Question 1

______ is an abnormal thickening, hardening, and loss of elasticity of arterial walls.

Accepted Answer

Arteriosclerosis

Question 2

A 49-year-old patient has multiple risk factors for coronary artery disease.Which risk factor is considered modifiable?

Accepted Answer

A)  Family history 
B)  Age 
C)  Smoking 
D)  Male gender 
A)  Family history 
B)  Age 
C)  Smoking 
D)  Male gender C

Question 3

What actions should a nurse implement to decrease the workload of the heart in a patient with acute congestive failure? (Select all that apply.)

Accepted Answer

A)  Eliminate unnecessary activities. 
B)  Direct the patient in active range-of-motion exercises. 
C)  Help the patient change positions every 2 hours. 
D)  Assist the patient to ambulate to the bathroom. 
E)  Give a partial bed bath rather than full bed bath. 
A)  Eliminate unnecessary activities. 
B)  Direct the patient in active range-of-motion exercises. 
C)  Help the patient change positions every 2 hours. 
D)  Assist the patient to ambulate to the bathroom. 
E)  Give a partial bed bath rather than full bed bath. A, C, E

Question 4

A patient with acute congestive heart failure has jugular vein distention, crackles bilaterally, and dyspnea.Which nursing diagnosis should have the highest priority?

Accepted Answer

A)  Inadequate mobility 
B)  Fluid volume excess 
C)  Anxiety 
D)  Inadequate coping 
A)  Inadequate mobility 
B)  Fluid volume excess 
C)  Anxiety 
D)  Inadequate coping

Question 5

A patient with angina pectoris complains of chest pain at rest and needs to take three nitroglycerin (NTG)pills to relieve the pain.Of what should the nurse assess this as a major symptom?

Accepted Answer

A)  Stable angina 
B)  Unstable angina 
C)  Full-blown acute myocardial infarction (MI) 
D)  Pulmonary embolus 
A)  Stable angina 
B)  Unstable angina 
C)  Full-blown acute myocardial infarction (MI) 
D)  Pulmonary embolus

Question 6

What do fibrous plaques of atherosclerosis serve as when they are laid down in the vessels?

Accepted Answer

A)  Stent to keep the vessel open 
B)  Trap to which other substances adhere 
C)  Threat to the integrity of the vessel wall 
D)  Embolus 
A)  Stent to keep the vessel open 
B)  Trap to which other substances adhere 
C)  Threat to the integrity of the vessel wall 
D)  Embolus

Question 7

What is an important teaching point for a patient with mitral stenosis?

Accepted Answer

A)  Obtain a place on the heart transplant list. 
B)  Balance activity with oxygen supply. 
C)  Increase daily fluid intake to over 2000 mL. 
D)  Have an annual electrocardiogram. 
A)  Obtain a place on the heart transplant list. 
B)  Balance activity with oxygen supply. 
C)  Increase daily fluid intake to over 2000 mL. 
D)  Have an annual electrocardiogram.

Question 8

Stable angina (also called chronic stable angina)occurs most often with exercise or activity and usually subsides with ______.

Accepted Answer

The answer of Stable angina (also called chronic stable angina)occurs...

Question 9

A nurse urges a 50-year-old overweight executive who had a myocardial infarction (MI)3 months earlier to take up some conditioning exercises for 30 minutes a day.What rationale supports this suggestion? (Select all that apply.)

Accepted Answer

A)  Lose weight. 
B)  Improve cardiac dysrhythmia. 
C)  Decrease workload of the heart. 
D)  Decrease cholesterol levels. 
E)  Increase cholesterol levels. 
A)  Lose weight. 
B)  Improve cardiac dysrhythmia. 
C)  Decrease workload of the heart. 
D)  Decrease cholesterol levels. 
E)  Increase cholesterol levels.

Question 10

What information should a nurse include in a patient's discharge instruction after an acute myocardial infarction (MI)?

Accepted Answer

A)  Cautions about the use of morphine 
B)  Detailed symptoms that indicate impending MI 
C)  Written instructions on diet and follow-up appointments 
D)  High-energy exercise program directions 
A)  Cautions about the use of morphine 
B)  Detailed symptoms that indicate impending MI 
C)  Written instructions on diet and follow-up appointments 
D)  High-energy exercise program directions

Exam 34: Cardiac Disorders

______ is an abnormal thickening, hardening, and loss of elasticity of arterial walls.

A 49-year-old patient has multiple risk factors for coronary artery disease.Which risk factor is considered modifiable?

What actions should a nurse implement to decrease the workload of the heart in a patient with acute congestive failure? (Select all that apply.)

A patient with acute congestive heart failure has jugular vein distention, crackles bilaterally, and dyspnea.Which nursing diagnosis should have the highest priority?

A patient with angina pectoris complains of chest pain at rest and needs to take three nitroglycerin (NTG)pills to relieve the pain.Of what should the nurse assess this as a major symptom?

What do fibrous plaques of atherosclerosis serve as when they are laid down in the vessels?

What is an important teaching point for a patient with mitral stenosis?

Stable angina (also called chronic stable angina)occurs most often with exercise or activity and usually subsides with ______.

A nurse urges a 50-year-old overweight executive who had a myocardial infarction (MI)3 months earlier to take up some conditioning exercises for 30 minutes a day.What rationale supports this suggestion? (Select all that apply.)

What information should a nurse include in a patient's discharge instruction after an acute myocardial infarction (MI)?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

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