WEEK 3 CRIT 480 CC EXAM QUESTIONS
AND ANSWERS 2025 A+
• After .noting .a .pulse .deficit .when .assessing .a .74-year-old .patient .who .has .just .arrived
.in .the .emergency .department, .the .nurse .will .anticipate .that .the .patient .may .require
a. emergent .cardioversion.
b. a .cardiac .catheterization.
c. hourly .blood .pressure .(BP) .checks.
d. electrocardiographic .(ECG) .monitoring.
• When .reviewing .the .12-lead .electrocardiograph .(ECG) .for .a .healthy .79-year-old .patient .who .is
.having .an .annual .physical .examination, .what .will .be .of .most .concern .to .the .nurse?
a. The .PR .interval .is .0.21 .seconds.
b. The .QRS .duration .is .0.13 .seconds.
c. There .is .a .right .bundle-branch .block.
d. The .heart .rate .(HR) .is .42 .beats/minute.
• During .a .physical .examination .of .a .74-year-old .patient, .the .nurse .palpates .the .point .of .maximal .impulse
.(PMI) .in .the .sixth .intercostal .space .lateral .to .the .left .midclavicular .line. .The .most .appropriate .action .for .the
.nurse .to .take .next .will .be .to
a. ask .the .patient .about .risk .factors .for .atherosclerosis.
,b. document .that .the .PMI .is .in .the .normal .anatomic .location.
c. auscultate .both .the .carotid .arteries .for .the .presence .of .a .bruit.
d. assess .the .patient .for .symptoms .of .left .ventricular .hypertrophy.
• To .auscultate .for .S3 .or .S4 .gallops .in .the .mitral .area, .the .nurse .listens .with .the
,a. bell .of .the .stethoscope .with .the .patient .in .the .left .lateral .position.
b. diaphragm .of .the .stethoscope .with .the .patient .in .a .supine .position.
c. bell .of .the .stethoscope .with .the .patient .sitting .and .leaning .forward.
d. diaphragm .of .the .stethoscope .with .the .patient .lying .flat .on .the .left .side.
• To .determine .the .effects .of .therapy .for .a .patient .who .is .being .treated .for .heart .failure, .which .laboratory
.result .will .the .nurse .plan .to .review?
a. Troponin
b. Homocysteine .(Hcy)
c. Low-density .lipoprotein .(LDL)
d. B-type .natriuretic .peptide .(BNP)
• While .doing .the .admission .assessment .for .a .thin .76-year-old .patient, .the .nurse .observes
.pulsation .of .the .abdominal .aorta .in .the .epigastric .area. .Which .action .should .the .nurse .take?
a. Teach .the .patient .about .aneurysms.
b. Notify .the .hospital .rapid .response .team.
c. Instruct .the .patient .to .remain .on .bed .rest.
d. Document .the .finding .in .the .patient .chart.
• A .patient .is .scheduled .for .a .cardiac .catheterization .with .coronary .angiography. .Before .the .test, .the .nurse
.informs .the .patient .that
a. it .will .be .important .to .lie .completely .still .during .the .procedure.
b. a .flushed .feeling .may .be .noted .when .the .contrast .dye .is .injected.
, c. monitored .anesthesia .care .will .be .provided .during .the .procedure.
d. arterial .pressure .monitoring .will .be .required .for .24 .hours .after .the .test.
• While .assessing .a .patient .who .was .admitted .with .heart .failure, .the .nurse .notes .that .the .patient .has
.jugular .venous .distention .(JVD) .when .lying .flat .in .bed. .Which .action .should .the .nurse .take .next?
a. Document .this .finding .in .the .patients .record.
b. Obtain .vital .signs, .including .oxygen .saturation.
c. Have .the .patient .perform .the .Valsalva .maneuver.
d. Observe .for .JVD .with .the .patient .upright .at .45 .degrees.
• The .nurse .teaches .the .patient .being .evaluated .for .rhythm .disturbances .with .a .Holter .monitor .to
a. connect .the .recorder .to .a .computer .once .daily.
b. exercise .more .than .usual .while .the .monitor .is .in .place.
c. remove .the .electrodes .when .taking .a .shower .or .tub .bath.
d. keep .a .diary .of .daily .activities .while .the .monitor .is .worn.
• When .auscultating .over .the .patients .abdominal .aorta, .the .nurse .hears .a .humming .sound. .The
.nurse .documents .this .finding .as .a
a. thrill.
b. bruit.
c. murmur.
