Coronary Artery Bypass Graft (CABG) Surgery Practice Test

These questions are part of the practice quiz. Start practicing

• Which scenario indicates an indication for CABG after medical therapy failure or disease progression?
• What is the typical approach to controlling postoperative chest tube drainage after CABG?
• Postoperative periods of confusion or memory loss after CABG due to anesthesia, meds, CPB, and hypothermia typically resolve within how many hours?
• When is CABG surgery most effective?
• Which intervention helps prevent constipation and straining after CABG?
• Postoperative nutrition usually starts with which diet progression?
• Which of the following is a non-modifiable risk factor related to CABG surgery?
• Mediastinitis is defined as infection of the sternal wound involving which space?
• What is a RIMA graft, and when is it typically used in CABG?
• What is cardiac tamponade?
• What is postpericardiotomy syndrome?
• Which lab panel is monitored to assess electrolytes after CABG?
• In older patients undergoing CABG, what consideration influences the choice of arterial grafts?
• Where is the standard site for harvesting the left internal mammary artery (LIMA), and what precaution reduces the risk of sternal devascularization and wound complications?
• Which parameter should be monitored to assess perfusion and hemodynamic status in a patient with cardiac tamponade?
• Which nursing intervention helps maintain airway after CABG?
• What is a common postoperative arrhythmia after CABG, and how is it typically managed?
• What is important when managing postoperative pain after CABG?
• Which incision is used to harvest the saphenous vein for CABG?
• Which infection-prevention strategies reduce mediastinitis after CABG?
• How is graft patency evaluated postoperatively in CABG patients?
• What is the target value for total cholesterol in lipid management goals for CAD risk factor modification?
• How is the diagnosis of cardiac tamponade confirmed?
• Discharge teaching for edema management of the saphenous vein donor leg includes which recommendation?
• Indications for intra-aortic balloon pump (IABP) support in CABG.
• How is cardiac tamponade treated?
• Which CABG alternative is performed without cardiopulmonary bypass and on a beating heart?
• Which graft is harvested from the leg?
• Compare patency and typical use of SVGs versus arterial grafts.
• Preoperative assessment for CABG includes evaluation of which of the following?
• Which of the following is monitored hourly to assess fluid status after CABG?
• Which of the following is a strategy to manage blood pressure?
• Discharge teaching regarding activity after CABG states it takes how long for heart tissue to heal?
• Pulsus paradoxus is defined as...
• What is the purpose of sternotomy closure techniques and sternal closure devices in CABG?
• What are the main components of the CPB circuit?
• Pacer wire dressings should be left in place until when?
• In lipid management, what is the HDL goal?
• Which factors influence postoperative ventilation strategies after CABG?
• Which of the following is a strategy to achieve lipid level goals?
• Discharge teaching regarding care of incision & graft sites should include which instruction?
• Which monitoring line is used to assess blood pressure and mean arterial pressure in this patient?
• Which measures are used to prevent and treat graft spasm in CABG?
• What is the first chamber of the chest tube collection system?
• Which activity is a form of aerobic exercise mentioned for an active lifestyle?
• What defines cold cardioplegia and one of its benefits?
• What is the final step before closing the sternum in traditional CABG?
• What is the LDL goal in lipid management for CAD patients?
• When is sexual activity typically resumed after CABG?
• What defines warm cardioplegia and a benefit?
• What is a disadvantage of a saphenous vein graft?
• What is commonly placed after grafting and before sternum closure in a traditional CABG?
• Which of the following is a function of the drainage collection chamber in a chest tube system?
• Which measure is commonly used to manage transient hyperglycemia after CABG?
• Which postoperative complication is specifically linked to the saphenous vein harvest site?
• Which strategy supports achieving the fasting blood sugar goal?
• What do bubbles in the water seal chamber indicate?
• Which statement best describes the advantages and limitations of radial artery versus saphenous vein grafts?
• What is the impact of smoking status on CABG outcomes and graft patency?
• If renal function is at risk during CABG, what is a potential management option?
• In CABG planning, which scenario makes off-pump CABG (OPCAB) particularly advantageous?
• What is the blood pressure goal in CAD risk factor management?
• How does an anesthesia plan support graft patency and myocardial protection during CABG?
• Which is an expected outcome after CABG?
• What is retrograde cardioplegia, and when is it used?
• Which combination of practices is most effective in reducing mediastinitis after CABG?
