NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED, Exams of Nursing

Download NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED and more Exams Nursing in PDF only on Docsity! NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED  A patient presents to the emergency department with new onset of dizziness and fatigue. On examination, the patient’s heart rate is 35/min, the blood pressure is 70/50 mm Hg, the respiratory rate is 22 breaths/min, and the oxygen saturation is 95%. What is the appropriate first medication? A. Atropine 0.5 mg B. Oxygen 12 to 15 L/min C. Epinephrine 0.5 mg D. Aspirin 160 mg chewed  A patient presents to the emergency department with dizziness and shortness of breath with a sinus bradycardia of 40/min. The initial atropine dose was ineffective, and your monitor/defibrillator is not equipped with a transcutaneous pacemaker. What is the appropriate dose of dopamine for this patient? A. 2 to 10 mg/min B. 2 to 10 mcg/kg per minute C. 10 to 15 mg/min NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED D. 10 to 15 mcg/kg per minute  A patient has sudden onset of dizziness. The patient’s heart rate is 180/min, blood pressure is 110/70 mm Hg, respiratory rate is 18 breaths/min, and pulse oximetry reading is 98% on room air. The lead II ECG is shown below: What is the next appropriate intervention? A. Vagal maneuvers B. Metoprolol 5 mg IV C. Adenosine 6 mg IV D. Normal saline 1 L bolus  A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. The patient’s blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED B. Epinephrine IV infusion C. Application of a transcutaneous pacemaker D. Simple airway maneuvers and assisted ventilation  What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter is selected? A. Suction during insertion but for no longer than 30 seconds. B. Suction the mouth and nose for no longer than 30 seconds. C. Suction during withdrawal but for no longer than 10 seconds. D. Hyperventilate before catheter insertion, and then suction during withdrawal.  While treating a patient with dizziness, a blood pressure of 68/30 mm Hg, and cool, clammy skin, you see this lead II ECG rhythm: What is the most appropriate first intervention? A. Aspirin B. Atropine NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED C. Lidocaine D. Nitroglycerin  A 68-year-old woman experienced a sudden onset of right arm weakness. EMS personnel measure a blood pressure of 140/90 mm Hg, a heart rate of 78/min, a nonlabored respiratory rate of 14 breaths/min, and a pulse oximetry reading of 97%. The lead II ECG displays sinus rhythm. What is the most appropriate action for the EMS team to perform next? A. 12-lead ECG assessment B. Administration of 100% supplementary oxygen C. Cincinnati Prehospital Stroke Scale assessment D. Administration of a low-dose aspirin  EMS is transporting a patient with a positive prehospital stroke assessment. Upon arrival in the emergency department, the initial blood pressure is 138/78 mm Hg, the pulse rate is 80/min, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95% on room air. The lead II ECG displays sinus rhythm. The blood glucose level is within normal limits. What intervention should you perform next? A. Head CT scan NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED B. Transfer to the stroke unit C. Immediate rtPA administration D. Administration of 100% oxygen  What is the proper ventilation rate for a patient in cardiac arrest who has an advanced airway in place? A. 4 to 6 breaths per minute B. 8 to 10 breaths per minute C. 12 to 14 breaths per minute D. 16 to 18 breaths per minute  A 62-year-old man in the emergency department says that his heart is beating fast. He says he has no chest pain or shortness of breath. The blood pressure is 142/98 mm Hg, the pulse is 200/min, the respiratory rate is 14 breaths/min, and pulse oximetry is 95% on room air. What intervention should you perform next? A. Obtain a 12-lead ECG. B. Give 150 mg of amiodarone. C. Administer 160 mg of aspirin. D. Administer 6 mg of adenosine. NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED circulation ROSC? A. Initial rhythm of asystole B. Responding to verbal commands C. Patient age greater than 60 years D. Desire to provide coronary reperfusion (eg, PCI)  What is the potential danger of using ties that pass circumferentially around the patient’s neck when securing an advanced airway? A. May interfere with effective ventilation B. Places the patient’s cervical spine at risk C. Obstruction of venous return from the brain D. Does not adequately secure the airway device  What is the most reliable method of confirming and monitoring correct placement of an endotracheal tube? A. 5-point auscultation B. Colorimetric capnography C. Continuous waveform capnography D. Use of esophageal detection devices  What is the recommended IV fluid (normal saline or Ringer’s lactate) bolus dose for a patient who achieves NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED ROSC but is hypotensive during