‫أسئلة سنوات سابقة‬

‫كلية التمريض‬ ‫جامعة العلوم و التكنولوجيا‬

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FIRST

Chapter Name Number of Questions

Building a Professional Practice Model for 3

Excellence in Critical Care Nursing

The Patient’s Experience With Critical Illness 3

The Family’s Experience With Critical Illness 2

Hemodynamic Monitoring 7

Patient Assessment: Cardiovascular System 7

Acute Myocardial Infarction 11

Fibrinolytics & Anticoagulants 2

Percutaneous Coronary Interventions (PCI) 8

No Answers
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Building a Professional Practice Model for Excellence in Critical Care

Nursing

1. Which of the following are essential characteristic of a critical care nurse

A. Commitment

B. Enthusiasm

C. Communication.

D. Decision making

2. All the following are Healthy Work Environment EXCEPT

A. True collaboration

B. Poor communication

C. Skilled communication

D. Effective decision making

3. The six Attributes of advanced nursing practice include which of the

following:
A. Values, Vision, mastery, ethics, action, and balance

B. Values, vision, mastery, passion, action, and balance

C. Values, mission, mastery, passion, action and balance

D. Values, vision, mastery, passion, action, and excellence

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The Patient’s Experience With Critical Illness

1. The best way to help patients handle anxiety is to

A. Limit visitors, time with them

B. Be direct and honest with them

C. Assist them to talk about their tears and concerns

D. Reassure them that they will receive the best possible care

2. All are causes of anxiety EXCEPT

A. Fear of dying

B. Loss of control

C. lack of appetite

D. Sense of isolation

3. The Self talk is which of the following ?

A. Internal dialogue

B. External dialogue

C. Cognitive reappraisal

D. Avoidance statements
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The Family’s Experience With Critical Illness

1. ___________ is a Sudden and unexpected and often life threatening

occurrence
A. Crisis

B. Family

C. Critical Illness

D. Stress Syndrome

2. All are physiological responses for Stress Syndrome EXCEPT

A. Tachycardia

B. Bradycardia

C. Hypertension

D. Vasoconstriction
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Hemodynamic Monitoring

1. A patient is experiencing reduce after load. The nurse realizes that causes of
reduces after load include:
A. Sepsis

B. Myocardsis

C. Mitral sterosis

D. Congitive heart failure

2. The physician writes an order to discontinue a patient's left radial arterial

line. When discontinuing the patient's invasive line, what is the priority
nursing action?
A Apply an air occlusion dressing to insertion site

B. Apply pressure to the insertion site for at least 5 minutes

C. Elevate the affected limb an pillows for24 hours

D. keep the patient's wrist in a neutral position

3. Which nursing interventions measures an accurate cardiac output reading

for a patient
A. Use a 5 cc of iced saline as the injectate

B. Administer the injectate within 4 seconds

C. Inject the fluid into the pulmonary artery distal port

D. Ensure that there is a 5 minutes between each injectate

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4. The nurse is caring for a patient who has had an arterial line inserted. To
reduce the risk of complications, what is the priority nursing intervention?
A. Apply a pressure dressing to the insertion site.

B. Ensure that all tubing connections are tightened.

C. Obtain a portable x-ray to confirm placement.

D. Restrain the affected extremity for 24 hours.

5. The nurse is caring for a patient with a left radial arterial line and a
pulmonary artery catheter inserted into the right subclavian vein. Which
action by the nurse best ensures the safety of the patient being monitored with
invasive hemodynamic monitoring lines?
A. Document all waveform values.

B. Limit the pressure tubing length.

C. Zero reference the system daily.

D. Ensure alarm limits are turned on

6. The nurse is caring for a mechanically ventilated patient being monitored

with a left radial arterial line. During the inspiratory phase of ventilation, the
nurse assesses a 20 mm Hg decrease in arterial blood pressure. What is the
best interpretation of this finding by the nurse?
A. The mechanical ventilator is malfunctioning.

B. The patient may require fluid resuscitation.

C. The arterial line may need to be replaced.

D. The left limb may have reduced perfusion.

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7. The nurse is caring for a patient with an arterial monitoring system. The
nurse assesses the patient's noninvasive cuff blood pressure to be 70/40 mm
Hg. The arterial blood pressure measurement via an intraarterial catheter in
the same arm is assessed by the nurse to be 108/70 mm Hg. What is the best
action by the nurse?
A. Activate the rapid response system.

B. Place the patient in Trendelenburg position.

C. Assess the cuff for proper arm size.

D. Administer 0.9% normal saline bolus.

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Patient Assessment: Cardiovascular System

1. The nurse is auscultating heart sounds. The nurse recognizes that the
normal closure of the mitral and tricuspid valves creates
A. The S1 sound

B. The S2 sound

C. The apical pulse

D. The atrial gallop

2. The most sensitive protein to myocardial injury is

A. LDH

B. Troponin I

C. Myoglobin

D. CK-MB

3. Which of the following findings would be a reason to terminate an exercise

stress test?
A. St segment depression or elevation

B. Slight increase in patient's heart rate

C. Inverted U wave

D. A drop in the heart rate of 20 beats below the baseline

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4. The nurse is calculating a client's heart rate by examining his

electrocardiogram.

Which of the following methods is correct?

A. Count the number of P waves in a 6-seconds strip and multiply by 5.

B. Count the number of R waves in a 6-seconds strip and multiply by 10.

C. Count the number of large squares between P waves and multiply 10.

D. Count the number of large squares between R waves and multiply 10.

5. Mr. H is scheduled for a cardiac catheterization. What is the most

important nursing responsibility concerning the dye that is used during the
procedure?
A. Ascertaining that no dye leaks into the tissue surrounding the injection site

B. Ensuring that Mr. H drinks the entire dose of the dye prior to the study

C. Encouraging fluids before and after the study to dilute the dye

D. Alerting Mr. H to the possibility of chest pain when the dye is injected

6. Electrocardiogram (ECG) provides information about all the following

EXCEPT
A. The orientation of the heart in the chest cavity.

