Question 1

Which of these normally heard sounds is the simultaneous closing of the pulmonary and aortic valves and is heard on the right,second intercostal space?

Accepted Answer

A) S1 
B) S2 
C) S3 
D) S4 
A) S1 
B) S2 
C) S3 
D) S4 B

Question 2

How is bradycardia usually treated?

Accepted Answer

A) administration of atropine 
B) administration of epinephrine 
C) beta blockers,calcium channel blockers,and digitalis 
D) Valsalva's maneuvers 
A) administration of atropine 
B) administration of epinephrine 
C) beta blockers,calcium channel blockers,and digitalis 
D) Valsalva's maneuvers A

Question 3

Which type of medication would be used FIRST in treating hypertension (HTN)?

Accepted Answer

A) angiotensin-converting enzyme (AC
E) inhibitors 
B) beta-adrenergic blocking agents 
C) diuretics 
D) vasodilators 
A) angiotensin-converting enzyme (AC
E) inhibitors 
B) beta-adrenergic blocking agents 
C) diuretics 
D) vasodilators C

Question 4

Discharge teaching for a client who has a pacemaker implanted would include which of the following?

Accepted Answer

A) resuming a normal diet 
B) resuming an active lifestyle,including contact sports 
C) realizing the pacemaker may malfunction without notice 
D) wearing a medical alert tag to indicate presence of a pacemaker 
A) resuming a normal diet 
B) resuming an active lifestyle,including contact sports 
C) realizing the pacemaker may malfunction without notice 
D) wearing a medical alert tag to indicate presence of a pacemaker

Question 5

What is the purpose of performing a sympathectomy for clients with Buerger's disease?

Accepted Answer

A) to increase circulation to the distal portions of the limbs 
B) to relieve pain and prevent vasospasm in the affected area 
C) to prevent gangrene and the need for amputation of the digits 
D) to prevent paresthesia and numbness of the hands and feet when at rest 
A) to increase circulation to the distal portions of the limbs 
B) to relieve pain and prevent vasospasm in the affected area 
C) to prevent gangrene and the need for amputation of the digits 
D) to prevent paresthesia and numbness of the hands and feet when at rest

Question 6

The client diagnosed with deep vein thrombosis (DVT)would be started on which medication immediately?

Accepted Answer

A) aspirin 
B) Coumadin 
C) heparin 
D) streptokinase (Streptase) 
A) aspirin 
B) Coumadin 
C) heparin 
D) streptokinase (Streptase)

Question 7

During a routine medical exam a client reports feeling odd,with several episodes of chest pressure,shortness of breath,and numbness in both shoulders.The nurse should suspect the client has been experiencing:

Accepted Answer

A) angina pectoris 
B) cardiac tamponade 
C) myocardial ischemia 
D) myocarditis 
A) angina pectoris 
B) cardiac tamponade 
C) myocardial ischemia 
D) myocarditis

Question 8

In a vein-stripping procedure to treat severe varicose veins,which of these actions is involved?

Accepted Answer

A) The leg is compressed for 6 weeks in a threshold erythema dose (T.E.D. )hose while anticoagulant therapy is given. 
B) The vein is injected with a chemical that will cause the vein to sclerose. 
C) The vein is tied off with a suture. 
D) The vein walls are abraded by a wire with a "claw" on the end. 
A) The leg is compressed for 6 weeks in a threshold erythema dose (T.E.D. )hose while anticoagulant therapy is given. 
B) The vein is injected with a chemical that will cause the vein to sclerose. 
C) The vein is tied off with a suture. 
D) The vein walls are abraded by a wire with a "claw" on the end.

Question 9

Ninety-five percent (95%)of clients with hypertension (HTN)have essential HTN,which means that the cause of the HTN is:

Accepted Answer

A) atherosclerosis 
B) hypernatremia 
C) renal disease 
D) unknown 
A) atherosclerosis 
B) hypernatremia 
C) renal disease 
D) unknown

Question 10

Which of these drugs is MOST commonly used to treat premature ventricular contractions?

Accepted Answer

A) atropine 
B) digoxin 
C) Lasix 
D) lidocaine hydrochloride 
A) atropine 
B) digoxin 
C) Lasix 
D) lidocaine hydrochloride

Question 11

A sinus rhythm with a heart rate ranging from 100 to 150 bpm is called:

Accepted Answer

A) sinus bradycardia 
B) flutter 
C) fibrillation 
D) tachycardia 
A) sinus bradycardia 
B) flutter 
C) fibrillation 
D) tachycardia

Question 12

What is the MOST common cause of myocardial infarction?

Accepted Answer

A) atherosclerosis 
B) hypertension 
C) rheumatic heart disease 
D) stress 
A) atherosclerosis 
B) hypertension 
C) rheumatic heart disease 
D) stress

Question 13

The nurse notes a client's neck veins are distended when sitting upright.This finding is indicative of which of these conditions?

Accepted Answer

A) ascites 
B) decreased renal output 
C) pulmonary hypertension 
D) right-sided heart failure 
A) ascites 
B) decreased renal output 
C) pulmonary hypertension 
D) right-sided heart failure

Question 14

Risk factors for hypertension (HTN)include which of the following?

Accepted Answer

A) Asian American heritage 
B) lack of exercise 
C) high socioeconomic status 
D) peripheral vascular disease 
A) Asian American heritage 
B) lack of exercise 
C) high socioeconomic status 
D) peripheral vascular disease

Question 15

What are the MOST common ectopic heartbeats?

