Question 1

What should a person with unstable angina avoid?

Accepted Answer

A)   Walking outside
B)   Eating red meat
C)   Swimming in warm pool
D)   Shoveling snow D

Question 2

The nurse caring for a patient recovering from a myocardial infarct who is on remote telemetry recognizes the need for added instruction when the patient says:

Accepted Answer

A)   "I can ambulate in the hallway with this gadget on."
B)   "I always take off the telemetry device when I shower."
C)   "My EKG is being watched by one of the nurses in CCU on the home unit."
D)   "I am able to sleep just fine with this device on." B

Question 3

The nurse recognizes the echocardiogram report that shows an ejection factor of 42% as an indication of:

Accepted Answer

A)   normal heart action.
B)   mild heart failure.
C)   moderate heart failure.
D)   severe heart failure. C

Question 4

The patient with congestive heart failure who is on a diuretic drug shows a weight loss of 6.6 lb.The nurse is aware that the patient has lost ______ L of fluid.

Accepted Answer

The answer of The patient with congestive heart failure who...

Question 5

A patient admitted to the emergency room with a possible myocardial infarction (MI)has reports back from the laboratory.Which laboratory report is specific for myocardial damage?

Accepted Answer

A)   CK-MB
B)   Elevated white count
C)   Elevated sedimentation rate
D)   Low level of sodium

Question 6

The patient has been hospitalized for hypertensive episodes three times in the last months.While preparing the discharge teaching plan,the nurse assesses that he does not comply with his medication regimen.The nurse's immediate course of action would be to:

Accepted Answer

A)   reteach him about his medications.
B)   have a serious talk with him and his family about compliance.
C)   arrange for home visits after discharge.
D)   collect more information to identify his reasons for noncompliance.

Question 7

The nurse is treating a patient who had a pacemaker inserted 8 years ago for the correction of atrial fibrillation.Which diagnostic test may no longer be available to the patient because of this older model implanted device?

Accepted Answer

A)   MRI
B)   CT scan
C)   Thallium scan
D)   PET

Question 8

The nurse takes into consideration that age-related changes can affect the peripheral circulation because of:

Accepted Answer

A)   sclerosed blood vessels.
B)   hypotension.
C)   inactivity.
D)   poor nutrition.

Question 9

A patient,age 72,was admitted to the medical unit with a diagnosis of angina pectoris.Characteristic signs and symptoms of angina pectoris include:

Accepted Answer

A)   substernal pain that radiates down the left arm.
B)   epigastric pain that radiates to the jaw.
C)   indigestion,nausea,and eructation.
D)   fatigue,shortness of breath,and dyspnea.

Question 10

What do dark or "cold" spots on a thallium scan indicate?

Accepted Answer

A)   Tissue with adequate blood supply
B)   Dilated vessels
C)   Areas of neoplastic growth
D)   Tissue that has inadequate perfusion

Question 11

The elderly patient with angina pectoris says she is unsure how she should take nitroglycerin when she has an attack.The nurse's most helpful response would be:

Accepted Answer

A)   "Continue to take nitroglycerin sublingually at 5-minute intervals until the pain is relieved."
B)   "If the pain is not relieved after three doses of nitroglycerin at 5-minute intervals,call your physician and come to the hospital."
C)   "When nitroglycerin is not relieving the pain,lie down and rest."
D)   "Use oxygen at home to relieve pain when nitroglycerin is not successful."

Question 12

The nurse notes a run of three ventricular contractions (PVC)that are not preceded by a P wave.This particular arrhythmia can progress into:

Accepted Answer

A)   atrial fibrillation and possible emboli.
B)   sinus tachycardia and syncope.
C)   ventricular tachycardia and death.
D)   sinus bradycardia and fatigue.

Question 13

The home health nurse warns the patient who is taking warfarin (Coumadin)for anticoagulant therapy for thrombophlebitis to stop taking the herbal remedy of ginkgo because ginkgo can:

Accepted Answer

A)   cause severe episodes of diarrhea.
B)   cause a severe skin eruption if taken with Coumadin.
C)   increase the action of the Coumadin.
D)   cause the Coumadin to be less effective.

Question 14

The nurse assessing a cardiac monitor notes that the cardiac complexes each have a P wave followed by a QRS and a T.The rate is 120.The nurse recognizes this arrhythmia as:

Accepted Answer

A)   sinus bradycardia.
B)   atrial fibrillation.
C)   sinus tachycardia.
D)   ventricular tachycardia.

Question 15

The cardiac marker ___________ rises 3 hours after a myocardial infarct and measures myocardial contractile protein.

Accepted Answer

The answer of The cardiac marker ___________ rises 3 hours...

Question 16

The nurse assesses that the home health patient has no signs or symptoms of heart failure,but does have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus.The nurse is aware that using the American College of Cardiology and the American Heart Association (ACC/AHA)staging,this patient would be a:

Accepted Answer

A)   stage A.
B)   stage B.
C)   stage C.
D)   stage D.

Question 17

What is the patient goal of the walking exercise program designed for the rehabilitation of a post-MI patient?

Accepted Answer

A)   Walk 2 miles in less than 60 minutes after 12 weeks.
B)   Jogmile in less than 30 minutes after 12 weeks.
C)   "Fast walk" 1 mile in less than 20 minutes after 12 weeks.
D)   Walk 1 mile in 15 minutes without dyspnea after 12 weeks.

Question 18

A patient is admitted from the emergency department.The emergency department physician notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA)classification of IV.This indicates the patient's condition as:

Accepted Answer

A)   moderate heart failure.
B)   severe heart failure.
C)   congestive heart failure.
D)   negligible heart failure.

Question 19

What is the major cause of cardiac valve disease?

Accepted Answer

A)   Rheumatic fever
B)   Long history of malnutrition
C)   Drug abuse
D)   Obesity

Question 20

Which information should be taught to patients starting on anticoagulant therapy for a valvular disorder? (Select all that apply. )

Accepted Answer

A)   Increase the dose of aspirin for better therapy.
B)   Take medication at the same time each day.
C)   Report to physician cuts that do not stop bleeding with direct pressure.
D)   No restrictions for food or drink.
E)   Report for prescribed blood tests (PTT,INR,CBC,blood sugar) .

Exam 48: Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder