CARDIOVASCULAR REVIEW

QUESTIONS
Question No. 1
 Which of the following nursing
interventions would be considered
most important for a client during
the first several days after a
myocardial infarction?
a.Regular diet
b.Bedside commode
c.Turn, cough, and deep breathing
d.Active range of motion exercise
 B
Question No. 2
 The nurse is caring for a client who is
in right sided heart failure. The
focus of nursing care is to decrease
the workload of the heart. To
facilitate this goal of care, the nurse
would anticipate administering
which of the following medications?
a.Digoxin (lanoxin)
b.Atorvastatin (Lipitor)
c.Bretylium (Bretylol)
d.Procainamide (Procan)
 A
Question No. 3

 Which of the following cardiac

dysrhythmias would be life
threatening and would necessitate
intervention by the nurse?
a.Sinus Tachycardia
b.Atrial fibrillation
c.Junctional Tachycardia
d.Ventricular fibrillation
 D
Question No. 4
 The nurse is caring for a client who is
using a nitroglycerine transdermal
patch. Which of the following
statements, if made by the client,
should indicate to the nurse that
further teaching is needed?
a.“I will get up from a chair slowly.”
b.“I will report any blurred vision or a dry
mouth.”
c.“I will stop using the patch if I get a
headache.”
d.“I will put the patch in a different place
 C
Question No. 4

 The nurse is assessing a client’s risk

factors for heart disease, Which of
the following would be most crucial
to note in the history?
a.Family history, hypertension, stress,
age
b.Personality type, high cholesterol,
diabetes, smoking
c.Smoking, hypertension, obesity,
diabetes and high cholesterol
d.Alcohol consumption, obesity,
 C
Question No. 5

 The physician refers a client for

cardiac catheterization. The nurse
would explain to the client and his
family that the primary rationale for
performing this procedure is to
a.Bypass obstructed vessels
b.Assess the extent of arterial blockage
c.Open and dilate blocked coronary
arteries
d.Assess the functional adequacy of the
valves and heart muscle
 B
Question No. 6

 An expected outcome for a client

receiving cholestyramine
(Questran) would be
a.Decreased blood pressure
b.Increased cardiac output
c.Decreased serum cholesterol
d.Increased peripheral vascular
resistance
 C
Question No. 7

 A client is experiencing sinus

bradycardia related to digitalis
toxicity. The nurse should be
prepared to administer which of the
following drugs to increase the
heart rate if the client becomes
symptomatic?
a.Atropine
b.Lidocaine
c.Verapamil (Calan)
d.Procainamide
 A
Question No. 8

 The nurse would anticipate that a

temporary pacemaker would be
considered for which type of
dysrhythmia?
a.Heart block
b.Atrial fibrillation
c.Ventricular fibrillation
d.Ventricular tachycardia
 A
Question No. 9

 Which of the following lab result is

indicative of myocardial infarction?
a.Decreased serum cholesterol
b.Decreased potassium
c.Elevated creatinine phosphokinase
(CPK)
d.Elevated white blood cell (WBC)
 C
Question No. 10

 A client in the cardiac care unit is

experiencing multiple premature
ventricular contractions (PVC) What
medication should the nurse
prepare to administer to the client?
a.Atropine
b.Lidocaine
c.Morphine
d.Epinephrine
 B
Question No. 11

 A client who has been treated for

angina pectoris has a PTCA. The
nurse understands that the primary
purpose of this procedure is to
a.Assess myocardial infarction
b.Determine peripheral vessel patency
c.Improve cardiopulmonary blood flow
d.Increase the diameter of the coronary
arteries
 D
Question No. 12

 The nurse is closely monitoring a

client with myocardial infarction for
complications. The nurse recognizes
that hypotension is a warning sign
of
a.A secondary MI
b.Pulmonary edema
c.Cardiogenic shock
d.Fatal dysrhythmias
 C
Question No. 13

 A client is experiencing left

ventricular failure. Which of the
following clinical manifestations is
indicative of the condition?
a.Orthopnea
b.Low blood pressure
c.Pulsating neck veins
d.Edema in the left arm
 A
Question No. 14

 The nurse is assessing a 46 year old

male client complaining of chest
pain. If the client is experiencing a
myocardial infarction (MI), he is
most likely to make which of the
following statements?
a.“The pain comes and goes.”
b.“I think I am having a heart attack”
c.“I’ve been having pain for a day or
two.”
d.“It feels like an elephant standing on
 D
Question No. 15

 To obtain an accurate central venous

pressure reading with a CVP
catheter, the nurse should place the
client in which of the following
positions?
a.Horizontally
b.Left side lying position
c.Right side lying position
d.Knee chest position
 A