test review

match the following

• 60-100 bpm

• sinus rhythm grater than 100 bpm

• ventricular fibrillation

• chaotic irregular pattern

• 40-60 bpm

• the normal inherent rate of AV node

• sinus tachycardia

• the normal inherent rate of SA node

• 20-40 bpm

• The inherent rate of the Purkinje network

. A nurse is caring for a patient with an acute ST-elevation myocardial infarction (STEMI). Which of the following are considered primary reperfusion therapies?

• Percutaneous coronary intervention (PCI)

• Alteplase (tPA)

• Heparin

• Coronary artery bypass graft (CABG)

• Aspirin

The nurse is reviewing a patient’s chart who is scheduled for a coronary artery bypass graft (CABG). Which arteries may be used for the bypass graft?

• Left internal thoracic artery (LITA)

• Right internal thoracic artery (RITA)

• Radial artery

• Right gastroepiploic artery (RGEA)

• Inferior epigastric artery

A patient presents to the emergency department with acute chest pain. Which laboratory tests are most specific for diagnosing myocardial injury?

• Troponin

• CK-MB

• Myoglobin

• CBC

• Electrolytes

The nurse is reviewing the medical record of a client diagnosed with acute coronary syndrome (ACS). Which of the following conditions are classified as ACS?

• Unstable angina

• ST-segment elevation myocardial infarction (STEMI)

• Non–ST-segment elevation myocardial infarction (NSTEMI)

• Chronic stable angina

• Prinzmetal’s angina

A client is admitted to the emergency department with an acute myocardial infarction (MI). Which medications are considered part of the standard immediate treatment protocol?

• Morphine IV

• Oxygen

• Sublingual nitroglycerin 0.3–0.4 mg if SBP > 100 mmHg

• Aspirin 325 mg or 2–4 tablets of 81 mg

• Beta blocker

The nurse responds to a “Code Blue” on a telemetry unit. Which of the following cardiac rhythms are considered fatal and unsustainable without immediate intervention?

• Ventricular fibrillation (V-fib)

• Pulseless ventricular tachycardia (V-tach)

• Asystole

• • Atrial fibrillation with rapid ventricular rate

• Sinus bradycardia

The nurse is providing discharge teaching to a client who has just received a permanent pacemaker. Which of the following instructions should the nurse include?

• Keep the incision dry until healed

• Avoid lifting anything heavier than 10 lb

• Do not raise the arm on the incision side above shoulder level

• Maintain the sling on the affected arm as a reminder to limit movement

• Sleep on the incision side to promote healing

The nurse is educating a client who has an order for an exercise stress test. Which of the following instructions should the nurse provide prior to the test?

• Obtain informed consent

• Avoid alcohol, caffeine, and tobacco before the test

• Wear comfortable clothing and supportive shoes

• Certain medications may need to be withheld prior to the test

• Eat a heavy breakfast to provide energy for the test

The nurse is assessing a client and suspects decreased cardiac output. Which signs and symptoms would support this finding?

• Hypotension

• Fatigue

• Palpitations

• Dizziness

• Peripheral edema