Question 1

A physician has ordered continuous pulse oximetry.What should the nurse explain to the patient about this procedure?

Accepted Answer

A)  Involves a single prick 
B)  Measures the amount of oxygen in the blood 
C)  Is applied to the wrist 
D)  Identifies damaged cells in the myocardium 
A)  Involves a single prick 
B)  Measures the amount of oxygen in the blood 
C)  Is applied to the wrist 
D)  Identifies damaged cells in the myocardium

Question 2

A nurse records the finding of a normal sinus rhythm (NSR)when the P, Q, R, S, and T are all present in the electrocardiographic complex.What additional information should the nurse document?

Accepted Answer

A)  Rate of 82 seconds 
B)  PR interval of 0.36 second 
C)  QRS complex of 0.16 second 
D)  Inverted T 
A)  Rate of 82 seconds 
B)  PR interval of 0.36 second 
C)  QRS complex of 0.16 second 
D)  Inverted T

Question 3

A nurse cautions a patient with peripheral vascular disease (PVD)that continued smoking causes detrimental vasoconstriction for up to ____ after only one cigarette.

Accepted Answer

A)  10 minutes 
B)  20 minutes 
C)  30 minutes 
D)  1 hour 
A)  10 minutes 
B)  20 minutes 
C)  30 minutes 
D)  1 hour

Question 4

What is a normal age-related change in older adults that makes them susceptible to cardiovascular disease?

Accepted Answer

A)  Increase in cardiac output 
B)  Increase in stroke volume 
C)  Stiff peripheral vessels 
D)  Oxygen capacity improvement 
A)  Increase in cardiac output 
B)  Increase in stroke volume 
C)  Stiff peripheral vessels 
D)  Oxygen capacity improvement

Question 5

A 46-year-old patient is receiving propranolol (Inderal), a nonselective beta-adrenergic blocker, for a heart condition.What patient teaching is most appropriate?

Accepted Answer

A)  Sit or lie down when taking the drug. 
B)  Limit caffeine intake. 
C)  Double the dose if symptoms occur. 
D)  Never stop taking the drug abruptly. 
A)  Sit or lie down when taking the drug. 
B)  Limit caffeine intake. 
C)  Double the dose if symptoms occur. 
D)  Never stop taking the drug abruptly.

Question 6

A patient inquires how something as simple as walking could help his venous vascular disorder.What is the best response by the nurse when explaining the benefits of walking?

Accepted Answer

A)  Improves the strength of the vascular walls 
B)  Boosts venous circulation through leg muscle activity 
C)  Increases cardiac output 
D)  Clears plaques from the veins 
A)  Improves the strength of the vascular walls 
B)  Boosts venous circulation through leg muscle activity 
C)  Increases cardiac output 
D)  Clears plaques from the veins

Question 7

Laboratory tests are performed to identify damage to the heart muscle.Which test is elevated the earliest with heart damage?

Accepted Answer

A)  Creatine phosphokinase-MB (CPK-M
B)  
B)  Lactate dehydrogenase (LDH) 
C)  Lipid profile 
D)  Troponin 
A)  Creatine phosphokinase-MB (CPK-M
B)  
B)  Lactate dehydrogenase (LDH) 
C)  Lipid profile 
D)  Troponin

Question 8

At rest, the cardiac cells in the myocardium are electrically polarized, with the inside of the cell being more ______ than the outside of the cell.

Accepted Answer

The answer of At rest, the cardiac cells in the...

Question 9

A nurse performs Homans maneuver by flexing the knee and sharply dorsiflexing the foot.What response indicates a positive Homans sign?

Accepted Answer

A)  Cramping of the toes 
B)  Resisting dorsiflexion 
C)  Pain in the calf area 
D)  Blanching of the sole 
A)  Cramping of the toes 
B)  Resisting dorsiflexion 
C)  Pain in the calf area 
D)  Blanching of the sole

Question 10

A nurse explains that when a patient history reveals a recent episode of vomiting and diarrhea, the nurse anticipates that this fluid loss will cause ______ and increased blood viscosity.

Accepted Answer

The answer of A nurse explains that when a patient...

Question 11

A nurse suspects a circulatory disorder in one leg.Which assessments should the nurse include when comparing both legs? (Select all that apply.)

Accepted Answer

A)  Color 
B)  Warmth 
C)  Muscle strength 
D)  Pulse quality 
E)  Hair loss on extremity 
A)  Color 
B)  Warmth 
C)  Muscle strength 
D)  Pulse quality 
E)  Hair loss on extremity

Question 12

A dopamine infusion is being administered to a patient with shock.For what should the nurse be alert?

Accepted Answer

A)  Sharp spike in blood pressure 
B)  Tremor of the hands 
C)  Increasing urinary output 
D)  Hyperirritability of the patient 
A)  Sharp spike in blood pressure 
B)  Tremor of the hands 
C)  Increasing urinary output 
D)  Hyperirritability of the patient

Question 13

A diuretic medication, furosemide (Lasix), is being administered for congestive heart failure.Which assessment is not an anticipated consequence of the therapy?

Accepted Answer

A)  Increased urinary output 
B)  Weight loss 
C)  Thirst 
D)  Muscle weakness 
A)  Increased urinary output 
B)  Weight loss 
C)  Thirst 
D)  Muscle weakness

Question 14

A nurse explains that the lining of a vessel that allows for smooth blood flow and also reduced resistance in the vessel is the ______ of the vessel.

