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Critical Care Cardiac Practice Questions, Exams of Cardiology

Critical Care Cardiac Practice Questions

Typology: Exams

2024/2025

Available from 06/26/2025

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Critical Care Cardiac Practice Questions
1. True or False: The left anterior descending coronary artery provides
blood supply to the right ventricle and to the front of the septum: False
2. Which coronary artery provides blood to the left atrium and left ventricle:
A. Right marginal artery
B. Posterior descending artery
C. Left circumflex artery
D. Right coronary artery: C
3. Which patient(s) are most at risk for developing coronary artery
disease? Select-all-that-apply:
A. A 25 year old patient who exercises 3 times per week for 30 minutes a day
and has a history of cervical cancer.
B. A 35 year old male with a BMI of 30 and reports smoking 2 packs of
cigarettes a day.
C. A 45 year old female that reports her father died at the age of 42 from a
myocardial infraction.
D. A 29 year old that has type I diabetes.: B, C, D
4. A patient reports during a routine check-up that he is experiencing chest
pain and shortness of breath while performing activities. He states the
pain goes away when he rests. This is known as:
A. Unstable angina
B. Variant angina
C. Stable angina
D. Prinzmetal angina: c
5. Keeping the patient in question 4 in mind: What type of diagnostic tests
will the physician most likely order (at first) for this patient to evaluate the
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Critical Care Cardiac Practice Questions

  1. True or False: The left anterior descending coronary artery provides blood supply to the right ventricle and to the front of the septum: False
  2. Which coronary artery provides blood to the left atrium and left ventricle: A. Right marginal artery B. Posterior descending artery C. Left circumflex artery D. Right coronary artery: C
  3. Which patient(s) are most at risk for developing coronary artery disease? Select-all-that-apply: A. A 25 year old patient who exercises 3 times per week for 30 minutes a day and has a history of cervical cancer. B. A 35 year old male with a BMI of 30 and reports smoking 2 packs of cigarettes a day. C. A 45 year old female that reports her father died at the age of 42 from a myocardial infraction. D. A 29 year old that has type I diabetes.: B, C, D
  4. A patient reports during a routine check-up that he is experiencing chest pain and shortness of breath while performing activities. He states the pain goes away when he rests. This is known as: A. Unstable angina B. Variant angina C. Stable angina D. Prinzmetal angina: c
  5. Keeping the patient in question 4 in mind: What type of diagnostic tests will the physician most likely order (at first) for this patient to evaluate the

cause of the patient's symptoms? Select-all-that-apply:

know you are taking Plavix because this medication will need to be discontin- ued 5-7 days prior to the procedure. B. A normal side effect of this medication is a dry cough. C. Avoid green leafy vegetables while taking Plavix. D. Notify the doctor, immediately, if you develop bruising, problems urinating, or fever.: A, D

  1. A patient calls the cardiac clinic you are working at and reports that they have taken 3 sublingual doses of nitroglycerin as prescribed for chest pain, but the chest pain is not relieved. What do you educate the patient to do next? A. Take another dose of Nitroglycerin in 5 minutes. B. Call 911 immediately C. Lie down and rest to see if that helps with relieving the pain D. Take two doses of Nitroglycerin in 5 minutes: B
  2. Lipitor is prescribed for a patient with a high cholesterol level. As the nurse, how do you educate the patient on how this drugs works on the body? A. Lipitor increases LDL levels and decreases HDL levels, total cholesterol, and triglyceride levels. B. Lipitor decreases LDL, HDL levels, total cholesterol, and triglyceride levels. C. Lipitor increases HDL levels, total cholesterol, and triglyceride levels. D. Lipitor increases HDL levels and decreases LDL, total cholesterol, and triglyceride levels.: D
  3. A patient taking Zocor is reporting muscle pain. You are evaluating the

patient's lab work and note that which of the following findings could cause muscle pain?

C. A 30 year old male with a history of endocarditis and has severe mitral stenosis. D. A 45 year old female with lung cancer stage 2. E. A 58 year old female with uncontrolled hypertension and is being treated for influenza.: a, c, e

  1. A patient is being discharged home after hospitalization of left ventricular systolic dysfunction. As the nurse providing discharge teaching to the patient, which statement is NOT a correct statement about this condition? A. "Signs and symptoms of this type of heart failure can include: dyspnea, persistent cough, difficulty breathing while lying down, and weight gain." B. "It is important to monitor your daily weights, fluid and salt intake." C. "Left-sided heart failure can lead to right-sided heart failure, if left untreat- ed." D. "This type of heart failure can build up pressure in the hepatic veins and cause them to become congested with fluid which leads to peripheral edema.": d
  2. Which of the following are NOT typical signs and symptoms of right- sided heart failure? Select-all-that-apply: A. Jugular venous distention B. Persistent cough C. Weight gain D. Crackles E. Nocturia F. Orthopnea: b, d, f
  1. A patient is diagnosed with left-sided systolic dysfunction heart failure. Which of the following are expected findings with this condition?

