Cardiovascular Review Questions

8/14/2019 Cardiovascular Review Questions

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CARDIOVASCULAR REVIEWQUESTIONS


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Question No. 1

Which of the following nursinginterventions would be consideredmost important for a client duringthe first several days after amyocardial infarction?

a.Regular diet

b.Bedside commode

c.Turn, cough, and deep breathingd.Active range of motion exercise


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B


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Question No. 2

The nurse is caring for a client who isin right sided heart failure. Thefocus of nursing care is to decreasethe workload of the heart. Tofacilitate this goal of care, the nursewould anticipate administeringwhich of the following medications?

a.Digoxin (lanoxin)b.Atorvastatin (Lipitor)

c.Bretylium (Bretylol)

d.Procainamide (Procan)


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A


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Question No. 3

Which of the following cardiacdysrhythmias would be lifethreatening and would necessitate

intervention by the nurse?a.Sinus Tachycardia

b.Atrial fibrillation

c.Junctional Tachycardiad.Ventricular fibrillation


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D


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C


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C


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Question No. 5

The physician refers a client forcardiac catheterization. The nursewould explain to the client and his

family that the primary rationale forperforming this procedure is to

a.Bypass obstructed vessels

b.Assess the extent of arterial blockagec.Open and dilate blocked coronary

arteries

d.Assess the functional adequacy of the

valves and heart muscle


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B


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Question No. 6

An expected outcome for a clientreceiving cholestyramine(Questran) would be

a.Decreased blood pressure

b.Increased cardiac output

c.Decreased serum cholesterol

d.Increased peripheral vascularresistance


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C


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Question No. 7

A client is experiencing sinusbradycardia related to digitalistoxicity. The nurse should be

prepared to administer which of thefollowing drugs to increase theheart rate if the client becomes

symptomatic?a.Atropine

b.Lidocaine

c.Verapamil (Calan)

d.Procainamide


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A


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Question No. 8

The nurse would anticipate that atemporary pacemaker would beconsidered for which type of

dysrhythmia?a.Heart block

b.Atrial fibrillation

c.Ventricular fibrillationd.Ventricular tachycardia


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A


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Question No. 9

Which of the following lab result isindicative of myocardial infarction?

a.Decreased serum cholesterol

b.Decreased potassium

c.Elevated creatinine phosphokinase(CPK)

d.Elevated white blood cell (WBC)


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C


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Question No. 10

A client in the cardiac care unit isexperiencing multiple prematureventricular contractions (PVC) What

medication should the nurseprepare to administer to the client?

a.Atropine

b.Lidocainec.Morphine

d.Epinephrine


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Question No. 11

A client who has been treated forangina pectoris has a PTCA. Thenurse understands that the primary

purpose of this procedure is toa.Assess myocardial infarction

b.Determine peripheral vessel patency

c.Improve cardiopulmonary blood flowd.Increase the diameter of the coronary

arteries


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D


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Question No. 12

The nurse is closely monitoring aclient with myocardial infarction forcomplications. The nurse recognizes

that hypotension is a warning signof

a.A secondary MI

b.Pulmonary edemac.Cardiogenic shock

d.Fatal dysrhythmias


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C


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Question No. 13

A client is experiencing leftventricular failure. Which of thefollowing clinical manifestations is

indicative of the condition?a.Orthopnea

b.Low blood pressure

c.Pulsating neck veinsd.Edema in the left arm


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Question No. 14

The nurse is assessing a 46 year oldmale client complaining of chestpain. If the client is experiencing a

myocardial infarction (MI), he ismost likely to make which of thefollowing statements?

a.The pain comes and goes.

b.I think I am having a heart attack

c.Ive been having pain for a day ortwo.

d.It feels like an elephant standing on


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D


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Question No. 15

To obtain an accurate central venouspressure reading with a CVPcatheter, the nurse should place the

client in which of the followingpositions?

a.Horizontally

b.Left side lying positionc.Right side lying position

d.Knee chest position


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A

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