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A 65-year-old male develops blockage in the pulmonary artery. As a result of the blockage, blood
would first back up into the:
a. Aorta
b. Left ventricle
c. Pulmonary veins
d. Right ventricle ✔Correct Answer-d. Right ventricle
A nurse is teaching about the heart. Which information should the nurse include? The chamber of
the heart that generates the highest pressure is the:
a. Right atrium
b. Left atrium
c. Left ventricle
d. Right ventricle ✔Correct Answer-c. Left ventricle
A nurse recalls the chamber that receives blood from the systemic circulation is the:
a. Right atrium
b. Right ventricle
c. Left atrium
d. Left ventricle ✔Correct Answer-a. Right atrium
Which statement indicates the nurse understands blood flow? Oxygenated blood flows through the:
a. Superior vena cava
b. Pulmonary veins
c. Pulmonary artery
d. Cardiac veins ✔Correct Answer-b. Pulmonary veins
The nurse is planning care for a patient with heart problems. Which information should the nurse
remember? The _____ artery travels down the interventricular septum and delivers blood to
portions of the left and right ventricle.
a. Right coronary
b. Circumflex
c. Left anterior descending
d. Cardiac ✔Correct Answer-c. Left anterior descending
When a staff member asks where venous blood from the coronary circulation drains into, what is the
best response by the nurse? The:
a. Superior vena cava
b. Inferior vena cava
c. Right atrium
,d. Reft atrium ✔Correct Answer-c. Right atrium
While viewing the electrocardiogram, the nurse recalls the _____ conducts action potentials down
the atrioventricular septum.
a. Bachmann bundle
b. Bundle of His
c. Sinoatrial node
d. Atrioventricular node ✔Correct Answer-b. Bundle of His
A 13-year-old female took a weight loss drug that activated the sympathetic nervous system. Which
of the following assessment findings would the nurse expect?
a. Decreased myocardial contraction
b. Decreased heart rate
c. Increased cardiac conduction
d. Increased intranodal conduction time ✔Correct Answer-c. Increased cardiac conduction
A 50-year-old female received trauma to the chest that caused severe impairment of the primary
pacemaker cells of the heart. Which of the following areas received the greatest damage?
a. Atrioventricular (AV) node
b. Sinoatrial (SA) node
c. Bundle of His
d. Ventricles ✔Correct Answer-b. Sinoatrial (SA) node
A nurse assesses the heart after acetylcholine because the effect of acetylcholine on the heart is to
a. Decrease the refractory period
b. Increase calcium influx
c. Increase the strength of myocardial contraction
d. Decrease the heart rate ✔Correct Answer-d. Decrease the heart rate
A nurse is discussing the pressure generated at the end of diastole. Which term is the nurse
describing?
a. Preload
b. Afterload
c. Systemic vascular resistance
d. Total peripheral resistance ✔Correct Answer-a. Preload
Which principle should the nurse remember when planning nursing care for a patient with heart
problems? As stated by the Frank-Starling law, there is a direct relationship between the _____ of the
blood in the heart at the end of diastole and the _____ of contraction during the next systole.
a. Pressure, duration
b. Volume, force
c. Viscosity, force
d. Viscosity, duration ✔Correct Answer-b. Volume, force
, Within a normal physiologic range, an increase in left ventricular end-diastolic volume would lead the
nurse to monitor for:
a. An increased force of contraction
b. A decrease in cardiac output
c. An increase in heart rate
d. Heart failure ✔Correct Answer-a. An increased force of contraction
While planning care for a heart patient, which principle should the nurse recall? Right ventricular
afterload is affected by:
a. Vascular resistance in the systemic vessels
b. Right end-diastolic pressure
c. Pressures in the vena cava
d. Pulmonary vascular resistance ✔Correct Answer-d. Pulmonary vascular resistance
Which principle should the nurse remember while planning care for a cardiac patient? Pressure in
the left ventricle must exceed pressure in the _____ before the left ventricle can eject blood.
a. Coronary arteries
b. Aorta
c. Inferior vena cava
d. Pulmonary veins ✔Correct Answer-b. Aorta
A 50-year-old female presents with a low heart rate and low blood pressure. She is given an
intravenous (IV) infusion of fluids. The increase in atrial distension results in:
a. Renal retention of fluids
b. Depressed myocardial contractility
c. Release of acetylcholine
d. Increased heart rate ✔Correct Answer-d. Increased heart rate
A nurse observes a cardiologist multiplying the heart rate by stroke volume. What is the cardiologist
measuring?
a. Vascular resistance
b. Preload
c. Cardiac output
d. Ejection fraction ✔Correct Answer-c. Cardiac output
A patient researches baroreceptors online. Which information indicates a good understanding?
Baroreceptors are located in the:
a. Renal artery
b. Superior vena cava
c. Carotid sinus
d. Circle of Willis ✔Correct Answer-c. Carotid sinus
A nurse is evaluating the direct end effect of the renin-angiotensin-aldosterone system. Which
principle should the nurse remember?