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Critical Care: Cardiac Practice Exam Questions with
Correct Verified Answers/ Rated A+
Which coronary artery provides blood to the left atrium and left ventricle:
- Right marginal artery
- Posterior descending artery
- Left circumflex artery
- Right coronary artery - ANSWER – C
A patient taking Digoxin is experiencing severe bradycardia, nausea, and vomiting. A lab draw shows that their Digoxin level is 4 ng/mL. What medication do you anticipate the physician to order for this patient?
- Narcan
- Aminophylline
- Digibind
- No medication because this is a normal Digoxin level. - ANSWER - c
Which of the following is a late sign of heart failure?
- Shortness of breath
- Orthopnea
- Edema
- Frothy-blood tinged sputum - ANSWER - d
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pg. 2 These drugs are used as first-line treatment of heart failure. They work by allowing more blood to flow to the heart which decreases the work load of the heart and allows the kidneys to secrete sodium.However, some patients can develop a nagging cough with these types of drugs. This description describes?
- Beta-blockers
- Vasodilators
- Angiotensin II receptor blockers
- Angiotensin-converting-enzyme inhibitors - ANSWER - d
A patient with heart failure is taking Losartan and Spironolactone. The patient is having EKG changes that presents with tall peaked T-waves and flat p-waves. Which of the following lab results confirms these findings?
- Na+ 135
B. BNP 560
C. K+ 8.0
- K+ 1.5 - ANSWER - c
During your morning assessment of a patient with heart failure, the patient complains of sudden vision changes that include seeing yellowish-green halos around the lights. Which of the following medications do you suspect is causing this issue?
- Lisinopril
- Losartan
- Lasix
- Digoxin - ANSWER - d
Select all the correct statements about the pharmacodynamics of Beta-blockers for the treatment of
heart failure:
- These drugs produce a negative inotropic effect on the heart by increasing myocardial contraction. 2 / 4
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- A side effect of these drugs include bradycardia.
- These drugs are most commonly prescribed for patients with heart failure who have COPD.
- Beta-blockers are prescribed with ACE or ARBs to treat heart failure. - ANSWER - b, d
You are assisting a patient up from the bed to the bathroom. The patient has swelling in the feet and legs. The patient is receiving treatment for heart failure and is taking Hydralazine and Isordil. Which of the following is a nursing priority for this patient while assisting them to the bathroom?
- Measure and record the urine voided.
- Assist the patient up slowing and gradually.
- Place the call light in the patient's reach while in the bathroom.
- Provide privacy for the patient. - ANSWER - b
A patient is taking Digoxin. Prior to administration you check the patient's apical pulse and find it to be 61 bpm. Morning lab values are the following: K+ 3.3 and Digoxin level of 5 ng/mL. Which of the following is the correct nursing action?
- Hold this dose and administer the second dose at 1800.
- Administer the dose as ordered.
- Hold the dose and notify the physician of the Digoxin level.
- Hold this dose until the patient's potassium level is normal. - ANSWER - c
Which of the following is a common side effect of Spironolactone?
- Renal failure
- Hyperkalemia
- Hypokalemia
- Dry cough - ANSWER - b
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pg. 4 The physician's order says to administered Lasix 40 mg IV twice a day. The patient has the following morning labs: Na+ 148, BNP 900, K+ 2.0, and BUN 10. Which of the following is a nursing priority?
- Administer the Lasix as ordered
- Notify the physician of the BNP level
- Assess the patient for edema
- Hold the dose and notify the physician about the potassium level - ANSWER - d
A client with atrial fibrillation is receiving a continuous heparin infusion at 1000 units/hr. The nurse would determine that the client is receiving the therapeutic effect based on which of the following results?
- Prothrombin Time of 12.5 seconds
- Activated partial thromboplastin time of 60 seconds
- Activated Partial thromboplastin time of 28 seconds
- Activated Partial thromboplastin time longer than 120 seconds - ANSWER - B
A client who is receiving digoxin daily has a serum potassium level of 3mEq/L and is complaining of anorexia. The provider prescribes a serum digoxin level to be done. The nurse checks the results and should expect to not which level is outside of therapeutic range?
- 0.3 ng/ml
- 0.5 ng/ml
- 0.8 ng/ml
- 1.0 ng/ml - ANSWER - D
The nurse is monitoring a client who is taking propanolol. Which assessment finding indicates a potential adverse complication associated with this medication
- Development and complaint of insomnia
- The development of audible expiratory wheezes
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