CCRN EXAM
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(B)Coronary artery reperfusion due to
A 59 year old male is admitted complain-
PCI or fibrinolysis results in an ELEVA-
ing of chest pain and dyspnea. ST eleva-
TION of creatinine kinase (CK) or tro-
tion and T wave inversion were seen on
ponin, not decrease. The theory is that
the EKG in V2,V3 and V4. IV thrombolytic
the return of blood flow distal to the oc-
therapy was started in ED. Indications of
clusion can result in 'reperfusion injury'
successful reperfusion would include all
of the muscle, elevating cardiac biomark-
of the following except:
ers.
(A) pain cessation
The other 3 choices are indicators of
(B) decrease in CK or troponin
reperfusion: Pain cessation, reversal of
(C) reversal of ST segment elevation with
ST segment elevation with return to
return to baseline
baseline, short runs of ventricular tachy-
(D) short runs of ventricular tachycardia
cardia.
(C) The patient in the scenario is having
an acute anterior wall MI. A beta blocker
is beneficial for an acute MI as these
agents decrease the work of the heart
Which of the following medication orders
and increase the threshold for ventric-
should the nurse question for the patient
ular fibrillation. Propranolol, although a
in question 1-reperfusion question-pa-
beta-andrenergic blocker like metoprolol,
tient having an MI?
is NOT a cardioselective beta blocker. It
(A) metoprolol (Lopressor)
affects beta receptors in heart muscle
(B) aspirin
AND lung tissue. Therefore, it is more
(C) propranolol (Inderal)
likely to cause bronchoconstriction than
(D) heparin
a cardioselective beta blocker.
The other 3- cardioselective beta blocker,
antiplatelet, and anticoagulation-are indi-
cated in an acute MI.
If heart block develops while caring for
(C) The patient is having an acute anteri-
the patient in question 1 (pt with an MI
or MI, which is generally due to LAD oc-
who went through reperfusion from PCI
clusion. The LAD supplies the HIS bun-
or fibrinolytic therapy), which of the fol-
dle, which could result in a second-de-
lowing would it most likely be?
gree, type II heart block. The other 3
(A) sinoatrial block
types are due to SA node or AV node
(B) second degree, Type I
ischemia, which generally occur with an
(C) second degree, Type II
RCA occlusion — interior wall MI.
(D) third degree, complete
, CCRN EXAM
Study online at https://quizlet.com/_4f4hvm
Appropriate drug therapy for dilated car-
(D) Dilated cardiomyopathy is likely to
diomyopathy is aimed toward:
result in systolic dysfunction, which de-
(A) decreasing contractility and decreas-
creases contractility, causes compen-
ing preload and afterload
satory arterial constriction , and results
(B) decreasing contractility and increas-
in a higher left ventricular preload. To
ing preload and afterload
treat this, therapy is aimed at increasing
(C) increasing contractility and increas-
contractility, decreasing afterload (arter-
ing both preload and afterload
ial constriction), and decreasing preload
(D) increasing contractility and decreas-
that is too high.=
ing both preload and afterload
An 18 year old is admitted with a history
of syncopal episode at the mall and has
a history of an eating disorder. The nurse
(A) Abnormal sodium does NOT cause
notes a prolonged QT on the 12-lead
QT prolongation. In contrast, a low mag-
EKG and anticipates a reduction in an
nesium, potassium, or calcium, may
electrolyte to be the cause. Which of the
cause QT prolongation and may result
following is LEAST likely to cause this
in TORSADES DE POINTES ventricular
patient's problems?
tachycardia and, if self-limiting, transient
(A) sodium
syncopal episodes.
(B) magnesium
(C) potassium
(D) calcium
On the third day after admission for acute
MI, a 67 year old male complains of
chest pain and develops a fever. The pain
is worse with deep inspiration and is re-
lieved when he leans forward. There are
(B) The pain described in the scenario is
nonspecific ST changes in the precordial
typical of the pain caused by pericarditis.
leads of the EKG. The nurse anticipates
Dressler's syndrome is the pericarditis
that the patient will most likely need treat-
that may result after an acute MI.
ment for:
(A) thoracic aneurysm
(B) Dressler's syndrome
(C) reinfarction
(D) pleuritis
A patient is admitted to the CCU after
a PCI with stent. Femoral sheath is in
place, site is dry with no hematoma. He
Study online at https://quizlet.com/_4f4hvm
(B)Coronary artery reperfusion due to
A 59 year old male is admitted complain-
PCI or fibrinolysis results in an ELEVA-
ing of chest pain and dyspnea. ST eleva-
TION of creatinine kinase (CK) or tro-
tion and T wave inversion were seen on
ponin, not decrease. The theory is that
the EKG in V2,V3 and V4. IV thrombolytic
the return of blood flow distal to the oc-
therapy was started in ED. Indications of
clusion can result in 'reperfusion injury'
successful reperfusion would include all
of the muscle, elevating cardiac biomark-
of the following except:
ers.