Accepted Answer

A) premature ventricular contractions 
B) ventricular asystole 
C) ventricular fibrillation 
D) ventricular tachycardia 
A) premature ventricular contractions 
B) ventricular asystole 
C) ventricular fibrillation 
D) ventricular tachycardia

Question 16

Which of these pharmacological interventions are used to treat myocarditis?

Accepted Answer

A) anti-inflammatory agents and antifungals 
B) diuretics and analgesics 
C) antivirals and antipyretics 
D) digitalis preparations and broad-spectrum antibiotics 
A) anti-inflammatory agents and antifungals 
B) diuretics and analgesics 
C) antivirals and antipyretics 
D) digitalis preparations and broad-spectrum antibiotics

Question 17

Cardioversion should be done during which part of the electrocardiogram (EKG)wave?

Accepted Answer

A) P wave 
B) R wave 
C) ST segment 
D) T wave 
A) P wave 
B) R wave 
C) ST segment 
D) T wave

Question 18

Which of the following is a primary nursing goal when obtaining a health history from a client?

Accepted Answer

A) to determine why the client continues to participate in activities that are unhealthy 
B) to incorporate the family into the client's care 
C) to obtain psychosocial information about the client and family 
D) to identify present and potential health problems 
A) to determine why the client continues to participate in activities that are unhealthy 
B) to incorporate the family into the client's care 
C) to obtain psychosocial information about the client and family 
D) to identify present and potential health problems

Question 19

Discharge teaching for the client recuperating from thrombophlebitis would include which of the following?

Accepted Answer

A) elevating both legs when sitting 
B) crossing legs when sitting 
C) avoiding ambulation 
D) limiting intake of fluids 
A) elevating both legs when sitting 
B) crossing legs when sitting 
C) avoiding ambulation 
D) limiting intake of fluids

Question 20

When the left ventricle is unable to effectively pump blood to body systems,as in left-sided heart failure,what is the impact on the right ventricle?

Accepted Answer

A) It continues to pump adequate quantities of blood. 
B) It is unable to pump adequate quantities of blood. 
C) It works harder,and hypertrophy of the right ventricle eventually results. 
D) It works harder and initially results in no changes in cardiac output. 
A) It continues to pump adequate quantities of blood. 
B) It is unable to pump adequate quantities of blood. 
C) It works harder,and hypertrophy of the right ventricle eventually results. 
D) It works harder and initially results in no changes in cardiac output.

Exam 36: Cardiovascular System

Which of these normally heard sounds is the simultaneous closing of the pulmonary and aortic valves and is heard on the right,second intercostal space?

How is bradycardia usually treated?

Which type of medication would be used FIRST in treating hypertension (HTN)?

Discharge teaching for a client who has a pacemaker implanted would include which of the following?

What is the purpose of performing a sympathectomy for clients with Buerger's disease?

The client diagnosed with deep vein thrombosis (DVT)would be started on which medication immediately?

During a routine medical exam a client reports feeling odd,with several episodes of chest pressure,shortness of breath,and numbness in both shoulders.The nurse should suspect the client has been experiencing:

In a vein-stripping procedure to treat severe varicose veins,which of these actions is involved?

Ninety-five percent (95%)of clients with hypertension (HTN)have essential HTN,which means that the cause of the HTN is:

Which of these drugs is MOST commonly used to treat premature ventricular contractions?

A sinus rhythm with a heart rate ranging from 100 to 150 bpm is called:

What is the MOST common cause of myocardial infarction?

The nurse notes a client's neck veins are distended when sitting upright.This finding is indicative of which of these conditions?

Risk factors for hypertension (HTN)include which of the following?

What are the MOST common ectopic heartbeats?

Which of these pharmacological interventions are used to treat myocarditis?

Cardioversion should be done during which part of the electrocardiogram (EKG)wave?

Which of the following is a primary nursing goal when obtaining a health history from a client?

Discharge teaching for the client recuperating from thrombophlebitis would include which of the following?

When the left ventricle is unable to effectively pump blood to body systems,as in left-sided heart failure,what is the impact on the right ventricle?

Student Nurse Skills for Success

Holistic Care

Nursing History, Education, and Organizations

Legal and Ethical Responsibilities

The Health Care Delivery System

Arenas of Care

Communication

Client Teaching

Nursing Processdocumentationinformatics

Life Span Development

Cultural Considerations

Stress, Adaptation, and Anxiety

Loss, Grief, and Death

Wellness Concepts

Self-Concept

Spirituality

Complementary Alternative Therapies

Basic Nutrition

Rest and Sleep

Safety-Hygiene

Infection Controlasepsis

Standard Precautions and Isolation

Bioterrorism

Fluid, Electrolyte, and Acid-Base Balance

Medication Administration and IV Therapy

Assessment

Pain Management

Diagnostic Tests

Basic Procedures

Intermediate Procedures

Advanced Procedures

Anesthesia

Surgery

Oncology

Respiratory System

Hematologic and Lymphatic Systems

Gastrointestinal System

Urinary System

Musculoskeletal System

Neurological System

Sensory System

Endocrine System

Reproductive System

Sexually Transmitted Diseases

Integumentary System

Immune System

Mental Illness

Substance Abuse

The Older Adult

Ambulatory, Restorative, and Palliative Care in Community Settings

Responding to Emergencies

Integration

Prenatal Care

Complications of Pregnancy

The Birth Process

Postpartum Care

Newborn Care

Basics of Pediatric Care

Infants With Special Needs: Birth to 12 Months