Cardiac-Vascular Nursing Exam Prep I - Question List

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21. A nurse is taking care of a patient with post carotid endocardiectomy. What parameters should the nurse examine in the patient for neurological assessment in 1 to 2 hour post-op period?
  1. Level of consciousness, response to verbal command, motor reflexes, level of sensation, pupil size, and reaction to light
  2. Level of consciousness, vocal cord functioning, reflexes, motor strength, level of sensation, pupil size, and reaction to light
  3. Level of consciousness, response to painful stimuli, tendon reflexes, motor strength, pain and temperature sensation, and reaction to light
  4. Level of consciousness, vocal cord functioning, reflexes, motor strength, level of sensation, field of vision of both eyes, and reaction to light
22. Which of the following statements about Dressler’s syndrome is not correct?
  1. Dressler's syndrome is a complication of myocardial infarction
  2. It usually develops about one to two week post-MI
  3. It is autoimmune in nature
  4. It is a result of infection of myocardium which extends to pericardium
23. A child having aortic regurgitation has been advised for valve replacement surgery. The parents are concerned to know about the type of aortic valve prosthesis which is suitable for their child. What is the correct answer given by nurse?
  1. Mechanical valve
  2. Bioprosthetic valve
  3. Pulmonary autograft
  4. Aortic homograft
24. A 42-year old male patient is being discharged from hospital after a mitral valve replacement surgery with a metallic valve. He has been prescribed warfarin. Teaching about which of the following things should be given priority by the nurse?
  1. He should always take the medicine before meals
  2. He should shave with an electric razor and avoid using safety razor
  3. If he misses one dose, he should compensate by taking double dose next time
  4. It is the responsibility of the doctor to teach the patient about this medication
25. A nurse should prioritize which of the following patients and provide immediate intervention?
  1. A fractured shoulder
  2. Ventricular fibrillation
  3. Head trauma
  4. Abdominal pain

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