C. A 67 year old female who is being discharged home from heart valve replacement surgery. D. A 78 year old male who has a health history of eczema and cystic fibrosis.: b

  1. A 74 year old female presents to the ER with complaints of dyspnea, persistent cough, and unable to sleep at night due to difficulty breathing. On assessment, you note crackles throughout the lung fields, respiratory rate of 25, and an oxygen saturation of 90% on room air. Which of the following lab results confirm your suspicions of heart failure? A. K+ 5. B. BNP 820 C. BUN 9 D. Troponin <0.02: b
  2. Which of the following tests/procedures are NOT used to diagnose heart failure? A. Echocardiogram B. Brain natriuretic peptide blood test C. Nuclear stress test D. Holter monitoring: d
  3. What type of heart failure does this statement describe? The ventricle is unable to properly fill with blood because it is too stiff. Therefore, blood backs up into the lungs causing the patient to experience shortness of breath. A. Left ventricular systolic dysfunction B. Left ventricular ride-sided dysfunction C. Right ventricular diastolic dysfunction

D. Left ventricular diastolic dysfunction: d

  1. A patient taking Digoxin is experiencing severe bradycardia, nausea, and vomiting. A lab draw shows that their Digoxin level is 4 ng/mL. What medica- tion do you anticipate the physician to order for this patient? A. Narcan B. Aminophylline C. Digibind D. No medication because this is a normal Digoxin level.: c
  2. Which of the following is a late sign of heart failure? A. Shortness of breath B. Orthopnea C. Edema D. Frothy-blood tinged sputum: d
  3. 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? A. Beta-blockers B. Vasodilators C. Angiotensin II receptor blockers D. Angiotensin-converting-enzyme inhibitors: d
  4. 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? A. Na+ 135

B. BNP 560

C. K+ 8.

D. K+ 1.5: c

  1. 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? A. Lisinopril B. Losartan C. Lasix D. Digoxin: d
  2. Select all the correct statements about the pharmacodynamics of Beta-blockers for the treatment of heart failure: A. These drugs produce a negative inotropic effect on the heart by increasing myocardial contraction. B. A side effect of these drugs include bradycardia. C. These drugs are most commonly prescribed for patients with heart failure who have COPD. D. Beta-blockers are prescribed with ACE or ARBs to treat heart failure.: b, d
  3. 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? A. Measure and record the urine voided. B. Assist the patient up slowing and gradually.

receiving the therapeutic effect based on which of the following results?

A. Prothrombin Time of 12.5 seconds B. Activated partial thromboplastin time of 60 seconds C. Activated Partial thromboplastin time of 28 seconds D. Activated Partial thromboplastin time longer than 120 seconds: B

  1. 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? A. 0.3 ng/ml B. 0.5 ng/ml C. 0.8 ng/ml D. 1.0 ng/ml: 4
  2. The nurse is monitoring a client who is taking propanolol. Which assess- ment finding indicates a potential adverse complication associated with this medication A. Development and complaint of insomnia B. The development of audible expiratory wheezes C. A baseline bp of 150/80 followed by a bp of 138/72 after 2 doses D. A baseline resting HR of 88 beats/min followed by a resting HR of 72 beats/min after 2 doses: B. Beta-blockers can cause bronchospasm.
  3. A client is diagnosed with an ST-segment elevation MI (STEMI) and is receiving a tissue plasminogen activator, altepase. Which is action is a priority nursing intervention? A. Monitor for kidney failure B. Monitor for psychosocial status C. monitor for signs of bleeding D. have heparin sodium available: C. =thrombolytic
  4. The nurse is planning to administer hydrocholothiazide to a client. the nurse should monitor for which adverse reaction? A. Hypouricemia, Hyperkalemia B. Increased risk of osteoporosis

finding

would the nurse anticipate when auscultating the patients lungs? A. Stridor B. Crackles C. Scattered Rhonchi D. Diminished breath sounds: B

  1. A client with MI is developing cardiogenic shock because of the risk of myocardial ischemia, what condition should the nurse carefully assess for? A. Bradycardia B. Ventricular dysrhythmias C. Rising diastolic bp D. falling central venous pressure: B Dysrhythmias occur as a result of decreased oxygenation and severe damage to the myocardium
  2. A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no electrocardiographic complexes on the screen. Which is the priority action of the nurse? A. Call a code. B. Call the health care provider. C. Check the client's status and lead placement. D. Press the recorder button on the electrocardiogram console.: C
  3. The nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. No P waves, QRS complexes are wide; ventricular rate is 140 beats/minute. The nurse interprets that the client is experiencing which rhythm? A. Sinus tachycardia B. Ventricular fibrillation C. Ventricular tachycardia D. Premature ventricular contractions (PVCs): C
  4. A client has frequent bursts of ventricular tachycardia on the cardiac mon- itor. What should the nurse be most concerned about with this dysrhythmia? A. It can develop into ventricular fibrillation at any time B. It is almost impossible to convert to a normal rhythm C. It is uncomfortable for the client, giving a sense of impending doom D. It produces a high cardiac output that quickly leads to cerebral