Philadelphia University
Nursing Faculty
Critical Care Nursing
Academic Year 2013-2014
Second Semester- First Exam
Exam Duration: One Hour
Date: 2/4/2014
Student ID
Student’s Name:..........................................................................................
Student’s University Number:....................................................................
Session Number: (1)
Examiner
Dr. Mayada Daibes
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Please, circle the most correct answer and write it down in the table
presented in the front page:
1.




Given these valves:
Aortic semilunar valve
Bicuspid (mitral) valve
Pulmonary semilunar valve
Tricuspid valve.
Arrange them in the order in which an erythrocyte would pass through them
after returning to the heart from the left arm.
a. 1,2,3,4
b. 2,3,1,4
c. 3,1,2,4
d. 3,4,2,1
e. 4,3,2,1
2.
a.
b.
c.
d.
e.
At the end of __________ , the ventricles are 70% filled.
Active ventricular filling
Passive ventricular filling
Ventricular diastole
Ventricular systole
Atrial systole
3. The average end-diastolic volume of the ventricles is about __________ ,
whereas the end-systolic volume is about
a. 125 mL, 55 Ml
b. 125 mL, 0 mL
c. 0 mL, 55 mL
d. 0 mL, 55 mL
e. 55 mL, 125 mL
4.
a.
b.
c.
d.
What is the most common cause of heart attacks?
Exercise
Stress
Atherosclerosis
Age
5.
a.
b.
c.
d.
Atherosclerosis occurs primarily in _____________.
Veins
Capillaries
Arteries
All of the above
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6. A 60-year-old male patient on aspirin, nitrates, and a beta blocker, being
followed for chronic stable angina, presents to the ER with a history of two
to three episodes of more severe and long-lasting anginal chest pain each
day over the past 3 days. His ECG and cardiac enzymes are normal. The
best course of action of the following is to:
a. Admit the patient and begin intravenous digoxin
b. Admit the patient and begin intravenous heparin
c. Admit the patient and give prophylactic thrombolytic therapy
d. Admit the patient for observation with no change in medication
e. Discharge the patient from the ER with increases in nitrates and beta blockers
7. The nurse teaches the client that the major difference between angina and
pain associated with myocardial infarction (MI) is that:
a. Angina is relieved with nitroglycerin and rest
b. Angina can be fatal
c. MI pain always radiates to the left arm or jaw.
d. MI pain cannot be treated
8. The nurse recognizes that calcium channel blockers prescribed for
treatment of angina exert their effect by:
a. Increasing preload
b. Decreasing afterload.
c. Positive chronotropic effect ( HR)
d. Positive inotropic effect ( contractility)
9. In order to confirm a suspected angina, ST segment depression on ECG
should not be mistaken with that appear in case of which of the following:
a. Hypokalaemia
b. Hypercalcaemia
c. Hypermagnesaemia
d. Hyponatremia
10. Ischemic-type chest pain is a hallmark symptom of which of the following
health conditions, in addition to the MI:
a. Pericarditis
b. Hemothorax
c. Aortic aneurism
d. None of the above
11. Angiotensin converting enzyme inhibitors (ACEI) can be used as a prioritydrug in which of the following medical conditions:
a. Heart failure
b. Myocardial infarction
c. Hypertension
d. A+b
e. All of the above are correct
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12. What is the rational to use ACEI in the condition/s you mentioned in the
previous question?
a. Inhibition of vaso constriction by inhibiting convertiung Angiotensin I to
Angiotensin II
b. Inhibit degrading the bradykinines ( vasodilators)
c. Increase degrading Bradykinines
d. A+B are correct
e. A + C are correct
13. Which of the following decreases blood volume by increasing the excretion
of sodium and fluids?
a. Nitroglycerin
b. Renin
c. Diuretics
d. Digitalis
e. aspirin
14. Which of the following is used to treat the symptoms of heart failure by
increasing the strength of heart contractions?
a. Diuretics
b. Nitroglycerin
c. Aspirin
d. Renin
e. Digitalis
15. Which of the following is released from the kidneys in response to low
blood flow through them in case of heart failure, for example?
a. Diuretics
b. Nitroglycerin
c. Renin
d. Digitalis
e. Aspirin
16. Which of the following procedures involves a segment of a leg vein being
used to provide an alternate pathway for blood flow past a point of
obstruction between the aorta and a coronary artery?
a. Coronary bypass
b. Angioplasty
c. Heart transplant
d. Coronary angiography
17. Which of the following procedures involves using a small plastic balloon to
open a narrowed artery?
a. Angioplasty
b. Coronary bypass
c. Heart transplant
d. Coronary angiography
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18. The nurse cautions the client receiving isosorbide dinitrate (NTG) for
treatment of angina that long-term use can lead to the development of:
a. Tolerance
b. Tachycardia
c. Hypotension
d. Urinary retention
19. A client is admitted for heart valve surgery. While on the step-down unit,
the client complains of chills, malaise, fatigue, and abdominal pain. Upon
assessment, the nurse finds the client to be febrile at 39.5 degrees celsius,
pulse 88 and regular, respirations 26 and labored. The client also has
tender lesions found on finger pulps. Which of the following diagnoses is
most likely?
a. Rheumatic Fever
b. Infective Endocarditis
c. Pericarditis
d. Pulmonary Edema
20. A patient has just undergone echocardiography and received a clinical
report documents the following readings: EDV: 200ml, ESV: 40 ml.
Calculate the SV, CO, and EF, knowing that the patient's HR is 60bpm.
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Best wishes
Dr. Mayada Daibes
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