AND ANSWERS 2025 A+
• After .noting .a .pulse .deficit .when .assessing .a .74-year-old .patient .who .has .just .arrived
.in .the .emergency .department, .the .nurse .will .anticipate .that .the .patient .may .require
a. emergent .cardioversion.
b. a .cardiac .catheterization.
c. hourly .blood .pressure .(BP) .checks.
d. electrocardiographic .(ECG) .monitoring.
• When .reviewing .the .12-lead .electrocardiograph .(ECG) .for .a .healthy .79-year-old .patient .who .is
.having .an .annual .physical .examination, .what .will .be .of .most .concern .to .the .nurse?
a. The .PR .interval .is .0.21 .seconds.
b. The .QRS .duration .is .0.13 .seconds.
c. There .is .a .right .bundle-branch .block.
d. The .heart .rate .(HR) .is .42 .beats/minute.
• During .a .physical .examination .of .a .74-year-old .patient, .the .nurse .palpates .the .point .of .maximal .impulse
.(PMI) .in .the .sixth .intercostal .space .lateral .to .the .left .midclavicular .line. .The .most .appropriate .action .for .the
.nurse .to .take .next .will .be .to
a. ask .the .patient .about .risk .factors .for .atherosclerosis.
,b. document .that .the .PMI .is .in .the .normal .anatomic .location.
c. auscultate .both .the .carotid .arteries .for .the .presence .of .a .bruit.
d. assess .the .patient .for .symptoms .of .left .ventricular .hypertrophy.
• To .auscultate .for .S3 .or .S4 .gallops .in .the .mitral .area, .the .nurse .listens .with .the
,a. bell .of .the .stethoscope .with .the .patient .in .the .left .lateral .position.
b. diaphragm .of .the .stethoscope .with .the .patient .in .a .supine .position.
c. bell .of .the .stethoscope .with .the .patient .sitting .and .leaning .forward.
d. diaphragm .of .the .stethoscope .with .the .patient .lying .flat .on .the .left .side.
• To .determine .the .effects .of .therapy .for .a .patient .who .is .being .treated .for .heart .failure, .which .laboratory
.result .will .the .nurse .plan .to .review?
a. Troponin
b. Homocysteine .(Hcy)
c. Low-density .lipoprotein .(LDL)
d. B-type .natriuretic .peptide .(BNP)
• While .doing .the .admission .assessment .for .a .thin .76-year-old .patient, .the .nurse .observes
.pulsation .of .the .abdominal .aorta .in .the .epigastric .area. .Which .action .should .the .nurse .take?
a. Teach .the .patient .about .aneurysms.
b. Notify .the .hospital .rapid .response .team.
c. Instruct .the .patient .to .remain .on .bed .rest.
d. Document .the .finding .in .the .patient .chart.
• A .patient .is .scheduled .for .a .cardiac .catheterization .with .coronary .angiography. .Before .the .test, .the .nurse
.informs .the .patient .that
a. it .will .be .important .to .lie .completely .still .during .the .procedure.
b. a .flushed .feeling .may .be .noted .when .the .contrast .dye .is .injected.
, c. monitored .anesthesia .care .will .be .provided .during .the .procedure.
d. arterial .pressure .monitoring .will .be .required .for .24 .hours .after .the .test.
• While .assessing .a .patient .who .was .admitted .with .heart .failure, .the .nurse .notes .that .the .patient .has
.jugular .venous .distention .(JVD) .when .lying .flat .in .bed. .Which .action .should .the .nurse .take .next?
a. Document .this .finding .in .the .patients .record.
b. Obtain .vital .signs, .including .oxygen .saturation.
c. Have .the .patient .perform .the .Valsalva .maneuver.
d. Observe .for .JVD .with .the .patient .upright .at .45 .degrees.
• The .nurse .teaches .the .patient .being .evaluated .for .rhythm .disturbances .with .a .Holter .monitor .to
a. connect .the .recorder .to .a .computer .once .daily.
b. exercise .more .than .usual .while .the .monitor .is .in .place.
c. remove .the .electrodes .when .taking .a .shower .or .tub .bath.
d. keep .a .diary .of .daily .activities .while .the .monitor .is .worn.
• When .auscultating .over .the .patients .abdominal .aorta, .the .nurse .hears .a .humming .sound. .The
.nurse .documents .this .finding .as .a
a. thrill.
b. bruit.
c. murmur.
