AACN Course questions and verified answers

AACN Course How does one assess a patient's chest pain? - Correct answer Use the PQRST assessment scale P (Provoke)-- What provokes or precipitates the pain? Q (Quality)-- What is the quality of the pain? R (Radiation)-- Does the pain radiate to locations other than the chest? S (Severity)-- What is the severity of the pain (on a scale of 1-10) T (Timing)-- What is the time of onset of this episode of pain that caused you to come to the hospital?" "Cardiac catheterization is also known as...? - Correct answer Coronary angiography" "Besides the diagnosis of atherosclerotic lesions or thrombus in the coronary vessels, what is cardiac catheterization used for? - Correct answer Evaluation of: -Valvular heart disease, including stenosis or insufficiency -Atrial or ventricular septal defects -Congenital anomalities -Cardiac wall motion abnormalities" "Describe the NPO restriction for cardiac catheterization patients - Correct answer -NPO for 6-12 hours before procedure -May indicate everything except medications which should be taken with small sips of water the day of the procedure" "Fluoroscopy is also known as - Correct answer X-ray" "Two major coronary arteries of the left coronary vascular system are: Major coronary artery of the right coronary vascular system is: - Correct answer -Left anterior descending (LAD) artery and the left circumflex (LCx) artery. -Right coronary artery (RCA)" "What does the cineventriculogram provide information on? - Correct answer -Ventricular wall motion -Ejection fraction -Presence and severity of mitral regurgitation and aortic regurgitation" "The percentage of blood ejected from the left ventricle with each contraction. - Correct answer Ejection fraction" "Indications for right heart cardiac catheterization are: - Correct answer -Measurement of right sided heart pressures (suspected cardiac tamponade and suspected pulmonary hypertension) -Evaluation of valvular disease (tricuspid or pulmonic) -Evaluation of atrial of ventricular septal defects -Measurement of AVO2 difference" "Indications for left heart cardiac catheterization are: - Correct answer -Measurement of left sided heart pressures (Suspected left heart failure or cardiomyopathy) -Evaluation of valvular disease (mitral or aortic) -Evaluation of atrial of ventricular septal defects -Diagnosis of obstructive coronary artery disease -Identification of lesion location prior to CABG surgery" "Cardiac catheterization with the addition of a balloon apparatus on the tip of the catheter for revascularizing the myocardium - Correct answer Percutaneous transluminal coronary angioplasty (PTCA)" "What is referred to as the acute coronary syndromes? - Correct answer AMI and unstable angina" "