Critical Care Course Test with
Accurate Solutions
resistance to systolic ejection of blood - ANS-Afterload refers to:
*end-diastolic volume
*left-ventricular filling pressure
*resistance to systolic ejection of blood
*total volume of blood in systemic circulation
the stretch produced within the myocardium at the end of diastole - ANS-Preload is best
described as:
*the amount of blood returning to the heart
*the backup pressure in the systemic circulation
*the stretch produced within the myocardium at the end of diastole
*the volume of blood in the ventricle after systole
hypovolemic - ANS-hemodynamic data for your patient includes: RA=1, PAP=15/8,
PAOP=4, CO=3.5. Based on this date, would suspect the patient is:
*hypovolemic
*in pulmonary edema
*in cardiogenic shock
*normovolemic
volume - ANS-what type of medical therapy will probably be ordered for the above
scenario?
*positive inotrope
*vasoconstriction
*vasodilator
*volume
SvO2 <50% - ANS-in a patient experiencing cardiogenic shock associated with a
cardiac output of less than 1L/min, what you expect the SvO2 to be?
*SvO2 > 70%
*SvO2 <50%
treat it as a medical emergency, call the MD and give IV fluids and vasopressors - ANS-
A patient post-thoraco-abdominal aneurysm repair is c/o weakness of BLE and is
unable to lift BLE off the bed. The nurse should:
*raise the pt's legs to improve circulation
*treat it as a medical emergency, call the MD and give IV fluids and vasopressors
*do nothing as this is temp expectation post-thoraco-abdominal aneurysm repair
, *treat as a narcotic overmedication and give narcan
sharp stabbing, tearing back, chest and/or abd pain - ANS-which item below describes
the pain associated with a dissecting aneurysm?
*squeezing tight pressure under the ribs and in the back
*pressure radiating to the arm, back, neck, and abdomen
*intermittent dull aching back and/or abd pain
*sharp stabbing, tearing back, chest and/or abd pain
Dec CVP - ANS-Which of the following parameters indicate successful management of
right ventricular failure>
*dec CVP (central venous pressure)
*dec PAOP (pulmonary arterial wedge pressure)
*inc PAD pressure (pulmonary arterial diastolic pressure)
*inc RV pressure (right ventricular)
reduce venous congestion - ANS-the desired effect from the use of diuretics in the pt
with acute left ventricular failure is to:
*assure renal func
*dec CO
*lower the serum K+
*reduce venous congestion
cardiac catheterization/ percutaneous coronoary transluminal angioplasty (PTCA) -
ANS-a 65 yo m is admitted to the ED c/o intermittent CP x 3 hours. currently has
substernal CP 8/10 radiating to the L arm and chin. VS: BP= 132/86, HR= 96, RR=24.
His EKG shows elevated ST segments in leads V2-V4. the pt is a good candidate for
which therapy?
*emergent coronary artery bypass graft (CABG)
*intra-aortic balloon pump
*cardiac catheterization/ percutaneous coronoary transluminal angioplasty (PTCA)
*ventilation/perfusin (V/Q) scan
early stent occulsion - ANS-a 65 yo m is admitted to the ED c/o intermittent CP x 3
hours. currently has substernal CP 8/10 radiating to the L arm and chin. VS: BP=
132/86, HR= 96, RR=24. His EKG shows elevated ST segments in leads V2-V4. the pt
has a stent placed in his LAD. upon returning to the unit post-stent placement, he
experiences a recurrence of CP. This would most likely indicate:
*early stent occulsion
*LV failure with lung congestion
*RV failure with liver involvement
*prolonged hypotension, leading to damaged brain tissue
cardiac tamponade - ANS-a patient who sustained a blunt chest injury in a MVA is
admitted to your unit. The patient is confused, cyanotic, and heart sounds are distant.
Accurate Solutions
resistance to systolic ejection of blood - ANS-Afterload refers to:
*end-diastolic volume
*left-ventricular filling pressure
*resistance to systolic ejection of blood
*total volume of blood in systemic circulation
the stretch produced within the myocardium at the end of diastole - ANS-Preload is best
described as:
*the amount of blood returning to the heart
*the backup pressure in the systemic circulation
*the stretch produced within the myocardium at the end of diastole
*the volume of blood in the ventricle after systole
hypovolemic - ANS-hemodynamic data for your patient includes: RA=1, PAP=15/8,
PAOP=4, CO=3.5. Based on this date, would suspect the patient is:
*hypovolemic
*in pulmonary edema
*in cardiogenic shock
*normovolemic
volume - ANS-what type of medical therapy will probably be ordered for the above
scenario?
*positive inotrope
*vasoconstriction
*vasodilator
*volume
SvO2 <50% - ANS-in a patient experiencing cardiogenic shock associated with a
cardiac output of less than 1L/min, what you expect the SvO2 to be?
*SvO2 > 70%
*SvO2 <50%
treat it as a medical emergency, call the MD and give IV fluids and vasopressors - ANS-
A patient post-thoraco-abdominal aneurysm repair is c/o weakness of BLE and is
unable to lift BLE off the bed. The nurse should:
*raise the pt's legs to improve circulation
*treat it as a medical emergency, call the MD and give IV fluids and vasopressors
*do nothing as this is temp expectation post-thoraco-abdominal aneurysm repair
, *treat as a narcotic overmedication and give narcan
sharp stabbing, tearing back, chest and/or abd pain - ANS-which item below describes
the pain associated with a dissecting aneurysm?
*squeezing tight pressure under the ribs and in the back
*pressure radiating to the arm, back, neck, and abdomen
*intermittent dull aching back and/or abd pain
*sharp stabbing, tearing back, chest and/or abd pain
Dec CVP - ANS-Which of the following parameters indicate successful management of
right ventricular failure>
*dec CVP (central venous pressure)
*dec PAOP (pulmonary arterial wedge pressure)
*inc PAD pressure (pulmonary arterial diastolic pressure)
*inc RV pressure (right ventricular)
reduce venous congestion - ANS-the desired effect from the use of diuretics in the pt
with acute left ventricular failure is to:
*assure renal func
*dec CO
*lower the serum K+
*reduce venous congestion
cardiac catheterization/ percutaneous coronoary transluminal angioplasty (PTCA) -
ANS-a 65 yo m is admitted to the ED c/o intermittent CP x 3 hours. currently has
substernal CP 8/10 radiating to the L arm and chin. VS: BP= 132/86, HR= 96, RR=24.
His EKG shows elevated ST segments in leads V2-V4. the pt is a good candidate for
which therapy?
*emergent coronary artery bypass graft (CABG)
*intra-aortic balloon pump
*cardiac catheterization/ percutaneous coronoary transluminal angioplasty (PTCA)
*ventilation/perfusin (V/Q) scan
early stent occulsion - ANS-a 65 yo m is admitted to the ED c/o intermittent CP x 3
hours. currently has substernal CP 8/10 radiating to the L arm and chin. VS: BP=
132/86, HR= 96, RR=24. His EKG shows elevated ST segments in leads V2-V4. the pt
has a stent placed in his LAD. upon returning to the unit post-stent placement, he
experiences a recurrence of CP. This would most likely indicate:
*early stent occulsion
*LV failure with lung congestion
*RV failure with liver involvement
*prolonged hypotension, leading to damaged brain tissue
cardiac tamponade - ANS-a patient who sustained a blunt chest injury in a MVA is
admitted to your unit. The patient is confused, cyanotic, and heart sounds are distant.
