Cardiovascular Emergencies

Name

1. When taking patient's apical pulse, where should the nurse place the stethoscope?

• A. Just to the left of the median point of the sternum
• B. In the fifth intercostal space at the left midclavicular line
• C. Between the sitxh and seventh ribs at the left mid axillary line
• D. Between the third and the forth ribs and to the left of the sternum

2. To assess the effectiveness of a vasodilator administrated to a patient, what should the nurse assess?

• A. Pulse rate
• B. Breath sounds
• C. Cardiac output
• D. Blood pressure

3. The nurse suspects a patient is in a cardiogenic shock. What should the nurse understand about this type of shock? Cardiogenic shock is ...

• A. An irreeversible phenomenon
• B. A failure of the circulatory pump
• C. Usually a fleeting reaction to a tissue injury
• D. Generally caused by a decreased blood volume

4. A nurse in the emergency department is assigned to care for four clients with serious health problems. Which health problem should the nurse identify as the priority?

• A. Head injury
• B. Fractured femur
• C. Ventricular fibrillation
• D. Penetrating abdominal wound

5. The nurse understands that a pacemaker is used in some cardiac monitor. What rhythm does the nurse identify?

• A. SA node
• B. AV node
• C. Bundle of His
• D. Accelerator nerves to the heart

6. A nurse observes the following dysrhythmia on a client’s cardiac monitor. What rhythm does the nurse identify?

• A. Atrial flutter
• B. Atrial fibrillation
• C. Ventricular fibrillation
• D. Ventricular tachycardia

7. When a client develops ventricular fibrillation in a coronary care unit, what is the responsibility of the first person reaching the patient?

• A. Administer oxygen.
• B. Initiate defibrillation.
• C. Initiate cardiopulmonary resuscitation.
• D. Administer sodium bicarbonate intravenously.

8. When planning care for a child before corrective surgery for tetralogy of Fallot, which of the following would the nurse identify as the priority nursing diagnosis?

• A. Ineffective coping related to upcoming surgery and complications
• B. Pain related to surgical insicion required to correct the defect
• C. Deficient knowledge related to upcoming surgery and postoperative events
• D. Impaired gas exchange related to structural cardiac defect

9. When assessing child after heart surgery to correct tetralogy of fallot, which of the following should alert the nurse to suspect a low cardiac output?

• A. Bounding pulses and motled skin
• B. Altered level of consciousness and thready pulse
• C. Capillary refill of 2 seconds and blood pressure of 96/67 mm Hg.
• D. Extremities warm to the touch and pale skin