Question 1

The nurse is teaching the patient with an arrhythmia.Which statement indicates that the patient requires further teaching?

Accepted Answer

A)   "I've cut my coffee from 10 cups to 2 cups a day."
B)   "I don't drink regular cola drinks anymore."
C)   "I have given up drinking those high-energy drinks."
D)   "I've switched from 5 cups of coffee to 5 cups of tea." D

Question 2

The nurse caring for a patient who requires a temporary transvenous pacemaker.Which statement indicates that the patient understands the nurse's teaching?

Accepted Answer

A)   "I may experience uncomfortable muscle contractions."
B)   "The procedure will use general anesthesia."
C)   "I will be given a sedative after the procedure."
D)   "This device may be left in place for 6 weeks." A

Question 3

Which statement accurately explains how calcium channel blocker verapamil assists to correct an arrhythmia?

Accepted Answer

A)   The medication desensitizes the heart to the impulse to contract.
B)   The medication increases the strength of the impulse from the atrioventricular (AV)  node.
C)   The medication alters the impulse from the sinoatrial (S
A)   node.
D)   The medication inhibits transmission of the impulse from the AV node. D

Question 4

The nurse is caring for a 60-year-old African American patient with hypertension.The patient is obese and a smoker.Which modifiable risk factors place this patient at an increased risk for heart disease?

Accepted Answer

A)   Age
B)   Race
C)   Hypertension
D)   Obesity
E)   Smoking

Question 5

The nurse is educating a patient about cardiomyopathy.The nurse includes information that which circumstance(s)may increase risk for cardiomyopathy?

Accepted Answer

A)   Systemic hypertension
B)   Chronic excessive alcohol consumption
C)   Pregnancy
D)   Diabetes
E)   Systemic infection

Question 6

Which factor(s)is/are potential causative agents for arrhythmias?

Accepted Answer

A)   Hyperkalemia
B)   Valvular prolapse
C)   Infarct damage
D)   Properly functioning sinoatrial (S
A)   node
E)   Excess fluid

Question 7

The nurse is caring for a patient with atrial fibrillation who asks why she needs to take warfarin.Which statement best answers the patient's question?

Accepted Answer

A)   Warfarin increases the ejection fraction.
B)   Warfarin prevents clots from forming in the atria.
C)   Warfarin keeps the atrial fibrillation from involving the ventricles.
D)   Warfarin increases the cardiac output.

Question 8

Which teaching point will the nurse include when providing discharge instructions to the patient with a new permanent pacemaker?

Accepted Answer

A)   "You will be able to have an MRI for diagnostic purposes."
B)   "Avoid using microwave ovens."
C)   "Avoid lifting heavy objects for as long as your physician prescribes."
D)   "Airport screening devices may cause your pacemaker to fire incorrectly."

Question 9

The nurse expresses concern to the 80-year-old resident in a long-term care facility who is attempting to jog on a treadmill.The nurse is aware that the exceptional oxygen and metabolic demands brought on by the exercise might cause ____________.

Accepted Answer

The answer of The nurse expresses concern to the 80-year-old...

Question 10

The nurse is caring for a patient with severe congestive heart failure (CHF)who denies pain and is fearful of taking prescribed morphine.Which explanation best works to alleviate the patient's anxiety about risk of addiction?

Accepted Answer

A)   "Many people with CHF use morphine for pain control."
B)   "We can treat your pain with aspirin or ibuprofen."
C)   "Morphine has properties that help relieve air hunger in CHF patients."
D)   "You can refuse to take it."

Question 11

The nurse is caring for several patients on a cardiac care unit.Which patient is most likely to have aortic stenosis?

Accepted Answer

A)   35-year-old with a history of Raynaud disease
B)   63-year-old with uncontrolled diabetes
C)   73-year-old with a history of hypertension
D)   86-year-old with a history of atherosclerosis

Question 12

Which disorganized ECG pattern is recognized as the most fatal of all arrhythmias?

Accepted Answer

A)   Ventricular fibrillation
B)   Premature ventricular beats
C)   Atrial fibrillation
D)   Ventricular tachycardia (VT)

Question 13

The nurse is caring for a patient who is taking digitalis.The patient complains of increased thirst,and the nurse observes dry mucous membranes.Which additional finding warrants the nurse's immediate attention?

Accepted Answer

A)   Sudden, sharp knee pain
B)   Blurred vision
C)   Epistaxis
D)   Chills

Question 14

The nurse is caring for a patient with congestive heart failure (CHF).Which intervention should the nurse include in the plan of care?