• Which conduit is located in the chest and commonly used as a CABG graft?
• Which factor contributes to the superior long-term patency of arterial grafts like LIMA, RIMA, or radial compared to SVGs?
• Which statement about cardiac rehabilitation after CABG is correct?
• What is the purpose of cardioplegia?
• Describe cold cardioplegia and its purpose during on-pump CABG.
• Which statement best reflects the impact of using arterial grafts, such as LIMA, on long-term CABG outcomes?
• During traditional CABG, what occurs after the heart is arrested?
• Postoperative labs in tamponade may show which change?
• Name common causes of postoperative chest tube drainage requiring re-exploration.
• Discharge teaching for CABG should cover which of the following topics?
• Which statement best describes staged revascularization?
• Which arterial graft is widely considered the best long-term conduit for the LAD and why?
• Why is careful management of anticoagulation important in the context of CABG autotransfusion?
• What are common postoperative neurocognitive concerns after CABG, and how are they mitigated?
• What procedures are used to drain blood in tamponade?
• How does a saphenous vein graft work?
• Which of the following is a modifiable risk factor related to CABG surgery?
• What is an adverse effect of hemodilution?
• Which example demonstrates living an active lifestyle?
• Which pharmacologic class is commonly used to prophylactically reduce postoperative atrial fibrillation after CABG?
• How does diabetes mellitus influence CABG outcomes and graft patency?
• Which incisions may the patient have?
• Which intervention supports psychological coping after CABG?
• Which of the following is listed as a possible complication to assess for after CABG?
• What is the goal of CABG surgery?
• Fever beyond the 4th postoperative day is most indicative of which complication?
• What is coronary artery bypass graft (CABG) surgery?
• Which of the following best describes the goal of complete revascularization?
• What is the purpose of the heart-lung machine?
• Which statement best describes the recommended approach to mobility after CABG?
• Which statement best describes preoperative nursing care for CABG?
• What is the fasting blood sugar (FBS) goal in CAD risk factor discharge planning?
• What is a common smoking cessation strategy?
• What is the purpose of intraoperative temperature management during CABG?
• Which statement about radial artery grafts is true?
• Which statement best reflects a strategy to maintain a healthy weight?
• CABG grafts can be sourced from which materials?
• What is included in the preoperative nursing care of a patient undergoing CABG?
• Which assessment tool is used to monitor cognitive and neurological status after CABG?
• When should LDL optimization occur relative to CABG?
• What is transit-time flow measurement (TTFM), and what intraoperative values suggest good graft patency?
• Which option describes the function of the water seal chamber in the chest drainage system?
• What unique challenges does redo CABG pose?
• What is the typical hemodynamic target for mean arterial pressure (MAP) in the immediate postoperative CABG period?
• Which graft is associated with better long-term patency but higher risk of vasospasm?
• What is the primary indication for CABG in patients with multivessel coronary artery disease?
• What are key considerations for renal protection during CABG?
• Which of the following is a possible nursing diagnosis after CABG?
• How does the surgeon determine the number of distal grafts in CABG?
• During cardiopulmonary bypass, what is the typical activated clotting time (ACT) target to maintain anticoagulation?
• What is the typical appearance of chest tube drainage immediately after CABG surgery?
• How does an Internal Mammary Artery (IMA) graft typically perform over time?
• If hypotension is due to cardiogenic shock, which hemodynamic pattern would you expect?
• When is mediastinal re-exploration indicated due to postoperative bleeding after CABG?
• What is the primary purpose of the cardioplegia delivery system during CPB?
• Heat exchanger/temperature management in CPB serves what purpose?
• Which electrolyte disturbance is specifically monitored due to risk of dysrhythmias and muscle weakness after CABG?
• Define complete revascularization in CABG and why it matters.
• Which studies are included specifically for patients with underlying lung disease undergoing CABG?
• What role does veno-arterial extracorporeal membrane oxygenation (VA-ECMO) play in CABG-related complications?
• What is a potential disadvantage of IMA grafts?
• What is a trade-off of endoscopic saphenous vein harvesting compared with open harvest?
• Which finding should be reported immediately in suspected cardiac tamponade?
• Which option is NOT among the five most common direct targets for bypass grafting?
• In radial artery grafts, the proximal end is anastomosed to which structure?
• What reverses heparin anticoagulation after CABG?
• If hypotension is due to hypovolemia, which hemodynamic pattern would you expect?
