Question 1

What is contraindicated for a patient performing Buerger-Allen exercises?

Accepted Answer

A)  Lying on the stomach 
B)  Raising legs for 2 minutes until they blanch 
C)  Lowering the legs until the color returns 
D)  Keeping legs flat for 5 minutes and then repeat the exercise 
A)  Lying on the stomach 
B)  Raising legs for 2 minutes until they blanch 
C)  Lowering the legs until the color returns 
D)  Keeping legs flat for 5 minutes and then repeat the exercise A

Question 2

A nurse is caring for a patient who has had an angiogram.What should the nurse make a point of care to assess and document on this patient?

Accepted Answer

A)  Fluid intake 
B)  Peripheral pulses in the affected leg 
C)  Inquiring about an allergy to iodine 
D)  Decreased blood pressure 
A)  Fluid intake 
B)  Peripheral pulses in the affected leg 
C)  Inquiring about an allergy to iodine 
D)  Decreased blood pressure B

Question 3

Which assessment should be immediately addressed in a patient on lidocaine?

Accepted Answer

A)  Slowed ventricular rate 
B)  Occasional PVCs 
C)  Increase in temperature to 102$\degree$ F 
D)  Nausea and vomiting 
A)  Slowed ventricular rate 
B)  Occasional PVCs 
C)  Increase in temperature to 102$\degree$ F 
D)  Nausea and vomiting C

Question 4

A nurse is performing an intake examination on a patient with peripheral vascular disease (PVD).Which lifestyle information identified by the patient aggravates vascular disease?

Accepted Answer

A)  Riding a bicycle to work 
B)  Drinking red wine every day 
C)  Being employed as an air traffic controller 
D)  Eating chocolate candy every day 
A)  Riding a bicycle to work 
B)  Drinking red wine every day 
C)  Being employed as an air traffic controller 
D)  Eating chocolate candy every day

Question 5

A 68-year-old patient is scheduled for open heart surgery in the morning and is crying.What is the most appropriate response by the nurse?

Accepted Answer

A)  "Everything will go great! Dr.C.is the best!" 
B)  "I know how you feel, so do not cry." 
C)  "Tell me what concerns you the most." 
D)  "I will call the physician for a sedative.You are too upset." 
A)  "Everything will go great! Dr.C.is the best!" 
B)  "I know how you feel, so do not cry." 
C)  "Tell me what concerns you the most." 
D)  "I will call the physician for a sedative.You are too upset."

Question 6

A patient asks what a transesophageal echocardiogram (TEE)is and what it is expected to do? What is the best explanation by the nurse?

Accepted Answer

A)  Measures conductivity 
B)  Records the force of contraction 
C)  Evaluates the efficiency of the valves 
D)  Checks the volume of the preload 
A)  Measures conductivity 
B)  Records the force of contraction 
C)  Evaluates the efficiency of the valves 
D)  Checks the volume of the preload

Question 7

A nurse is preparing to administer low-molecular-weight heparin (LMWH).What is a major advantage related to the administration of LMWH?

Accepted Answer

A)  It can be given orally. 
B)  It is provided fixed doses. 
C)  It is given only after partial thromboplastin time (PTT)laboratory work. 
D)  It provides an immediate effect. 
A)  It can be given orally. 
B)  It is provided fixed doses. 
C)  It is given only after partial thromboplastin time (PTT)laboratory work. 
D)  It provides an immediate effect.

Question 8

What action should a nurse expect to implement when a patient returns from a cardiac catheterization?

Accepted Answer

A)  Ambulate the patient in the hall. 
B)  Check the puncture site. 
C)  Monitor the gag reflex. 
D)  Remove the gel from all sites on the skin. 
A)  Ambulate the patient in the hall. 
B)  Check the puncture site. 
C)  Monitor the gag reflex. 
D)  Remove the gel from all sites on the skin.

Question 9

Which technique should the nurse implement when performing the Allen test on a patient to evaluate the adequacy of circulation in the radial artery?

Accepted Answer

A)  Asks the patient to relax the hand by the side 
B)  Compresses only the ulnar artery to blanch the hand 
C)  Releases pressure on both arteries at the same time 
D)  Observes whether the color is returning to the hand, which indicates perfusion 
A)  Asks the patient to relax the hand by the side 
B)  Compresses only the ulnar artery to blanch the hand 
C)  Releases pressure on both arteries at the same time 
D)  Observes whether the color is returning to the hand, which indicates perfusion

Question 10

Which factors affect stroke volume? (Select all that apply.)

Accepted Answer

A)  Contractility 
B)  Climate 
C)  Age 
D)  Preload 
E)  Afterload 
A)  Contractility 
B)  Climate 
C)  Age 
D)  Preload 
E)  Afterload

Question 11

A patient has had atropine sulfate that has been administered intravenously to treat a dysrhythmia.What should the nurse assess this patient for after administration?

Accepted Answer

A)  Weight gain 
B)  Tachycardia 
C)  Muscle twitching 
D)  Incontinence of urine 
A)  Weight gain 
B)  Tachycardia 
C)  Muscle twitching 
D)  Incontinence of urine

Question 12

A nurse performs an apical-radial pulse evaluation, with the result of 100/88.What is the pulse deficit?

Accepted Answer

A)  12 
B)  24 
C)  76 
D)  88 
A)  12 
B)  24 
C)  76 
D)  88

Question 13

A nurse explains that cardiac rehabilitation lasts from the end of acute care to the return to home and beyond.What does this service include?

Accepted Answer

A)  One-on-one individualized care 
B)  Focus on the patient rather than the family 
C)  Telemetry-monitored exercise 
D)  Rejection from the program for noncompliance 
A)  One-on-one individualized care 
B)  Focus on the patient rather than the family 
C)  Telemetry-monitored exercise 
D)  Rejection from the program for noncompliance

Question 14

Vascular disease disorders often require the use of elastic stockings.Which action should the nurse implement when caring for a patient with elastic stockings?