the post–cardiac arrest period? A. 250 to 500 mL B. 500 to 1000 mL C. 1 to 2 L NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED D. 2 to 3 L  What is the minimum systolic blood pressure one should attempt to achieve with fluid, inotropic, or vasopressor administration in a hypotensive post– cardiac arrest patient who achieves ROSC? A. 90 mm Hg B. 85 mm Hg C. 80 mm Hg D. 75 mm Hg  What is the first treatment priority for a patient who achieves ROSC? A. Coronary reperfusion B. Therapeutic hypothermia C. Maintaining blood glucose <185 mg/dL D. Optimizing ventilation and oxygenation  You find an unresponsive patient who is not breathing. After activating the emergency NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED  During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no pulse. What is the next action? A. Establish vascular access. B. Obtain the patient’s history. C. Resume chest compressions. D. Terminate the resuscitative effort.  What is a common but sometimes fatal mistake in cardiac arrest management? A. Failure to obtain vascular access B. Prolonged periods of no ventilations C. Failure to perform endotracheal intubation D. Prolonged interruptions in chest compressions  Which action is a component of high-quality chest compressions? A. Allowing complete chest recoil NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED B. Chest compressions without ventilation C. 60 to 100 compressions per minute with a 15:2 ratio D. Uninterrupted compressions at a depth of 1½ inches  Which action increasesthe chance of successful conversion of ventricular fibrillation? A. Pausing chest compressions immediately after a defibrillation attempt B. Administering 4 quick ventilations immediately before a defibrillation attempt C. Using manual defibrillator paddles with light pressure against the chest D. Providing quality compressions immediately before a defibrillation attempt  Which situation BEST describes pulseless electrical activity? A. Asystole without a pulse B. Sinus rhythm without a pulse C. Torsades de pointes with a pulse D. Ventricular tachycardia with a pulse  What is the BEST strategy for performing high- quality CPR on a patient with an advanced airway in NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED place? A. Provide compressions and ventilations with a 15:2 ratio. B. Provide compressions and ventilations with a 30:2 ratio. C. Provide a single ventilation every 6 seconds during the compression pause. D. Provide continuous chest compressions without pauses and 10 ventilations per minute.  Three minutes after witnessing a cardiac arrest, one member of your team inserts an endotracheal tube while another performs continuous chest compressions. During subsequent ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of this finding? A. Chest compressions may not be effective. B. The endotracheal tube is no longer in the trachea. C. The patient meets the criteria for termination of efforts. D. The team is ventilating the patient too often (hyperventilation).  The use of quantitative capnography in intubated patients A. allows for monitoring of CPR quality. B. measures oxygen levels at the alveoli level. NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED consciousness. After calling for help and determining that the patient is not breathing, you are unsure whether the patient has a pulse. What is your next action? A. Leave and get an AED. B. Begin chest compressions. C. Deliver 2 quick ventilations. D. Check the patient’s mouth for the presence of a foreign body.  What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles? A. Hands-free pads deliver more energy than paddles. B. Hands-free pads increase electrical arc. C. Hands-free pads allow for a more rapid defibrillation. D. Hands-free pads have universal adaptors that can work with any machine.  What action is recommendedto help minimize interruptions in chest compressions during CPR? A. Continue CPR while charging the defibrillator. B. Perform pulse checks immediately after defibrillation. C. Administer IV medications only when delivering breaths. D. Continue to use an AED even after the arrival of a manual defibrillator. NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED  Which action is included in the BLS Survey? A. Early defibrillation B. Advanced airway management C. Rapid medication administration NURS EXAM ADVANCED CARDIOVASCULAR QUESTIONS WITH CORRECT ANSWERS 2023 A+ SUCCESS ASSUARED D. Preparation for therapeutic hypothermia  Which drug and dose are recommended for the management of a patient in refractory ventricular fibrillation? A. Atropine 2 mg B. Amiodarone 300 mg C. Vasopressin 1 mg/kg D. Dopamine 2 mg/kg per minute  What is the appropriate interval foran interruption in chest compressions? A. 10 seconds or less B. 10 to 15 seconds C. 15 to 20 seconds D. Interruptions are never acceptable  Which of the following is a sign of effective CPR? A. PETCO2 ≥10 mm Hg B. Measured urine output of 1 mL/kg per hour C. Patient temperature >32°C (89.6°F)