• Which complication is commonly associated with the saphenous vein harvest site after CABG?
• Name the five most common direct coronary targets for bypass grafting.
• What specific findings on preoperative imaging may increase CABG complexity, such as aortic atherosclerosis?
• What are common transfusion triggers during or after CABG?
• Which intraoperative condition may prompt consideration of off-pump CABG or alternative anastomosis strategies?
• Which drainage change should the nurse assess and report regarding chest tube drainage after CABG?
• Which statement about MIDCAB is correct?
• Which electrolyte disturbance is a potential side effect of cardiopulmonary bypass (CPB)?
• Which statement best reflects the risk profile of IMA grafts?
• Which of the following is a symptom of postpericardiotomy syndrome?
• Which item is listed as an expected outcome of CABG care to preserve tissue integrity and prevent infection?
• Which preoperative medication must be discontinued at least 5 days before CABG?
• What is the purpose of CABG surgery?
• How should the nurse address culture or health beliefs that may affect CABG care?
• What is the triglyceride goal in lipid management?
• What is the principle behind hypothermia during CPB, and how does it protect the myocardium?
• Which item is NOT part of the CABG preoperative preparation?
• Instability of the sternum is most indicative of which complication after CABG?
• Which practice is commonly recommended across lipid, glucose, and blood pressure management for CAD risk reduction?
• What grafts may be used by the surgeon in CABG?
• What is the purpose of anticoagulation during the CABG procedure?
• Which practice is NOT recommended to prevent infection after CABG?
• What is the role of antiplatelet therapy after CABG, and when is aspirin typically resumed?
• Intraoperative TTFM uses pulsatility index (PI) as a parameter. A PI less than what value generally indicates satisfactory graft flow?
• Which factor is nonmodifiable in the context of CABG risk factors?
• Which test is used to determine blood type and crossmatch preoperatively?
• Which are common considerations when selecting a radial artery as a conduit?
• How does lipid management influence CABG outcomes?
• How does age influence CABG risk and graft selection?
• Which diagnostic study is NOT listed as part of the preoperative workup for CABG surgery?
• What are typical criteria guiding the choice between OPCAB and on-pump CABG?
• Which of the following is a disadvantage of radial artery grafts?
• Which of the following is used to treat hypotension in tamponade related to hypoperfusion?
• What are key considerations in choosing off-pump CABG (OPCAB) versus on-pump CABG?
• Which assessment is used to ensure adequate ulnar collateral circulation before radial artery harvest?
• Why is ambulation started early after CABG?
• CABG is considered when coronary vessels are unsuitable for PCI.
• Which statement is true about communication for a patient on mechanical ventilation after CABG?
• Which LIMA harvesting technique reduces the risk of sternal devascularization?
• What does cardiac tamponade lead to?
• What is endoscopic vein harvesting, and what are its potential advantages and concerns?
• Why is LIMA-to-LAD patency particularly significant for long-term CABG outcomes?
• Which is a strategy for stress reduction as part of risk factor modification?
• Which of the following is an expected postoperative assessment?
• Postoperative assessment after CABG includes which of the following as a priority?
• Which statement reflects a belief commonly affecting CABG care?
• Which of the following is a typical consideration when selecting OPCAB versus on-pump CABG?
• Which statement is NOT a consideration specifically for older adults (65+) after CABG?
• Which medication may be given intranasally as prophylaxis to decrease the incidence of sternal wound infection?
• After CABG, when is driving not recommended?
• What is a potential risk associated with using bilateral internal mammary arteries (BIMA)?
• Which lipid management strategy is associated with improved graft patency after CABG?
• What is the primary hemodynamic effect of an intra-aortic balloon pump (IABP) when it inflates during diastole?
• If a patient has multivessel disease with diabetes, which intervention is generally favored for durable complete revascularization?
• What is the role of left atrial appendage management during CABG when atrial fibrillation is present?
• Which of the following is NOT part of mediastinitis treatment?
• Which sign is associated with postpericardiotomy syndrome?
• What is the rationale for using bilateral internal mammary arteries (BIMA) versus single LIMA in CABG?
• Which statement correctly describes the radial artery as a CABG graft?
• Which statement about disadvantages of IMA grafts is true?
• In which patient scenarios is CABG preferred over PCI according to guidelines?
• Protamine is used in CABG to reverse heparin. Which statement correctly describes its use and potential adverse effects?