Accepted Answer

A)   Encourage intake of canned soups.
B)   Place the patient in a side-lying position to prevent venous pooling.
C)   Encourage large meals for increased nutritional impact.
D)   Alternate rest with activity.

Question 15

Which potential hazard is most important for a patient with an automatic implantable cardioverter-defibrillator (AICD)to avoid?

Accepted Answer

A)   Static electricity from synthetic fabric
B)   Airport security detection devices
C)   Constricting clothing and belts
D)   High altitudes

Question 16

Which statement(s)accurately describe(s)characteristics of normal sinus rhythm (NSR)?

Accepted Answer

A)   One atrial contraction (P wave) 
B)   One ventricular contraction (QRS complex) 
C)   One T wave
D)   Heart rate 60 to 100
E)   P wave immediately follows the QRS complex

Question 17

The nurse is caring for a patient with a heart rate of 115 beats/min and complaints of shortness of breath.The nurse anticipates that these findings are most likely related which underlying problem?

Accepted Answer

A)   Pulmonary edema
B)   Decreased cardiac output
C)   Impending pneumonia
D)   Increasing anxiety

Question 18

The nurse caring for a patient who is taking amiodarone (Cordarone).What side effect could this patient experience?

Accepted Answer

A)   Sudden increase in temperature
B)   Hypotension
C)   Bradycardia
D)   Depressed ventilation

Question 19

The nurse is performing an initial assessment on a new patient with suspected right-sided heart failure.Which finding(s)is/are consistent with the patient's potential diagnosis?

Accepted Answer

A)   Clammy skin
B)   Splenomegaly
C)   Abdominal distention
D)   Wheezing
E)   Dyspnea

Question 20

The nurse is analyzing a patient's telemetry strip and observes a sawtooth appearance with no P waves.How should the nurse document this finding?

Accepted Answer

A)   Premature ventricular contraction (PV
C)  
B)   Atrial flutter
C)   Ventricular tachycardia (VT) 
D)   Premature atrial contraction (PA
C)

Exam 19: Care of Patients with Cardiac Disorders

The nurse is teaching the patient with an arrhythmia.Which statement indicates that the patient requires further teaching?

The nurse caring for a patient who requires a temporary transvenous pacemaker.Which statement indicates that the patient understands the nurse's teaching?

Which statement accurately explains how calcium channel blocker verapamil assists to correct an arrhythmia?

The nurse is caring for a 60-year-old African American patient with hypertension.The patient is obese and a smoker.Which modifiable risk factors place this patient at an increased risk for heart disease?

The nurse is educating a patient about cardiomyopathy.The nurse includes information that which circumstance(s) may increase risk for cardiomyopathy?

Which factor(s) is/are potential causative agents for arrhythmias?

The nurse is caring for a patient with atrial fibrillation who asks why she needs to take warfarin.Which statement best answers the patient's question?

Which teaching point will the nurse include when providing discharge instructions to the patient with a new permanent pacemaker?

The nurse expresses concern to the 80-year-old resident in a long-term care facility who is attempting to jog on a treadmill.The nurse is aware that the exceptional oxygen and metabolic demands brought on by the exercise might cause ____________.

The nurse is caring for a patient with severe congestive heart failure (CHF) who denies pain and is fearful of taking prescribed morphine.Which explanation best works to alleviate the patient's anxiety about risk of addiction?

The nurse is caring for several patients on a cardiac care unit.Which patient is most likely to have aortic stenosis?

Which disorganized ECG pattern is recognized as the most fatal of all arrhythmias?

The nurse is caring for a patient who is taking digitalis.The patient complains of increased thirst,and the nurse observes dry mucous membranes.Which additional finding warrants the nurse's immediate attention?

The nurse is caring for a patient with congestive heart failure (CHF) .Which intervention should the nurse include in the plan of care?

Which potential hazard is most important for a patient with an automatic implantable cardioverter-defibrillator (AICD) to avoid?

Which statement(s) accurately describe(s) characteristics of normal sinus rhythm (NSR) ?

The nurse is caring for a patient with a heart rate of 115 beats/min and complaints of shortness of breath.The nurse anticipates that these findings are most likely related which underlying problem?

The nurse caring for a patient who is taking amiodarone (Cordarone) .What side effect could this patient experience?

The nurse is performing an initial assessment on a new patient with suspected right-sided heart failure.Which finding(s) is/are consistent with the patient's potential diagnosis?

The nurse is analyzing a patient's telemetry strip and observes a sawtooth appearance with no P waves.How should the nurse document this finding?