Accepted Answer

A)  Apply the stockings and roll down the cuff. 
B)  Remove the stockings for skin inspection two times a day. 
C)  Remove the stockings when the patient is ambulating. 
D)  Inspect the skin for pressure or irritation daily. 
A)  Apply the stockings and roll down the cuff. 
B)  Remove the stockings for skin inspection two times a day. 
C)  Remove the stockings when the patient is ambulating. 
D)  Inspect the skin for pressure or irritation daily.

Question 15

Which statement made by a patient indicates to the nurse that a teaching plan for the use of warfarin was not effective?

Accepted Answer

A)  "I don't take aspirin anymore." 
B)  "I read that grapefruit interferes with warfarin." 
C)  "I'm drinking too much tea.My urine looks like tea." 
D)  "I wear my medical alert bracelet all the time." 
A)  "I don't take aspirin anymore." 
B)  "I read that grapefruit interferes with warfarin." 
C)  "I'm drinking too much tea.My urine looks like tea." 
D)  "I wear my medical alert bracelet all the time."

Question 16

A nurse is educating a patient regarding a stress test on a treadmill.Teaching includes that this test is a noninvasive procedure.What additional information is appropriate for the nurse to include?

Accepted Answer

A)  Is monitored continuously by blood pressure and an electrocardiogram 
B)  Will last about 1 hour 
C)  Is meant to stimulate claudication and dyspnea 
D)  Will require a period of bed rest afterward 
A)  Is monitored continuously by blood pressure and an electrocardiogram 
B)  Will last about 1 hour 
C)  Is meant to stimulate claudication and dyspnea 
D)  Will require a period of bed rest afterward

Question 17

What is increased in hypertension that in turn causes an increase in the work of the heart?

Accepted Answer

A)  Preload 
B)  Stroke volume 
C)  Contractility 
D)  Afterload 
A)  Preload 
B)  Stroke volume 
C)  Contractility 
D)  Afterload

Question 18

A patient with an irregular sinoatrial (SA)node conduction has a permanent pacemaker with the code AAIOO and is now going home.The patient asks, "What happens when my real SA node fires on its own?" How should the nurse respond regarding what the pacemaker should do?

Accepted Answer

A)  Not fire 
B)  Fire only the ventricles 
C)  Change the rate of firing 
D)  Fire both the atria and the ventricles. 
A)  Not fire 
B)  Fire only the ventricles 
C)  Change the rate of firing 
D)  Fire both the atria and the ventricles.

Question 19

Which age-related changes in the heart should a nurse take into consideration? (Select all that apply.)

Accepted Answer

A)  Decrease in contractility 
B)  Thickened valves 
C)  Stiffened valves 
D)  Decreased SA node cells 
E)  Increased nerve fibers in ventricles 
A)  Decrease in contractility 
B)  Thickened valves 
C)  Stiffened valves 
D)  Decreased SA node cells 
E)  Increased nerve fibers in ventricles

Question 20

A patient with atrial fibrillation is prescribed amiodarone for the dysrhythmia.Which potential adverse reaction should the nurse report?

Accepted Answer

A)  Ataxia 
B)  Decreasing pulse rate 
C)  Decreasing blood pressure 
D)  Increase in cardiac output 
A)  Ataxia 
B)  Decreasing pulse rate 
C)  Decreasing blood pressure 
D)  Increase in cardiac output

Exam 33: Cardiovascular System Introduction

What is contraindicated for a patient performing Buerger-Allen exercises?

A nurse is caring for a patient who has had an angiogram.What should the nurse make a point of care to assess and document on this patient?

Which assessment should be immediately addressed in a patient on lidocaine?

A nurse is performing an intake examination on a patient with peripheral vascular disease (PVD).Which lifestyle information identified by the patient aggravates vascular disease?

A 68-year-old patient is scheduled for open heart surgery in the morning and is crying.What is the most appropriate response by the nurse?

A patient asks what a transesophageal echocardiogram (TEE)is and what it is expected to do? What is the best explanation by the nurse?

A nurse is preparing to administer low-molecular-weight heparin (LMWH).What is a major advantage related to the administration of LMWH?

What action should a nurse expect to implement when a patient returns from a cardiac catheterization?

Which technique should the nurse implement when performing the Allen test on a patient to evaluate the adequacy of circulation in the radial artery?

Which factors affect stroke volume? (Select all that apply.)

A patient has had atropine sulfate that has been administered intravenously to treat a dysrhythmia.What should the nurse assess this patient for after administration?

A nurse performs an apical-radial pulse evaluation, with the result of 100/88.What is the pulse deficit?

A nurse explains that cardiac rehabilitation lasts from the end of acute care to the return to home and beyond.What does this service include?

Vascular disease disorders often require the use of elastic stockings.Which action should the nurse implement when caring for a patient with elastic stockings?

Which statement made by a patient indicates to the nurse that a teaching plan for the use of warfarin was not effective?

A nurse is educating a patient regarding a stress test on a treadmill.Teaching includes that this test is a noninvasive procedure.What additional information is appropriate for the nurse to include?

What is increased in hypertension that in turn causes an increase in the work of the heart?

A patient with an irregular sinoatrial (SA)node conduction has a permanent pacemaker with the code AAIOO and is now going home.The patient asks, "What happens when my real SA node fires on its own?" How should the nurse respond regarding what the pacemaker should do?

Which age-related changes in the heart should a nurse take into consideration? (Select all that apply.)

A patient with atrial fibrillation is prescribed amiodarone for the dysrhythmia.Which potential adverse reaction should the nurse report?

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

Cardiac Disorders

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