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NURS 325 FINAL EXAM Comprehensive Questions (Frequently Tested) with Verified Answers Graded A+

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NURS 325 FINAL EXAM Comprehensive Questions (Frequently Tested) with Verified Answers Graded A+

Instelling
Nursing
Vak
Nursing

Voorbeeld van de inhoud

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NURS 325 FINAL EXAM LATEST 2023-2024 170
QUESTIONS AND CORRECT CETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
The degree of stretch at the end of diastole (how much blood is in the ventricles) is known as - answer-
Preload



An increase in fluids will __________ preload, and a decrease in fluids will ___________ preload -
answer-An increase in fluids will increase preload, and a decrease in fluids will decrease preload



The resistance to eject blood from the ventricles is known as - answer-Afterload



Hypertension and vasoconstriction have what effect on Afterload? - answer-HTN and vasoconstriction
will INCREASE afterload (increased afterload raises cardiac workload as well)



How effectively the heart can squeeze out blood is also known as - answer-Contractility



How are preload and contractility related? - answer-Optimal filling allows for maximum stretching



What could the nurse give a patient to increase their contractility? - answer-Epinephrine, Digoxin,
Dopamine



What could the nurse give a patient to decrease their contractility? - answer-Beta-blocker (the "lol"
meds)



What are the life-threatening dysrhythmias? - answer-V Tach, V Fib, and Asystole



What is the first thing the nurse should do if they see a life threatening rhythm on a patient's EKG? -
answer-Assess the patient (Did a lead fall off? Does the patient show signs of decreased CO? Are they
responsive? Pulses?)




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The patient is in V Tach but has a pulse, how can we treat this? - answer-We give amiodarone and use
cardioversion (because they have a pulse)



The patient is in V Tach but does NOT have a pulse, how do we treat this? - answer-CPR and
Defibrillation



The patient is in V Fib, what do we do? - answer-CPR/ACLS, Defibrillate, Drug therapy



What drugs can we give to a patient in V Fib? - answer-Epinephrine, Amiodarone



I can defibrillate the patient if they have what dysrhythmias? - answer-Pulseless V Tach, and V Fib



The patient is a candidate for Synchronized Cardioversion if they have what dysrhythmias? - answer-V
Tach (WITH A PULSE), SVT, A Fib, and A Flutter



The patient is asystolic, what do you do? - answer-CPR/ACLS, drug therapy, intubate



What drugs do we give if the patient is in asystole? - answer-Epinephrine and/or vasopressin



The patient shows activity on their EKG but has no pulse, this is known as - answer-Pulseless Electrical
Activity (PEA)



The patient has a normal heart rate, but the PR interval is longer than normal. What dysrhythmia do you
suspect the patient has? - answer-1st Degree AV Block



You notice a gradual lengthening in the patient's PR intervals and a missing QRS wave. What
dysrhythmia do you suspect the patient has? - answer-2nd Degree AV Block Type 1

(Mobitz I // Wenckebach)



The patient has constant elongated PR intervals and P waves at a regular rate, but missing QRS
complexes. What dysrhythmia do you suspect? - answer-2nd Degree AV Block Type 2




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(Mobitz II)



You notice the patient has consistent P waves and QRS complexes, but the rates between the two are
different (Some P waves do not have a QRS after). What dysrhythmia do you suspect? - answer-3rd
Degree AV Heart Block

(Complete Heart Block)



The main cause of CAD, characterized by fat deposits in the arteries - answer-Atherosclerosis



What are some modifiable risk factors for CAD? - answer-Lipid levels, HTN, smoking, obesity, inactivity



This cholesterol transports lipids to the liver for removal, known as the "good cholesterol" - answer-High
Density Lipoprotein (HDL)



This cholesterol transports lipids to the arterial vessels, known as the "bad cholesterol" - answer-Low
Density Lipoprotein (LDL)



A serum cholesterol of __________ indicates a risk factor for CAD - answer->200



A total triglyceride level of _________ indicates a risk factor for CAD - answer->150



What drugs can we give to lower lipid levels and manage CAD? - answer-Statins: Decrease cholesterol
and LDL's, increase HDL's



Niacin: Lowers LDL's and Triglycerides, increases HDL's



The physician places an order for cardiac enzymes to be drawn. The nurse knows this order will consist
of what lab values? - answer-Myoglobin, BNP, CK-MB, Troponin I, and Troponin T



The normal range for Troponin I is ________?

The normal range for Troponin T is ________? - answer-Troponin I: < 0.03




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