Diet therapy and smoking cessation
d) Diet therapy only correct answer -c) Diet therapy and smoking
cessation
Following a percutaneous transluminal coronary angioplasty (PTCA),
which of the following medications classifications would be used to
prevent thrombus formation in the stent?
a) Antiplatelets
b) Beta blockers
c) Nitrates
d) Calcium channel blockers correct answer -a) Antiplatelets
