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Cardiac Care and Emergency Nursing Quiz

#1

Which of the following is a common symptom of myocardial infarction (heart attack)?

Chest pain or discomfort
Explanation

Characteristic symptom due to ischemia of heart muscle.

#2

What is the primary purpose of administering oxygen to a patient experiencing a cardiac emergency?

To improve cardiac output
Explanation

Enhances oxygen delivery to heart tissue.

#3

Which electrocardiogram (ECG) waveform represents ventricular depolarization?

QRS complex
Explanation

Represents spread of electrical activity through ventricles.

#4

What is the recommended initial treatment for a patient with suspected acute coronary syndrome (ACS)?

Aspirin and oxygen therapy
Explanation

Antiplatelet therapy and oxygen supplementation to relieve ischemia.

#5

Which of the following is a common side effect of angiotensin-converting enzyme (ACE) inhibitors?

Hyperkalemia
Explanation

Elevated potassium levels due to reduced aldosterone secretion.

#6

What is the recommended first-line treatment for ventricular fibrillation?

Defibrillation
Explanation

Restoration of normal heart rhythm through electrical shock.

#7

Which cardiac enzyme is most specific to myocardial injury?

Troponin
Explanation

Highly sensitive and specific marker for myocardial damage.

#8

What does the acronym 'CABG' stand for in cardiac care?

Coronary Artery Bypass Graft
Explanation

Surgical procedure to improve blood flow to the heart.

#9

Which of the following is a common complication of cardiac catheterization?

Hemorrhage
Explanation

Risk due to arterial puncture during procedure.

#10

What is the recommended treatment for a patient with atrial fibrillation who presents with rapid ventricular response and hemodynamic instability?

Synchronized cardioversion
Explanation

Restoration of normal heart rhythm through timed electrical shock.

#11

Which medication is commonly used for acute management of angina pectoris?

Nitroglycerin
Explanation

Rapid vasodilation to relieve chest pain.

#12

Which cardiac condition is characterized by a 'blowing' holosystolic murmur heard best at the apex?

Mitral valve regurgitation
Explanation

Backflow of blood through the mitral valve.

#13

In cardiac care, what does the term 'ejection fraction' refer to?

The amount of blood pumped out of the ventricles with each contraction
Explanation

Indicator of heart's pumping efficiency.

#14

Which class of antiarrhythmic drugs primarily blocks sodium channels and is commonly used to treat ventricular arrhythmias?

Class I
Explanation

Blocks fast sodium channels during depolarization.

#15

What is the most common cause of right-sided heart failure?

Left-sided heart failure
Explanation

Increased pressure in the pulmonary circulation.

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