B. Evidence of impaired blood flow to the heart muscle.

C. The underlying rate and rhythm mechanism of the heart

D. Evidence decrease thickness or any damage of the heart muscle

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7. P-R interval represents the time it takes for the impulse to spread from the
to atria the ventricle
True

False
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Acute Myocardial Infarction

1. Which of the following is the most common site for myocardial infarction?
A. Anterior wall of the right ventricle

B. Posterior wall of the left ventricle

C. Inferior (diaphragmatic) surface

D. Anteroseptal wall of the left ventricle near the apex

2. The nurse is caring for a patient has experienced an MI. The nurse notes
that there are changes in the ECG of the patient. What change on an ECG
may indicate that ischemia is occurring?
A. T-wave inversion

B. P-wave inversion

C. P-wave enlargement

D. Q-wave changes with no change in ST or T wave

3. Which of the following arteries primarily the anterior wall of the heart?
A. Left anterior descending artery

B. Right coronary artery

C. Internal mammary artery

D. Circumflex artery
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4. In assessing chest pain, which of the following is NOT a characteristic of an

acute myocardial infarction pain:
A. Relieved by nitroglycerine

B. Intense and crushing

C. May radiate to one or both arms, neck, or jaw

D. Is of long duration and not relieved by rest

5. Which assessment finding would indicate to the nurse that the patient has
an altered blood supply to the right coronary artery affecting the posterior
wall of the myocardium?
A. St segment depression in V1 and V2

B. Peaked T waves in aVF

C. cTnT of 0.0 mcg/L

D. CK-MB of 4%

6. You are working in cardiac rehabilitation program where you are

supervising a patient who had an MI and now active in the cardiac
rehabilitation program. What would you teach this patient about self-
monitoring her activity and when to stop exercising?
A. oxygen saturation at 94%

B. An increase in cardiac output.

C. The patient experiences chest pain, palpitations, or dyspnea

D. An increase in systolic or diastolic blood pressure greater than 20 mmHg

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7. When caring for a client immediately after an MI, the nurse's priority is
A. Relief of pain

B. Prevention of embolism

C. Relieving client's apprehension

D. Monitoring for presence of dysrhythmias

8. You are caring for s patient who has a chest pain 8 on a scale of 10. When
you record her 12 leads ECG you notice ST segment elevation of 4mm in leads
V1 through V4.This abnormalities indicate which of the following
A. A pattern of Ischemia in the inferior wall

B. A pattern of Ischemia in the anterosptal wall

C. Acute myocardial infraction in the inferior wall

D. Acute myocardial infraction in the anteroseptal wall

10. The most serious myocardial complication of MI

A. Arrythmia

B. Cardiac ischemia

C. Cardiogenic shock

D. Ventricular rupture
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11. You are caring for a patient who had a stent placement yesterday. What
medication besides aspirin is standard in the care of these patients?
A. Acetaminophin

B. Paracetamol

C. Ibuprophin

D. Plavix (Clopidogrel)
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Fibrinolytics & Anticoagulants

1. ___________ is a Limit further fibrin formation and help prevent

thromboembolism
A. Anticoagulants

B. Platelet inhibitors

C. Fibrinolytics

D. None of the above

2. Which of the following are not Reperfusion manifestations

A. Death

B. Dysrhythmias

C. Cessation of chest pain

D. Decreases/resolved ST elevation
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Percutaneous Coronary Interventions (PCI)

PCI
1. Percutaneous coronary intervention (PCI) would NOT be recommended for
a patient with
A. Cardiogenic shock

B. Coronary artery bypass graft closure

C. Reocclusion after thrombolytic therapy

D. Unstable angina responsive to treatment

2. A patient recovering from coronary artery bypass grafting is experiencing

dysrhythmias. What will nurse assess as the reasons for the dysrhythmias?
A. Potassium level

B. Urea and Creatinine level

C. Pupil size and reactivity to light

D. Patient's high body temperature

3. What intervention will the nurse include when planning care for a patient
recovering from PCI with stent placement?
A. Assess arterial blood gases daily

B. Monitor for bleeding from the catheter site

C. Administer blood products for low blood pressure as prescribed

D. Maintain the patient on bed rest with the cannulated extremity straight for 24 hours
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CABG
4. The vessel most commonly used as graft for a CABG is:
A. Radial artery

B. Brachial artery

C. Femaorl artery

D. Greater saphenous vein

5. The nurse recognizes that which of the following are indication for
coronary artery bypass graft (CABG) surgery in this situation?
A. The patient's spouse was successfully treated with CABG

B. Being a good candidate for angioplasty and stenting

C. Availability of new effective CAD medication

D. Having left main CAD

6. Vessel Patency of Saphenous vein graft is

A. 50% patency at 10 years

B. 90% patency at 10 years

C. 60% patency at 5 years

D. 80% patency at 6 months

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7. Which findings would cause the nurse to suspect that a post-coronary

artery bypass patient might de developing cardiac tamponade?
A. Lack of pleural (chest) tube drainage

B. Decrease central venous pressure (CVP)

C. Widening pulse pressure

D. Decrease jugular vein distension

8. All are Postoperative Management of CABG EXCEPT

A. Controlling BP Maintain between 100 systolic and MAP 50 mm Hg

B. Complete thorough neurologic assessment

C. Monitoring postoperative bleeding

D. Monitor chest tube output Q 15

17 / 1 / 2023