Cardiac Quiz Questions And Answers
Blood is what is used to transport oxygen, waste, nutrients, and more throughout the body. The help of the heart, which pumps it throughout the body, does this. The Cardiac quiz questions and answers below are designed to help you understand more about the heart. Give it a shot and increase your understanding.
- 1.ECG shows ST-segment elevation in leads V1, V2, V3, V4 and ST-segment depression in leads II, III, and AVF. Which type of STEMI is this indicative of:
- A.
Anteroseptal
- B.
Lateral
- C.
Inferior
- D.
Posterior
- 2.Female with unstable angina, indigestion & difficulty breathing. VS : BP 170/90. T-98, P-98, R- 24. Monitor shows Sinus rhythm with frequent PVC's. Initial treatment should be
- A.
Nitroglycerin
- B.
Maalox
- C.
Beta-Blockers
- D.
Fibrinolytics
- 3.Female with unstable angina receives dose of reteplase (Retavase) 10 units IVP. The second dose should be administered in
- A.
20 minutes
- B.
10 minutes
- C.
30 minutes
- D.
60 minutes
- 4.Following fibinolysis, which indicates an intracranial bleed?
- A.
Decreased level of consciousness
- B.
Platelet count less than 150,000 u/L
- C.
PTT greater than 120 seconds
- D.
Elevated blood pressure
- 5.Nitroglycerin reduces ischemia through which mechanism?
- A.
Causes vasodilatation
- B.
Reduces afterload
- C.
Reduces preload
- D.
Decreases HR
- 6.Which should be monitored during Nitroglycerin titration?
- A.
Blood pressure
- B.
Heart rate
- C.
Heart rhythm
- D.
Pulse oximetry
- 7.Which should be monitored to detect abrupt closure of the coronary artery post-PTCA?
- A.
ST segment
- B.
Cardiac rhythm
- C.
Distal pulses
- D.
Vital signs
- 8.Which of the following should be completed within 10 minutes of entry to the Emergency Department?
- A.
12-lead ECG
- B.
PET scan of chest and abdomen
- C.
CT scan of chest and abdomen
- D.
Esophagogastroduodenoscopy
- 9.The diagnosis of STEMI is made by
- A.
Physical presentation, ECG and positive serum enzymes
- B.
Evaluation by CT scan
- C.
Only in Cath Lab
- D.
Elevated WBC, temp and change in level of consciousness
- 10.Aspirin is the first initial treatment for acute chest pain. Why?
- A.
Aspirin, an anti-platelet inhibits thromboxane A2
- B.
Aspirin reduces pain
- C.
Aspirin is easily absorbed
- D.
Aspirin is readily available
- 11.Major contraindication for beta-blocker use is:
- A.
Systolic blood pressure less than 90 mmHg
- B.
Patient with COPD
- C.
Heart rate less than 100
- D.
Heart rate less than 75
- 12.Why is a STEMI patient rushed to the Cardiac Cath Lab?
- A.
Time is muscle
- B.
Limits the time in the emergency department
- C.
Increased monitoring ability
- D.
More cost effective
- 13.Characteristics of women having a STEMI include
- A.
Chest pain, short of breath and/or epigastric pain
- B.
Often complain of elephant sitting on her chest
- C.
Profound fatigue
- D.
Only chest pain discomfort
- 14.Which of the following biomarkers may indicate myocardial cell injury?
- A.
CK-MB 4.6 ng/ml and RI 2.6
- B.
Troponin I of 0.1 ng/ml
- C.
Troponin I of 0.5 ng/ml
- D.
CK-MB 2.5 ng/ml and RI 1.5
- 15.An inferior myocardial infaction has ST elevation in which of the following leads?
- A.
I, AVL
- B.
V5, V6
- C.
V1, V2, V3
- D.
II, III, AVF
- 16.St elevation in which lead is 100% specific for a right venticular infarction?
- A.
V4R
- B.
V1R
- C.
V3R
- D.
V2R
- 17.Mrs Henry's VS: BP 168/90, HR 128, RR 32, Spo2 88% on 2Lnc. Monitor shows Atrial Fibrillation and she has crackles auscultated in all fields. Lasix 40 mg IVP was ordered to:
- A.
Reduce preload with no effect on afterload
- B.
Reduce preload and increase afterload
- C.
Increase preload and reduce afterload
- D.
Increase preload and no effect on afterload
- 18.Mrs. Henry is in flash pulmonary edema. Her BP has dropped to 82/46 mm HG after the lasix administration. Which medication is indicated for hypotension in pulmonary edema?
- A.
Dopamine
- B.
Dobutamine
- C.
Nesritide
- D.
Nitroprusside
- 19.Mrs. Henry, with pulmonary edema, is prepared for pulmonary artery catheter insertion. When wedged in pulmonary capillary, this reflects
- A.
Left ventricular preload
- B.
Right ventricular afterload
- C.
Right ventricular preload
- D.
Left ventricular afterload
- 20.The cardiologist decides that an intraaortic balloon pump (IABP) is necessary for Mrs. Henry's failing heart. The major effect of the IABP is
- A.
Afterload reduction
- B.
Afterload increase
- C.
Preload increase
- D.
Preload reduction
- 21.What effects do venous vasodilating medications have on preload and afterload?
- A.
Decrease preload, possibly decrease afterload
- B.
Increase preload, possibly decrease afterload
- C.
Increase afterload, possibly decrease preload
- D.
Decrease preload, possibly decrease afterload
- 22.Administration of fluid bolus challenge enhances
- A.
Preload
- B.
Afterload
- C.
Inhibition of angiotensin
- D.
Respiratory function
- 23.An independent nursing action to reduce preload in a patient with acute heart failure would be to
- A.
Have patient dangle legs while at the bedside
- B.
Position patient flat in bed
- C.
Encourage fluids
- D.
Administer supplemental oxygen
- 24.Sympathetic stimulation constricts vessels and
- A.
Increase preload, increase afterload
- B.
Decrease preload, decrease afterload
- C.
Increase preload, decrease afterload
- D.
Decrease preload, increase afterload
- 25.Factor(s) affecting afterload is:
- A.
Arterial vasoconstriction
- B.
Cardiac valvular stenosis
- C.
Arterial vasoconstriction and valvular stenosis
- D.
None of the choices
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