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ClinicaljGuidelinesjinjPrimaryCarej3rdjEditionjTestjbankChapter
j1jCardiovascularjDisorders
MULTIPLEjCHOICE
1. Thejnursejisjawarejthatjthejmusclejlayerjofjthejheart,jwhichjisjresponsiblejforjthejheartsjco
ntraction,jisjthe:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS:jD
Thejmyocardiumjisjthejspecializedjmusclejlayerjthatjallowsjthejheartjtojcontract.
2. Thejnursejclarifiesjthatjthejmasterjpacemakerjofjthejheartjisjthe:
a. leftjventricle.
b. atrioventricularj(AV)jnode.
c. sinoatrialj(SA)jnode.
d. bundlejofjHis.
ANS:jC
ThejSAjnodejisjthejmasterjpacemakerjofjthejheart.
3. Thejnursejisjawarejthatjthejsymptomsjofjanjimpendingjmyocardialjinfarctionj(MI)jdifferjinjwo
menjbecausejacutejchestjpainjisjnotjpresent.jWomenjarejfrequentlyjmisdiagnosedjasjhaving:
a. hepatitisjA.
b. indigestion.
c. urinaryjinfection.
d. menopausaljcomplications.
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ANS:jB
Indigestion,jgallbladderjattack,janxietyjattack,jandjdepressionjarejfrequentjmisdiagnosesjforjwome
njhavingjanjMI.
4. ThejnursejidentifiesjthejLUBBjsoundjofjthejLUBB/DUBBjofjthejcardiacjcyclejasjthejsoundjofjthe:
a. AVjvalvesjclosing.
b. closurejofjthejsemilunarjvalves.
c. contractionjofjthejpapillaryjmuscles.
d. contractionjofjthejventricles.
ANS:jA
ThejLUBBjisjthejfirstjsoundjofjajlowjpitchjheardjwhenjthejAVjvalvesjclose.
5. Ajpatientjisjadmittedjfromjthejemergencyjdepartment.jThejemergencyjdepartmentjphysicianjn
otesjthejpatientjhasjajdiagnosisjofjheartjfailurejwithjajNewjYorkjHeartjAssociationj(NYHA)jclas
sificationjofjIV.jThisjindicatesjthejpatientsjconditionjas:
a. moderatejheartjfailure.
b. severejheartjfailure.
c. congestivejheartjfailure.
d. negligiblejheartjfailure.
ANS:jB
ClassjIV:jSevere;jpatientjunablejtojperformjanyjphysicaljactivityjwithoutjdiscomfort.jAnginajorjsy
mptomsjofjcardiacjinefficiencyjmayjdevelopjatjrest.
6. Thejnursejassessesjthatjthejhomejhealthjpatientjhasjnojsignsjorjsymptomsjofjheartjfailure,jbutjdoe
sjhavejajhistoryjofjrheumaticjfeverjandjhasjbeenjrecentlyjdiagnosedjwithjdiabetesjmellitus.jThejn
ursejisjawarejthatjusingjthejAmericanjCollegejofjCardiologyjandjthejAmericanjHeartjAssociation
j(ACC/AHA)jstaging,jthisjpatientjwouldjbeja:
a. stagejA.
b. stagejB.
c. stagejC.
d. stagejD.
ANS:jA
ThejACC/AHAjstagingjdescribesjstagejAjasjajpersonjwithoutjsymptomsjofjheartjfailure,jbutjwithjp
rimaryjconditionsjassociatedjwithjthejdevelopmentjofjthejdisease.
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7. Thejnursejcaringjforjajpatientjrecoveringjfromjajmyocardialjinfarctjwhojisjonjremotejtelemetryjrec
ognizesjthejneedjforjaddedjinstructionjwhenjthejpatientjsays:
a. Ijcanjambulatejinjthejhallwayjwithjthisjgadgetjon.
b. Ijalwaysjtakejoffjthejtelemetryjdevicejwhenj Ijshower.
c. MyjEKGjisjbeingjwatchedjbyjonejofjthejnursesjinjCCUjonjthejhomejunit.
d. Ijamjablejtojsleepjjustjfinejwithjthisjdevicejon.
ANS:jB
Remotejtelemetryjallowsjthejpatientjtojbejonjajseparatejunit,jbutjbejmonitoredjinjajcentraljlocation.j
Thejpatientsjcanjbejambulatoryjandjcanjsleepjwithjthejmonitorjon.jThey
shouldjnotjremovejthejmonitorjtojshower.
8. Thejnursejassessesjpittingjedemajthatjcanjbejdepressedjapproximatelyjinchjandjrefillsjinj15jsec
onds.jThejnursejwouldjdocumentjthisjassessmentjas:
a. +1jedema.
b. +2jedema.
c. +3jedema.
d. +4jedema.
ANS:jB
Aj+2jedemajcanjbejdocumentedjifjthejskinjcanjbejdepressedjinchjandjrespondjwithinj15jseconds.
9. Whatjdojdarkjorjcoldjspotsjonjajthalliumjscanjindicate?
a. Tissuejwithjadequatejbloodjsupply
b. Dilatedjvessels
c. Areasjofjneoplasticjgrowth
d. Tissuejthatjhasjinadequatejperfusion
ANS:jD
Thalliumjscansjshowjadequatejperfusedjareasjbyjthejcollectionjofjthallium.jDarkjspotsjorjcoldjspots
jindicatejtissuesjthatjhavejinadequatejperfusion.
10.Thejnursejrecognizesjthejechocardiogramjreportjthatjshowsjanjejectionjfactorjofj42%jasjanjin
dicationjof:
a. normaljheartjaction.
b. mildjheartjfailure.
c. moderatejheartjfailure.
