1. Bruce protocol is related to:

A. CABG

B. Echocardiaogram

C. Angiogram

D. Exercise ECG test

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2. Cardiac Toponin level helps in the diagnosis of

A. Myocardial infarction

B. Congestive heart failure

C. Ventricular tachycardia

D. Atrial fibrillation

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3. A patient has developed atrial fibrillation and his ventricular rate is 150 beats per minute. What should the patient be asssessed for next?

A. Flat neck veins

B. Complaints of nausea

C. Complaints of headache

D. Hypotension

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4. Which of the following assessment would elicit specific information regarding left ventricular function of a patient with CHF?

A. Listening to lung sounds

B. Assessing for peripheral and sacral edema

C. Assessing for jugular venous distention

D. Monitoring for organomegaly

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5. A patient is treated with spirinolactone for hypertension. Which of the following indicates the patient is experiencing side effect of the drug?

A. A potassium level of 3.2 mEq/L

B. A potassium level of 5.2 mEq/L

C. A sodium level of 140.2 mEq/L

D. A calcium level of 12 mg/dL

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6. Which of the following finding would indicate the presence of myocardial infarction?

A. Increased creatinine kinase MB

B. Increased creatinine kinase MM

C. Increased blood urea nitrogen level

D. Decreased WBC level

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7. Which of the following beverages can be included in the menu of a patient with myocardial infarction?

A. Coffee

B. Tea

C. Cola

D. Lemonade

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8. A patient is undergoing cardiac catheterization. Which of the following sensations reported by the patient during the procedure has the highest priority?

A. Pressure at the insertion site

B. Urge to cough

C. Warm, flushed feeling

D. Chest pain

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9. A patient recovering from cardiac surgery has a pleural effusion on the left side and is having thoracentesis. The patient should be placed in which position for the procedure?

A. Upright and leaning forward with the arms on the over-the-bed table

B. Right-side lying with legs curled up into a fetal position

C. Left-lateral with the right arm supported by a pillow.

D. Dorsal decumbant

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10. Which of the following statements about Prinzmetal's (variant) angina is correct?

A. Managed most effectively with beta-blocking drugs

B. Drug of choice in variant angina is nitrates.

C. Generally treated with calcium channel blockers

D. Improves with low-sodium, high potassium diet

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11. Electrocariaogram strip of a patient shows:

P wave and QRS complexes -regular

PR-Interval - 0.14 seconds

QRS complexes measure- 0.08 seconds

overall hert beat rate- 82beats per minutes.

The cardiac rhythm is

A. Sinus bradycardia

B. Sinus tachycardia

C. Normal sinus rhythm

D. First-degree heart block

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12. EEG rhythm strip of a patient shows

Atrial and ventricular rate- 70 beats per minute

PR-Interval - 0.14 seconds

QRS complexes - 0.08 seconds

P-P interval - slightly irregular

What is the rhythm?

A. Sinus bradycardia

B. Normal sinus rhythm

C. Sinus tachycardia

D. Sinus arrythmia

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13. A patient with myocardial infarction experiencing new multiform, premature contractions. The patient is allergic to lidocaine hydrochloride.

What is the next drug of choice for immediate use?

A. Digoxin

B. Metoprolol

C. Verapramil

D. Procainamide

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14. Which of the following indicates that antidysrhythmic therapy for a patient with premature ventricular contractions (PVC) is effective?

If the PVCs continued to:

A. be multifocal in appearance.

B. occure in pairs.

C. decrease in frequency to less than 6 per minute.

D. fall on the second half of the T wave.

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15. A patient with complete heart block has had a permanant demand pace maker inserted. The pacemaker function is considered to be proper, if ECG rhythm strip shows presence of pacemaker spikes

A. Just after each T wave

B. Before each QRS complex

C. Just after each P wave

D. Before each P wave

Answer Key