Med-Surg Nursing III Cardiac Quiz 1

Here is a ten question quiz to get started! More will follow, some with NCLEX, some based on lecture-only.

Question 1:The nurse knows that a patient who will be receiving a dipyridamole thallium 201 treadmill should:
avoid caffeine, remain NPO, and avoid beta blockers
avoid caffeine, beta blockers, and lanoxin
avoid caffeine, asthma meds such as theophylline, and cardizem
avoid caffeine, beta blockers, and asthma meds such as theophylline
Question 2:The pathway of circulation through the heart is:
Superior-Inferior vena cava, right atrium, tricuspid valve, right ventricle, pulmonary valve, pulmonary vein, lungs, pulmonary artery, left atrium, mitral valve, left ventricle aortic valve, aorta
Superior-Inferior vena cava, right atrium, tricuspid valve, right ventricle, pulmonary valve, pulmonary artery, lungs, pulmonary vein, left atrium, mitral valve, left ventricle, arotic valve, aorta
Superior-Inferior vena cava, right atrium, mitral valve, right ventricle, pulmonary valve, pulmonary vein, lungs, pulmonary artery, left atrium, tricuspid valve, left ventricle, arotic valve, aorta
Superior-Inferior vena cava, left atrium, tricuspid valve, left ventricle, pulmonary valve, pulmonary artery, lungs, pulmonary vein, right atrium, mitral valve, right ventrical, arotic valve, aorta
Question 3:The test that best determines viability of the heart muscle itself is:
Transesophageal Echocardiogram
PET scan
Thallium Scan
Angiogram
Question 4:The following are unmodifiable risk factors for heart disease EXCEPT
Gender
Race
Heredity
Diabetes
Question 5:The pathway of conduction through the heart is:
SA node to AV node to Purkinje Fibers, to Bundle of His, to Right & Left Bundle Branches to Myocardial fibers
AV node to SA node to Bundle of His to Right & Left Bundle branches to Purkinje Fibers to Myocardial Fibers
SA node to AV node to Bundle of His to Right & Left Bundle Branches to Purkinje Fibers to Myocardial Fibers
SA node to AV node to Bundle of His to Right & Left Bundle Branches to Myocardial fibers to Purkinje fibers
Question 6:Mucomyst is indicated when? How and when is it normally administered?
It is given when Creatinine is elevated to help bind with the iodine to remove it from the body. It is given as is, po, a day before the heart cath.
It is given when Creatinine is elevated to help bind with the iodine to remove it from the body. It is given in juice, a day before a heart cath.
It is given to protect the patient from a potential anaphylactic reaction. It helps to bind with the iodine to remove it from the body. It is given in juice, a day before a Thallium Treadmill
It is given when the BUN is elevated. It is used to remove thallium from the body, and is given po, in juice. It is given just before a Thallium Treadmill
Question 7:The most sensitive indicator of myocardial tissue damage is and why?
Myoglobin. It is rapidly released in the presence of myocardial tissue damage. It is highly sensitive of an acute MI. Can be detected in 2 hours post-MI. Serum levels double in 1 hour. Can only be detected within the first 30 hours after an MI.
Myoglobin. It is rapidly released in the presence of myocardial tissue damage. It is highly sensitive of an acute MI. Can be detected in 3 hours post-MI. Serum levels double in 2 hours. Can only be detected within the first 48 hours after an MI.
Myoblobin. It is rapidly released in the presence of myocardial tissue damage. It is highly sensitive of an acute MI. Can be detected in 3 hours post-MI. Serum levels double in 3 hours. Can only be detected within the first 36 hours after an MI.
Myoglobin. It is rapidly released in the presence of myocardial tissue damage. It is highly sensitive of an acute MI. Can be detected in 2 hours post-MI. Serum levels double in 2 hours. Can only be detected within the first 24 hours after an MI.
Question 8:All of these will increase cardiac output:
Oral and IV fluid intake, hypoxia, Acute CHF
Early stages of septic shock, hypoxia, Pericarditis with effusion
Early stages of septic shock, oral and IV fluid intake, heat stroke
Early stages of septic shock, hypoxia, oral and IV fluid intake
Question 9:The following is true about Troponin levels:
Troponin 'T' and Troponin 'I' are the indicators. They rise within 4-6 hours of damage, and peak 24-36 hours later. They can persist for up to 10 days.
Troponin 'T' and Troponin 'I' are the indicators. They rise within 6-8 hours of damage, and peak 24-36 hours later. They can persist for up to 10 days.
Troponin 'T' and Troponin 'I' are the indicators. They rise within 4-6 hours of damage, and peak 10-24 hours later. They can persist for up to 30 days.
Troponin 'T' and Troponin 'I' are the indicators. They rise within 4-6 hours of damage, and peak 10-24 hours later. They can persist for up to 10 days.
Question 10:Heart Rate speeds up by:
Parasympathetic nervous system, catecholamines, increased thyroid hormone
Parasympathetic nervous system, vagus stimulation, catecholamines
Sympathetic nervous system, vagus stimulation, catecholamines
Sympathetic nervous system, catecholaimnes, increased thyroid hormone

This Quiz has been designed by Marilyn.