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ClinicaljGuidelinesjinjPrimaryCarej3rdjEditionjTestjbankChapter
j1jCardiovascularjDisorders
MULTIPLEjCHOICE
1. Thejnursejisjawarejthatjthejmusclejlayerjofjthejheart,jwhichjisjresponsiblejforjthejheartsjco
ntraction,jisjthe:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS:jD
Thejmyocardiumjisjthejspecializedjmusclejlayerjthatjallowsjthejheartjtojcontract.
2. Thejnursejclarifiesjthatjthejmasterjpacemakerjofjthejheartjisjthe:
a. leftjventricle.
b. atrioventricularj(AV)jnode.
c. sinoatrialj(SA)jnode.
d. bundlejofjHis.
ANS:jC
ThejSAjnodejisjthejmasterjpacemakerjofjthejheart.
3. Thejnursejisjawarejthatjthejsymptomsjofjanjimpendingjmyocardialjinfarctionj(MI)jdifferjinjwo
menjbecausejacutejchestjpainjisjnotjpresent.jWomenjarejfrequentlyjmisdiagnosedjasjhaving:
a. hepatitisjA.
b. indigestion.
c. urinaryjinfection.
d. menopausaljcomplications.
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ANS:jB
Indigestion,jgallbladderjattack,janxietyjattack,jandjdepressionjarejfrequentjmisdiagnosesjforjwome
njhavingjanjMI.
4. ThejnursejidentifiesjthejLUBBjsoundjofjthejLUBB/DUBBjofjthejcardiacjcyclejasjthejsoundjofjthe:
a. AVjvalvesjclosing.
b. closurejofjthejsemilunarjvalves.
c. contractionjofjthejpapillaryjmuscles.
d. contractionjofjthejventricles.
ANS:jA
ThejLUBBjisjthejfirstjsoundjofjajlowjpitchjheardjwhenjthejAVjvalvesjclose.
5. Ajpatientjisjadmittedjfromjthejemergencyjdepartment.jThejemergencyjdepartmentjphysicianjn
otesjthejpatientjhasjajdiagnosisjofjheartjfailurejwithjajNewjYorkjHeartjAssociationj(NYHA)jclas
sificationjofjIV.jThisjindicatesjthejpatientsjconditionjas:
a. moderatejheartjfailure.
b. severejheartjfailure.
c. congestivejheartjfailure.
d. negligiblejheartjfailure.
ANS:jB
ClassjIV:jSevere;jpatientjunablejtojperformjanyjphysicaljactivityjwithoutjdiscomfort.jAnginajorjsy
mptomsjofjcardiacjinefficiencyjmayjdevelopjatjrest.
6. Thejnursejassessesjthatjthejhomejhealthjpatientjhasjnojsignsjorjsymptomsjofjheartjfailure,jbutjdoe
sjhavejajhistoryjofjrheumaticjfeverjandjhasjbeenjrecentlyjdiagnosedjwithjdiabetesjmellitus.jThejn
ursejisjawarejthatjusingjthejAmericanjCollegejofjCardiologyjandjthejAmericanjHeartjAssociation
j(ACC/AHA)jstaging,jthisjpatientjwouldjbeja:
a. stagejA.
b. stagejB.
c. stagejC.
d. stagejD.
ANS:jA
ThejACC/AHAjstagingjdescribesjstagejAjasjajpersonjwithoutjsymptomsjofjheartjfailure,jbutjwithjp
rimaryjconditionsjassociatedjwithjthejdevelopmentjofjthejdisease.
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7. Thejnursejcaringjforjajpatientjrecoveringjfromjajmyocardialjinfarctjwhojisjonjremotejtelemetryjrec
ognizesjthejneedjforjaddedjinstructionjwhenjthejpatientjsays:
a. Ijcanjambulatejinjthejhallwayjwithjthisjgadgetjon.
b. Ijalwaysjtakejoffjthejtelemetryjdevicejwhenj Ijshower.
c. MyjEKGjisjbeingjwatchedjbyjonejofjthejnursesjinjCCUjonjthejhomejunit.
d. Ijamjablejtojsleepjjustjfinejwithjthisjdevicejon.
ANS:jB
Remotejtelemetryjallowsjthejpatientjtojbejonjajseparatejunit,jbutjbejmonitoredjinjajcentraljlocation.j
Thejpatientsjcanjbejambulatoryjandjcanjsleepjwithjthejmonitorjon.jThey
shouldjnotjremovejthejmonitorjtojshower.
8. Thejnursejassessesjpittingjedemajthatjcanjbejdepressedjapproximatelyjinchjandjrefillsjinj15jsec
onds.jThejnursejwouldjdocumentjthisjassessmentjas:
a. +1jedema.
b. +2jedema.
c. +3jedema.
d. +4jedema.
ANS:jB
Aj+2jedemajcanjbejdocumentedjifjthejskinjcanjbejdepressedjinchjandjrespondjwithinj15jseconds.
9. Whatjdojdarkjorjcoldjspotsjonjajthalliumjscanjindicate?
a. Tissuejwithjadequatejbloodjsupply
b. Dilatedjvessels
c. Areasjofjneoplasticjgrowth
d. Tissuejthatjhasjinadequatejperfusion
ANS:jD
Thalliumjscansjshowjadequatejperfusedjareasjbyjthejcollectionjofjthallium.jDarkjspotsjorjcoldjspots
jindicatejtissuesjthatjhavejinadequatejperfusion.
10.Thejnursejrecognizesjthejechocardiogramjreportjthatjshowsjanjejectionjfactorjofj42%jasjanjin
dicationjof:
a. normaljheartjaction.
b. mildjheartjfailure.
c. moderatejheartjfailure.
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