NUR 254 TEST 1 REVIEW EXAM WITH CORRECT QUESTIONS AND ANSWERS 2025

NUR 254 TEST 1 REVIEW EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025

 Initial dose of amiodarone bolus IV - CORRECT ANSWERS300mg

 The med is administrated rapid iv push resulting In a brief flatline, used for SVT, code

cart must be at bedside - CORRECT ANSWERSadenosine

 what are the doses for adenosine? - CORRECT ANSWERS6mg, 12 mg, 12mg rapid IV

push

 medication used PRN for angina - CORRECT ANSWERSNitro- warn of HA, low BP

 Each large box on the ecg paper represents how many seconds - CORRECT

ANSWERS20 seconds

 wo serum lab tests that would be elevated with MI - CORRECT ANSWERSCK

(CREATININE KINASE) and Troponin

 What complication of CABG presents with manifestations of decreased urinary output,

crackles, jvd, s3 gallop - CORRECT ANSWERSpump failure (heart failure)

 Most carbohydrates in the diet should be complex such as whole grains. Name 2 foods

that would be considered complex carbs - CORRECT ANSWERSwhole grain

breads/pasta, legumes, potatoes

 What would a high CVP reading indicate (normal readings are 3-12mmhg)(dehydrated

means 2-3mmhg)(20-22mmhg hypervolemia) - CORRECT ANSWERShypervolemia

 what would you see on an EKG with a pt with Hyperkalemia? - CORRECT

ANSWERSpeaked T waves

, A PATIENT WITH HIGH LDL SHOULD BE ADVISED TO REPLACE FOODS HIGH

IN SATURATED FAT WITH FOODS HIGHER IN UNSATURATED FAT. NAME

THREE (3) FOODS THE PATIENT SHOULD AVOID THAT ARE HIGH IN

SATURATED FAT. - CORRECT ANSWERSBUTTER, CHEESE, MILK, CREAM,

ICE CREAM, COCONUT OIL AND FATTY MEATS

 ASIDE FROM PACER SPIKES WITH SUBSEQUENT P WAVES OR QRS

COMPLEXES, HOW WOULD A NURSE ASSESS THE INTENDED OUTCOMES OF

A PACEMAKER? (THERE ARE SEVERAL, NAME AT LEAST ONE CORRECTLY)

- CORRECT ANSWERSHEART RATE >60, NORMOTENSIVE, SKIN COLOR

APPROPRIATE

 WHICH CLASS OF ANTIHYPERTENSIVE MEDICATIONS HAS A COMMON

SIDE EFFECTS OF COUGH, HYPERKALEMIA (TOO HIGH) AND

HYPOTENSION? - CORRECT ANSWERSANGIOTENSION CONVERTING

ENZYME (ACE) INHIBITORS

 THIS ANTICHOLINERGIC MEDICATION IS ADMINISTERED 0.5 MG TO 1 MG IV

PUSH FOR SYMPTOMATIC BRADYCARDIA - CORRECT ANSWERSATROPINE

 CHEST PAIN RELIEVED BY REST IS REFERRED TO AS - CORRECT

ANSWERSSTABLE ANGINA

 NAME THREE (3) MODIFIABLE RISK FACTORS FOR CAD - CORRECT

ANSWERSHYPERLIPIDEMIA

 CIGARETTE SMOKING/TOBACCO USE

 HTN

 DM

, OBESITY

 ATHEROGENIC DIET

 ORAL CONTRACEPTIVES (HRT)

 PHYSICAL INACTIVITY

 METABOLIC SYNDROME

 ULTIMATELY THE RECOMMENDED GOAL FOR PHYSICAL ACTIVITY FOR

CORONARY ARTERY DISEASE IS: - CORRECT ANSWERS30 minutes per day most

days (5-6 days a week)

 MOST CARBOHYDRATES IN THE DIET SHOULD BE COMPLEX SUCH AS

WHOLE GRAINS. NAME TWO (2) FOODS THAT WOULD BE CONSIDERED

COMPLEX CARBOHYDRATES. - CORRECT ANSWERSWHOLE GRAIN

BREADS/PASTA, LEGUMES, POTATOES, RICE, STARCHY VEGETABLES.

 USED TO INCREASE CARDIAC OUTPUT WHILE AWAITING A HEART

TRANSPLANT - CORRECT ANSWERSventricular assistive device

 THIS IS THE UMBRELLA TERM FOR UNSTABLE ANGINA, THAT IS WORSE

THAN TYPICAL ANGINA, LASTS GREATER THAN 15 MINUTES, INDICATES

MYOCARDIAL INJURY, AND IS OFTEN A PRECURSOR TO MYOCARDIAL

INFARCTION? - CORRECT ANSWERSACS- acute coronary syndrome

 CHEST PAIN WITH MI IS TYPICALLY DESCRIBED AS (NAME AT LEAST 3): -

CORRECT ANSWERSUNRELIEVED BY REST/NITROGLYCERIN, OCCURS AT

REST, RADIATING, CRUSHING/SQUEEZING, ASSOCIATED FACTORS

(DYSPNEA, DIAPHORESIS)

,  WHICH COMPLICATION OF CABG HAS MANIFESTATIONS OF MUFFLED

HEART TONES, CT DRAINAGE ABRUPTLY SUBSIDING, HYPOTENSION AND

TACHYCARDIA? - CORRECT ANSWERScardiac tamponade

 WHAT IS THE NORMAL MEASUREMENT IN SECONDS FOR THE PR

INTERVAL? - CORRECT ANSWERS0.12- 0.20 seconds

 WHAT IS THE NORMAL MEASURMENT IN SECONDS FOR THE QRS

COMPLEX? - CORRECT ANSWERS0.6-0.10 seconds

 THESE TWO (2) ABNORMALITIES ARE SEEN WITH MYOCARDIAL

INFARCTION. - CORRECT ANSWERSST ELEVATION AND PATHOLOGIC Q

WAVES***

 A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK THAT HAS

PROGRESSED TO THIRD DEGREE (COMPLETE) HEART BLOCK. WHAT IS THE

PRIORITY INTERVENTION? - CORRECT ANSWERSpacemaker

 WHAT ARE THE COMMON CAUSES OF SINUS TACHYCARDIA? - CORRECT

ANSWERSFEVER, HYPOXIA, ANEMIA, HYPOVOLEMIA, PAIN/ANXIETY

 WHAT IS THE PRIORITY INTERVENTION FOR VENTRICULAR FIBRILLATION,

THAT HAS THE GREATEST IMPACT ON SURVIVAL RATE? - CORRECT

ANSWERSdefib

 A PATIENT DEVELOPS PSVT AND IS SYMPTOMATIC. PRIOR TO ADENOSINE

OR CARDIOVERSION, WHAT IS A NONPHARMACOLOGIC INTERVENTION

FOR PSVT? - CORRECT ANSWERSELICIT VAGAL RESPONSE/VALSALVA

MANEUVER