BKAT ICU – VAMC Critical Care Nursing – Practice Questions with Correct answers
Initial measures for the treatment of angina pectoris (chest pain) do NOT include which
response below? - correct answer Morphine and Betablockers
The classical EKG change with muscle injury in acute myocardial infarction is? - correct answer
ST segment elevation
Elevated cardiac iso enzymes generally do NOT occur in which response below? - correct
answer CHF
The major therapeutic goal in the treatment of cardiogenic shock is to? - correct answer
Increase cardiac output
You receive orders to start nitroprusside and dobutamine in your patient with end stage
cardiomyopathy. How will this treatment regimen affect cardiac output? - correct answer
Reduces preload and after load and improves contractility
Precautions in using IV nitroprusside (causes hypotension) is NOT included in which response
below? - correct answer Alertness to the development of an acute hypertensive episode
When packing nitroprusside it should be protected from? - correct answer Light
In dealing with a depressed patient, during the 1st few days post AMI (acute myocardial
infarction) the most appropriate nursing action would be? - correct answer Encouraging the
patient to ventilate his/her concerns
Mr.Seamore is receiving TPA 3 hours after an AMI (acute myocardial infarction). Which of the
following would most likely require discontinuing the infusion? - correct answer Change in
mental status
The following monitor pattern would indicate that the pulmonary artery (swan ganz) catheter is
in which position? - correct answer Pulmonary artery OCCLUSION (wedge)
A systolic murmur that is auscultated at the 2nd intercostal space right sternal border is called?
- correct answer Aortic stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? - correct
answer High to low waveform
The use of an arterial line may be indicated for all the following except? - correct answer For
the administration of ROUTINE drugs
After an arterial catheter is removed, direct pressure should be applied to the artery for how
long? - correct answer 5-10 minutes
A CVP (central venous pressure) reading directly reflects pressure in the - correct answer Right
atrium
, BKAT ICU – VAMC Critical Care Nursing – Practice Questions with Correct answers
An ELEVATED CVP (central venous pressure) reading may indicate? - correct answer Right heart
failure
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the? - correct
answer Left Ventricle
The normal PULMONARY artery pressure is? - correct answer 11-20
How many mmhG is the normal PAOP? - correct answer 6-12
An ELEVATED PAOP may indicate? - correct answer Left ventricular failure
Mr.Adams is a 68yo patient with c/o feeling "a little funny in his chest". His EKG shows
afib/aflutter. Which of the following meds could be used to treat his cardiac rhythm? - correct
answer Diltiazem/Cardizem
A QRS complex wider than .12 seconds most likely indicates? - correct answer Bundle Branch
Block (BBB)
Special care should be exercised when administering IV dopamine because? - correct answer
Infiltration leads to tissue necrosis
A strong ventricular stimulus is potentially dangerous when it lands on the? - correct answer T
wave
Indication for use of external cardiac PACEMAKER includes? - correct answer Symptomatic
complete heart block (3rd degree)
Initial drug treatment for sustained VTACH when a pulse is present? - correct answer
Amiodarone 150mg IV over 10 minute bolus
The cardiac rhythm of Aflutter is? - correct answer Hazardous as the ventricular rate may
suddenly increase
Upon recognizing V fib in an ICU , the next thing the nurse should do is? - correct answer
Establish unresponsiveness
The treatment in an emergency situation for complete heart block (3rd degree) is - correct
answer Preparing for transcutaneous pacing
Your patient has Aflutter with ventricular response of 150BPM, therapy for this rhythm
includes? - correct answer Amiodarone, Cardizem, Cardioversion
Signs of cardiac tamponade do NOT include which response below? - correct answer
Bradycardia
Signs of cardiac tamponade DO include - correct answer jugular vein distention
muffled heart sounds
Initial measures for the treatment of angina pectoris (chest pain) do NOT include which
response below? - correct answer Morphine and Betablockers
The classical EKG change with muscle injury in acute myocardial infarction is? - correct answer
ST segment elevation
Elevated cardiac iso enzymes generally do NOT occur in which response below? - correct
answer CHF
The major therapeutic goal in the treatment of cardiogenic shock is to? - correct answer
Increase cardiac output
You receive orders to start nitroprusside and dobutamine in your patient with end stage
cardiomyopathy. How will this treatment regimen affect cardiac output? - correct answer
Reduces preload and after load and improves contractility
Precautions in using IV nitroprusside (causes hypotension) is NOT included in which response
below? - correct answer Alertness to the development of an acute hypertensive episode
When packing nitroprusside it should be protected from? - correct answer Light
In dealing with a depressed patient, during the 1st few days post AMI (acute myocardial
infarction) the most appropriate nursing action would be? - correct answer Encouraging the
patient to ventilate his/her concerns
Mr.Seamore is receiving TPA 3 hours after an AMI (acute myocardial infarction). Which of the
following would most likely require discontinuing the infusion? - correct answer Change in
mental status
The following monitor pattern would indicate that the pulmonary artery (swan ganz) catheter is
in which position? - correct answer Pulmonary artery OCCLUSION (wedge)
A systolic murmur that is auscultated at the 2nd intercostal space right sternal border is called?
- correct answer Aortic stenosis
Which of the following wave patterns indicates proper functioning of an arterial line? - correct
answer High to low waveform
The use of an arterial line may be indicated for all the following except? - correct answer For
the administration of ROUTINE drugs
After an arterial catheter is removed, direct pressure should be applied to the artery for how
long? - correct answer 5-10 minutes
A CVP (central venous pressure) reading directly reflects pressure in the - correct answer Right
atrium
, BKAT ICU – VAMC Critical Care Nursing – Practice Questions with Correct answers
An ELEVATED CVP (central venous pressure) reading may indicate? - correct answer Right heart
failure
The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the? - correct
answer Left Ventricle
The normal PULMONARY artery pressure is? - correct answer 11-20
How many mmhG is the normal PAOP? - correct answer 6-12
An ELEVATED PAOP may indicate? - correct answer Left ventricular failure
Mr.Adams is a 68yo patient with c/o feeling "a little funny in his chest". His EKG shows
afib/aflutter. Which of the following meds could be used to treat his cardiac rhythm? - correct
answer Diltiazem/Cardizem
A QRS complex wider than .12 seconds most likely indicates? - correct answer Bundle Branch
Block (BBB)
Special care should be exercised when administering IV dopamine because? - correct answer
Infiltration leads to tissue necrosis
A strong ventricular stimulus is potentially dangerous when it lands on the? - correct answer T
wave
Indication for use of external cardiac PACEMAKER includes? - correct answer Symptomatic
complete heart block (3rd degree)
Initial drug treatment for sustained VTACH when a pulse is present? - correct answer
Amiodarone 150mg IV over 10 minute bolus
The cardiac rhythm of Aflutter is? - correct answer Hazardous as the ventricular rate may
suddenly increase
Upon recognizing V fib in an ICU , the next thing the nurse should do is? - correct answer
Establish unresponsiveness
The treatment in an emergency situation for complete heart block (3rd degree) is - correct
answer Preparing for transcutaneous pacing
Your patient has Aflutter with ventricular response of 150BPM, therapy for this rhythm
includes? - correct answer Amiodarone, Cardizem, Cardioversion
Signs of cardiac tamponade do NOT include which response below? - correct answer
Bradycardia
Signs of cardiac tamponade DO include - correct answer jugular vein distention
muffled heart sounds
