Question 1

Which of the following criteria is not used to diagnose Buerger's disease?

Accepted Answer

A) Individuals younger than 45 years of age 
B) Past or present tobacco use 
C) Pain in muscles on walking 
D) Presence of ischemic ulcers and gangrene in distal extremity

Question 2

A 72-year old male patient has been diagnosed to have peripheral arterial disease. What are the contraindications of percutaneous transluminal angioplasty of the lower extremity in this patient?

Accepted Answer

A) Hypertensive patients of poor ventricular function 
B) Patients having dyslipidemia 
C) Medically unstable, diabetic patient, long arterial occlusion, poor distal run off 
D) Patient who has undergone coronary angioplasty

Question 3

Which of the following sets of medications is used in treatment of Raynaud's disease?

Accepted Answer

A) Calcium channel blockers, alpha blockers, vasodilators 
B) Beta blockers, vasodilators, lipid lowering agents 
C) Alpha blockers, lipid lowering agents, antioxidants 
D) Calcium channel blockers, alpha and beta agonists

Question 4

A patient diagnosed with heart failure is receiving digoxin (Lanoxin) and furosemide (Lasix). During the morning rounds, the patient complains of nausea and yellow vision. Which of the following nursing actions is a priority?

Accepted Answer

A) Continue with the drug administration 
B) Give digoxin only 
C) Check serum potassium level 
D) Check the serum digoxin level

Question 5

The nurse records the EKG of an asymptomatic patient. Which of the following EKG findings confirms the diagnosis of Wenckebach phenomena?

Accepted Answer

A) No definite relation between P-wave and QRS complex 
B) Progressive lengthening of PR interval followed by a P wave without an associated QRS complex 
C) Prolonged PR interval with narrow QRS complex 
D) Prolonged PR interval with wide QRS complex

Question 6

A patient with atrial fibrillation is presents with acute pain in left lower limb which progressed to loss of sensation and feeling of cold and numbness over few hours. What is the first treatment the nurse should start?

Accepted Answer

A) Prepare the patient for embolectomy 
B) Immediate heparinization 
C) Send the patient for arteriography 
D) Identify and treat the underlying cause

Question 7

A patient is being discharged from hospital seven days post myocardial infarction. He is curious to know why he must wait six weeks before having sexual intercourse. What is the best response by the nurse to this question?

Accepted Answer

A) "You need to regain your strength before attempting such exertion." 
B) "When you are able to climb two flights of stairs comfortably, it is generally safe to have sex." 
C) "Have a glass of wine to relax you, before you can try to have sex." 
D) "If you can maintain an active regular morning walks, your risk will decrease."

Question 8

A nurse is caring for a patient on digoxin therapy. It is the responsibility of the nurse to know the signs and symptoms of digoxin toxicity. Which of the following is correct?

Accepted Answer

A) Halo effect on vision, ventricular bigeminy, PVC, anorexia 
B) Bradycardia, nausea, vomiting, headache 
C) PVC, anorexia, ventricular bigeminy, bleeding 
D) Tachypnea, anorexia, PVC, nausea

Question 9

Cardioversion is an electrical current administration used to convert certain dysrhythmias to normal rhythm. This procedure is most effective when the patient demonstrates:

Accepted Answer

A) Ventricular Fibrillation 
B) Ventricular Tachycardia 
C) Ventricular Standstill 
D) Torsades de Pointes

Question 10

Which of the following is not a correct pair of the signs of chronic aortic regurgitation and the organ where it is demonstrated?

Accepted Answer

A) Corrigan's pulse - carotid artery 
B) Mueller sign - liver 
C) Quincke's sign - nail bed 
D) Duroziez's test - femoral artery

Question 11

Which of the following does not correctly match the site of peripheral thromboembolectomy with the appropriate surgical approach?

Accepted Answer

A) Femoral occlusions - bilateral ventricle groin incisions 
B) Aortic occlusions - bilateral ventricle groin incisions 
C) Iliac occlusions - bilateral ventricle groin incisions 
D) Popliteal occlusions - incisions in the distal common femoral artery

Question 12

The vascular changes of acute inflammation consist of the following:

Accepted Answer

A) Vasodilation, increased blood flow, recruitment of lymphocyte 
B) Vasodilation, increased permeability, reduced blood flow 
C) Vasoconstriction, increased blood flow, decreased endothelial permeability 
D) Vasoconstriction, reduced blood flow, decreased endothelial permeability

Question 13

Which of the following is not a part of major criteria of the modified Jones criteria for diagnosis of rheumatic fever?

Accepted Answer

A) Pancarditis 
B) Erythema marginatum 
C) Subcutaneous nodules 
D) Polyarthralgia

Question 14

Which of the following statements does not abide by the nurses' code of ethics?

Accepted Answer

A) The nurse's main commitment is to the patient 
B) The nurse is not supposed to collaborate with other healthcare professional while caring for patients 
C) The nurse is an advocate for the patient and aims to protect the health, safety, and rights of the patient 
D) The nurse is responsible for preserving the integrity and safety of the patient

Question 15

Which of the following pharmacologic agents are not used for treatment of metabolic syndrome?

Accepted Answer

A) Lipid-lowering agents 
B) Antihypertensives 
C) Oral antidiabetic agents and insulin 
D) Antibiotics

Question 16

Which of the following set of symptoms is correctly matched with the location of the aneurysm?

Accepted Answer

A) Brain - severe headache, blurred vision, pain around eye 
B) Brain - loss of memory, slowness of movement 
C) Lower limb - muscle paralysis, tremors in feet 
D) Abdomen - nausea, vomiting, loss of sensation

Question 17

A patient presents with complaints of palpitations and loss of weight. Blood investigations show thyrotoxicosis. Which of the following murmurs are expected to be heard on auscultation?

Accepted Answer

A) Diastolic murmur 
B) Soft systolic murmur 
C) Flow murmur 
D) Crescendo-decrescendo murmur

Question 18

Which of the following correctly represents the pathophysiologic mechanism behind development of cor pulmonale?

Accepted Answer

A) Pulmonary vasodilatation, compromise of vascular bed due to lung disease such as emphysema and interstitial lung disease, thinning of blood due to anticoagulants and primary pulmonary hypertension 
B) Pulmonary vasoconstriction, compromise of vascular bed due to lung disease such as emphysema and interstitial lung disease, increased blood viscosity due to diseases like sickle cell anemia and primary pulmonary hypertension 
C) Pulmonary vasodilatation, compromise of vascular bed due to lung disease such as emphysema and interstitial lung disease, valvular heart disease and primary pulmonary hypertension 
D) Pulmonary vasoconstriction, compromise of vascular bed due to vascular diseases, increased blood viscosity due to diseases like sickle cell anemia and primary pulmonary hypertension

Question 19

A 75-year old diabetic, obese male patient presenting with complaints of intermittent palpitation and excessive sleepiness during daytime was advised 24-hour Holter monitoring. The nurse is explaining to the patient about the diagnostic significance of Holter monitoring. Which of the following cannot be determined by Holter monitoring?

Accepted Answer

A) Detection of arrhythmia 
B) Correlation of symptom with arrhythmia 
C) Cause of excessive sleepiness during daytime 
D) Detection of myocardial ischemia

Question 20

Which leadership style involves a vision and commitment to meet a team's goals?

Accepted Answer

A) Autocratic 
B) Laissez-faire 
C) Transactional 
D) Transformational

Exam 3: AACN Cardiac Vascular Nursing