Question 1

When a patient returns from a cardiac catheterization,the nurse would expect to:

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 2

To treat a dysrhythmia,atropine sulfate has been administered intravenously.The nurse would monitor for:

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 3

The patient with AF is prescribed amiodarone for the dysrhythmia.The nurse should report the adverse reaction of:

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

Question 4

The nurse records a "1" for the pulse quality of the pedal pulse.This means that the pulse is:

Accepted Answer

A)  Absent 
B)  Normal 
C)  Thready 
D)  Forceful 
A)  Absent 
B)  Normal 
C)  Thready 
D)  Forceful

Question 5

The nurse uses a picture to demonstrate the conduction pathway through the chambers of the heart.(Arrange the following options in the correct sequence.)

Accepted Answer

A)  Atria contract. 
B)  Conduction occurs through the bundle branches. 
C)  AV node fires. 
D)  Purkinje fibers conduct. 
E)  SA node fires. 
F) Ventricles contract. 
A)  Atria contract. 
B)  Conduction occurs through the bundle branches. 
C)  AV node fires. 
D)  Purkinje fibers conduct. 
E)  SA node fires. 
F) Ventricles contract.

Question 6

The nurse explains that hypertension increases the work of the heart because of increasing:

Accepted Answer

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

Question 7

The nurse urges the 50-year-old overweight executive who had an MI 3 months earlier to take up some conditioning exercises for 30 minutes a day to: (Select all that apply.)

Accepted Answer

A)  Lose weight. 
B)  Improve function of the left ventricle. 
C)  Decrease arterial stiffening. 
D)  Decrease cholesterol levels 
E)  Improve cardiac dysrhythmia. 
A)  Lose weight. 
B)  Improve function of the left ventricle. 
C)  Decrease arterial stiffening. 
D)  Decrease cholesterol levels 
E)  Improve cardiac dysrhythmia.

Question 8

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 9

An important teaching point for a patient with mitral stenosis is to:

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 10

A dopamine infusion is being administered to a patient with shock.The nurse should be alert for:

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 11

A 68-year-old patient is scheduled for open heart surgery in the morning and is crying.The appropriate response from the nurse would be:

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 12

The nurse explains that cardiac rehabilitation lasts from the end of acute care to the return to home and beyond.This service includes:

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 13

A 29-year-old patient is to receive cardioversion for his dysrhythmia.The nurse will 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 14

The nurse caring for a patient on lidocaine to increase ventricular conduction is alarmed when assessments reveal:

Accepted Answer

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

Question 15

When the patient asks what a transesophageal echocardiogram (TEE)is and what it is expected to do,the nurse explains that the TEE:

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 16

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?" The nurse responds that the pacemaker will:

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 17

The nurse takes into consideration the age-related changes in the heart,which are: (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 18

The nurse should include in the patient's discharge instruction after an acute MI:

Accepted Answer

A)  Cautions about 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 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 35: Cardiac Disorders

When a patient returns from a cardiac catheterization,the nurse would expect to:

To treat a dysrhythmia,atropine sulfate has been administered intravenously.The nurse would monitor for:

The patient with AF is prescribed amiodarone for the dysrhythmia.The nurse should report the adverse reaction of:

The nurse records a "1" for the pulse quality of the pedal pulse.This means that the pulse is:

The nurse uses a picture to demonstrate the conduction pathway through the chambers of the heart.(Arrange the following options in the correct sequence.)

The nurse explains that hypertension increases the work of the heart because of increasing:

The nurse urges the 50-year-old overweight executive who had an MI 3 months earlier to take up some conditioning exercises for 30 minutes a day to: (Select all that apply.)

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

An important teaching point for a patient with mitral stenosis is to:

A dopamine infusion is being administered to a patient with shock.The nurse should be alert for:

A 68-year-old patient is scheduled for open heart surgery in the morning and is crying.The appropriate response from the nurse would be:

The nurse explains that cardiac rehabilitation lasts from the end of acute care to the return to home and beyond.This service includes:

A 29-year-old patient is to receive cardioversion for his dysrhythmia.The nurse will instruct the patient to expect:

The nurse caring for a patient on lidocaine to increase ventricular conduction is alarmed when assessments reveal:

When the patient asks what a transesophageal echocardiogram (TEE)is and what it is expected to do,the nurse explains that the TEE:

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?" The nurse responds that the pacemaker will:

The nurse takes into consideration the age-related changes in the heart,which are: (Select all that apply.)

The nurse should include in the patient's discharge instruction after an acute MI:

The Health Care System

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, Infection, and Immunity

Fluids and Electrolytes

Pain Management

First Aid, Emergency Care, and Disaster Management

Surgical Care

Intravenous Therapy

Shock

Falls

Immobility

Confusion

Incontinence

Loss,Death,and End-of-Life Care

The Patient with Cancer

The Patient with an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Chronic Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Vascular Disorders

Hypertension

Digestive Tract Disorders

Disorders of the Liver, Gallbladder, and Pancreas

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes Mellitus and Hypoglycemia

Female Reproductive Disorders

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Nose, Sinus, and Throat Disorders

Psychologic Responses to Illness

Psychiatric Disorders

Substance-Related Disorders

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