Accepted Answer

The answer of A nurse explains that the lining of...

Question 15

A nurse assesses an inverted T wave on the ECG of a patient who had an acute MI two days earlier.How should the nurse interpret this finding?

Accepted Answer

A)  Normal recovery 
B)  New MI 
C)  Abnormal waveform 
D)  Congestive heart failure 
A)  Normal recovery 
B)  New MI 
C)  Abnormal waveform 
D)  Congestive heart failure

Question 16

Why do older persons adapt more slowly to changes in the peripheral vascular system? (Select all that apply.)

Accepted Answer

A)  Slowing heart rate 
B)  Decreasing cardiac output 
C)  Increasing stroke volume 
D)  Stiffening of blood vessels 
E)  Thickening of aorta 
A)  Slowing heart rate 
B)  Decreasing cardiac output 
C)  Increasing stroke volume 
D)  Stiffening of blood vessels 
E)  Thickening of aorta

Question 17

A nurse should anticipate that a patient taking Vasotec, an angiotensin-converting enzyme (ACE)inhibitor, should have which positive outcome to this drug?

Accepted Answer

A)  Increased fluid retention 
B)  Decreased blood pressure 
C)  Decreased urine output 
D)  Increased appetite 
A)  Increased fluid retention 
B)  Decreased blood pressure 
C)  Decreased urine output 
D)  Increased appetite

Question 18

A stress test is scheduled for a 41-year-old patient.What action should the nurse implement to prepare the patient for the examination?

Accepted Answer

A)  Have the patient sign a consent form. 
B)  Give the patient a special heart diet. 
C)  Prepare the patient for sedation. 
D)  Remove all metal objects. 
A)  Have the patient sign a consent form. 
B)  Give the patient a special heart diet. 
C)  Prepare the patient for sedation. 
D)  Remove all metal objects.

Question 19

A 29-year-old patient is to receive cardioversion for a dysrhythmia.What should the nurse instruct the patient to expect?

Accepted Answer

A)  Administration of a short-acting sedative 
B)  Digoxin dose to be taken as scheduled 
C)  Procedure to be completely safe 
D)  Pacemaker spikes to be carefully monitored 
A)  Administration of a short-acting sedative 
B)  Digoxin dose to be taken as scheduled 
C)  Procedure to be completely safe 
D)  Pacemaker spikes to be carefully monitored

Question 20

A nurse records that a patient has a 3+ edema to the right foot.How deep did the nurse's thumb depress the edematous area?

Accepted Answer

A)  More than 1 inch 
B)  To 1 inch 
C)  To inch 
D)  Less than inch 
A)  More than 1 inch 
B)  To 1 inch 
C)  To inch 
D)  Less than inch

Exam 33: Cardiovascular System Introduction

A physician has ordered continuous pulse oximetry.What should the nurse explain to the patient about this procedure?

A nurse records the finding of a normal sinus rhythm (NSR)when the P, Q, R, S, and T are all present in the electrocardiographic complex.What additional information should the nurse document?

A nurse cautions a patient with peripheral vascular disease (PVD)that continued smoking causes detrimental vasoconstriction for up to ____ after only one cigarette.

What is a normal age-related change in older adults that makes them susceptible to cardiovascular disease?

A 46-year-old patient is receiving propranolol (Inderal), a nonselective beta-adrenergic blocker, for a heart condition.What patient teaching is most appropriate?

A patient inquires how something as simple as walking could help his venous vascular disorder.What is the best response by the nurse when explaining the benefits of walking?

Laboratory tests are performed to identify damage to the heart muscle.Which test is elevated the earliest with heart damage?

At rest, the cardiac cells in the myocardium are electrically polarized, with the inside of the cell being more ______ than the outside of the cell.

A nurse performs Homans maneuver by flexing the knee and sharply dorsiflexing the foot.What response indicates a positive Homans sign?

A nurse explains that when a patient history reveals a recent episode of vomiting and diarrhea, the nurse anticipates that this fluid loss will cause ______ and increased blood viscosity.

A nurse suspects a circulatory disorder in one leg.Which assessments should the nurse include when comparing both legs? (Select all that apply.)

A dopamine infusion is being administered to a patient with shock.For what should the nurse be alert?

A diuretic medication, furosemide (Lasix), is being administered for congestive heart failure.Which assessment is not an anticipated consequence of the therapy?

A nurse explains that the lining of a vessel that allows for smooth blood flow and also reduced resistance in the vessel is the ______ of the vessel.

A nurse assesses an inverted T wave on the ECG of a patient who had an acute MI two days earlier.How should the nurse interpret this finding?

Why do older persons adapt more slowly to changes in the peripheral vascular system? (Select all that apply.)

A nurse should anticipate that a patient taking Vasotec, an angiotensin-converting enzyme (ACE)inhibitor, should have which positive outcome to this drug?

A stress test is scheduled for a 41-year-old patient.What action should the nurse implement to prepare the patient for the examination?

A 29-year-old patient is to receive cardioversion for a dysrhythmia.What should the nurse instruct the patient to expect?

A nurse records that a patient has a 3+ edema to the right foot.How deep did the nurse's thumb depress the edematous area?

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