(A) pain cessation
The other 3 choices are indicators of
(B) decrease in CK or troponin
reperfusion: Pain cessation, reversal of
(C) reversal of ST segment elevation with
ST segment elevation with return to
return to baseline
baseline, short runs of ventricular tachy-
(D) short runs of ventricular tachycardia
cardia.
(C) The patient in the scenario is having
an acute anterior wall MI. A beta blocker
is beneficial for an acute MI as these
agents decrease the work of the heart
Which of the following medication orders
and increase the threshold for ventric-
should the nurse question for the patient
ular fibrillation. Propranolol, although a
in question 1-reperfusion question-pa-
beta-andrenergic blocker like metoprolol,
tient having an MI?
is NOT a cardioselective beta blocker. It
(A) metoprolol (Lopressor)
affects beta receptors in heart muscle
(B) aspirin
AND lung tissue. Therefore, it is more
(C) propranolol (Inderal)
likely to cause bronchoconstriction than
(D) heparin
a cardioselective beta blocker.
The other 3- cardioselective beta blocker,
antiplatelet, and anticoagulation-are indi-
cated in an acute MI.
If heart block develops while caring for
(C) The patient is having an acute anteri-
the patient in question 1 (pt with an MI
or MI, which is generally due to LAD oc-
who went through reperfusion from PCI
clusion. The LAD supplies the HIS bun-
or fibrinolytic therapy), which of the fol-
dle, which could result in a second-de-
lowing would it most likely be?
gree, type II heart block. The other 3
(A) sinoatrial block
types are due to SA node or AV node
(B) second degree, Type I
ischemia, which generally occur with an
(C) second degree, Type II
RCA occlusion — interior wall MI.
(D) third degree, complete
, CCRN EXAM
Study online at https://quizlet.com/_4f4hvm
Appropriate drug therapy for dilated car-
(D) Dilated cardiomyopathy is likely to
diomyopathy is aimed toward:
result in systolic dysfunction, which de-
(A) decreasing contractility and decreas-
creases contractility, causes compen-
ing preload and afterload
satory arterial constriction , and results
(B) decreasing contractility and increas-
in a higher left ventricular preload. To
ing preload and afterload
treat this, therapy is aimed at increasing
(C) increasing contractility and increas-
contractility, decreasing afterload (arter-
ing both preload and afterload
ial constriction), and decreasing preload
(D) increasing contractility and decreas-
that is too high.=
ing both preload and afterload
An 18 year old is admitted with a history
of syncopal episode at the mall and has
a history of an eating disorder. The nurse
(A) Abnormal sodium does NOT cause
notes a prolonged QT on the 12-lead
QT prolongation. In contrast, a low mag-
EKG and anticipates a reduction in an
nesium, potassium, or calcium, may
electrolyte to be the cause. Which of the
cause QT prolongation and may result
following is LEAST likely to cause this
in TORSADES DE POINTES ventricular
patient's problems?
tachycardia and, if self-limiting, transient
(A) sodium
syncopal episodes.
(B) magnesium
(C) potassium
(D) calcium
On the third day after admission for acute
MI, a 67 year old male complains of
chest pain and develops a fever. The pain
is worse with deep inspiration and is re-
lieved when he leans forward. There are
(B) The pain described in the scenario is
nonspecific ST changes in the precordial
typical of the pain caused by pericarditis.
leads of the EKG. The nurse anticipates
Dressler's syndrome is the pericarditis
that the patient will most likely need treat-
that may result after an acute MI.
ment for:
(A) thoracic aneurysm
(B) Dressler's syndrome
(C) reinfarction
(D) pleuritis
A patient is admitted to the CCU after
a PCI with stent. Femoral sheath is in
place, site is dry with no hematoma. He
