CARDIOVASCULAR NURSING TEST BANK 2026
QUESTIONS AND 100% VERIFIED ANSWERS |
GRADED A+ | GUARANTEED PASS!!
A 48-year-old man presents to the ED complaining of severe substernal chest pain
radiating down his left arm. He is admitted to the coronary care unit (CCU) with a
diagnosis of myocardial infarction (MI). What nursing assessment activity is a
priority on admission to the CCU?
A) Begin ECG monitoring.
B) Obtain information about family history of heart disease.
C) Auscultate lung fields.
D) Determine if the patient smokes.
- answer-Ans: A
Feedback:
The 12-lead ECG provides information that assists in ruling out or diagnosing an
acute MI. It should be obtained within 10 minutes from the time a patient reports
pain or arrives in the ED. By monitoring serial ECG changes over time, the
location, evolution, and resolution of an MI can be identified and monitored; life-
threatening arrhythmias are the leading cause of death in the first hours after an
MI. Obtaining information about family history of heart disease and whether the
patient smokes are not immediate priorities in the acute phase of MI. Data may be
obtained from family members later. Lung fields are auscultated after oxygenation
and pain control needs are met.
A cardiac surgery patient's new onset of signs and symptoms is suggestive of
cardiac tamponade. As a member of the interdisciplinary team, what is the nurse's
most appropriate action?
A) Prepare to assist with pericardiocentesis.
B) Reposition the patient into a prone position.
,C) Administer a dose of metoprolol.
D) Administer a bolus of normal saline.
- answer-Ans: A
Feedback:
Cardiac tamponade requires immediate pericardiocentesis. Beta-blockers and fluid
boluses will not relieve the pressure on the heart and prone positioning would
likely exacerbate symptoms.
A group of nurses are participating in orientation to a telemetry unit. What should
the staff educator tell this class about ST segments?
A) They are the part of an ECG that reflects systole.
B) They are the part of an ECG used to calculate ventricular rate and rhythm.
C) They are the part of an ECG that reflects the time from ventricular
depolarization through repolarization.
D) They are the part of an ECG that represents early ventricular repolarization.
- answer-Ans: D
Feedback:
ST segment is the part of an ECG that reflects the end of the QRS complex to the
beginning of the T wave. The part of an ECG that reflects repolarization of the
ventricles is the T wave. The part of an ECG used to calculate ventricular rate and
rhythm is the RR interval. The part of an ECG that reflects the time from
ventricular depolarization through repolarization is the QT interval.
A nurse has taken on the care of a patient who had a coronary artery stent placed
yesterday. When reviewing the patient's daily medication administration record,
the nurse should anticipate administering what drug?
A) Ibuprofen
B) Clopidogrel
,C) Dipyridamole
D) Acetaminophen
- answer-Ans: B
Feedback:
Because of the risk of thrombus formation within the stent, the patient receives
antiplatelet medications, usually aspirin and clopidogrel. Ibuprofen and
acetaminophen are not antiplatelet drugs. Dipyridamole is not the drug of choice
following stent placement.
A nurse is caring for a patient who is exhibiting ventricular tachycardia (VT).
Because the patient is pulseless, the nurse should prepare for what intervention?
A) Defibrillation
B) ECG monitoring
C) Implantation of a cardioverter defibrillator
D) Angioplasty
- answer-Ans: A
Feedback:
Any type of VT in a patient who is unconscious and without a pulse is treated in
the same manner as ventricular fibrillation: Immediate defibrillation is the action of
choice. ECG monitoring is appropriate, but this is an assessment, not an
intervention, and will not resolve the problem. An ICD and angioplasty do not
address the dysrhythmia.
A nurse is working with a patient who has been scheduled for a percutaneous
coronary intervention (PCI) later in the week. What anticipatory guidance should
the nurse provide to the patient?
A) He will remain on bed rest for 48 to 72 hours after the procedure.
B) He will be given vitamin K infusions to prevent bleeding following PCI.
, C) A sheath will be placed over the insertion site after the procedure is finished.
D) The procedure will likely be repeated in 6 to 8 weeks to ensure success.
- answer-Ans: C
Feedback:
A sheath is placed over the PCI access site and kept in place until adequate
coagulation is achieved. Patients resume activity a few hours after PCI and
repeated treatments may or may not be necessary. Anticoagulants, not vitamin K,
are administered during PCI.
A patient calls his cardiologist's office and talks to the nurse. He is concerned
because he feels he is being defibrillated too often. The nurse tells the patient to
come to the office to be evaluated because the nurse knows that the most frequent
complication of ICD therapy is what?
A) Infection
B) Failure to capture
C) Premature battery depletion
D) Oversensing of dysrhythmias
- answer-Ans: D
Feedback:
Inappropriate delivery of ICD therapy, usually due to oversensing of atrial and
sinus tachycardias with a rapid ventricular rate response, is the most frequent
complication of ICD. Infections, failure to capture, and premature battery failure
are less common.
A patient converts from normal sinus rhythm at 80 bpm to atrial fibrillation with a
ventricular response at 166 bpm. Blood pressure is 162/74 mm Hg. Respiratory
rate is 20 breaths per minute with normal chest expansion and clear lungs
bilaterally. IV heparin and Cardizem are given. The nurse caring for the patient
understands that the main goal of treatment is what?
A) Decrease SA node conduction
QUESTIONS AND 100% VERIFIED ANSWERS |
GRADED A+ | GUARANTEED PASS!!
A 48-year-old man presents to the ED complaining of severe substernal chest pain
radiating down his left arm. He is admitted to the coronary care unit (CCU) with a
diagnosis of myocardial infarction (MI). What nursing assessment activity is a
priority on admission to the CCU?
A) Begin ECG monitoring.
B) Obtain information about family history of heart disease.
C) Auscultate lung fields.
D) Determine if the patient smokes.
- answer-Ans: A
Feedback:
The 12-lead ECG provides information that assists in ruling out or diagnosing an
acute MI. It should be obtained within 10 minutes from the time a patient reports
pain or arrives in the ED. By monitoring serial ECG changes over time, the
location, evolution, and resolution of an MI can be identified and monitored; life-
threatening arrhythmias are the leading cause of death in the first hours after an
MI. Obtaining information about family history of heart disease and whether the
patient smokes are not immediate priorities in the acute phase of MI. Data may be
obtained from family members later. Lung fields are auscultated after oxygenation
and pain control needs are met.
A cardiac surgery patient's new onset of signs and symptoms is suggestive of
cardiac tamponade. As a member of the interdisciplinary team, what is the nurse's
most appropriate action?
A) Prepare to assist with pericardiocentesis.
B) Reposition the patient into a prone position.
,C) Administer a dose of metoprolol.
D) Administer a bolus of normal saline.
- answer-Ans: A
Feedback:
Cardiac tamponade requires immediate pericardiocentesis. Beta-blockers and fluid
boluses will not relieve the pressure on the heart and prone positioning would
likely exacerbate symptoms.
A group of nurses are participating in orientation to a telemetry unit. What should
the staff educator tell this class about ST segments?
A) They are the part of an ECG that reflects systole.
B) They are the part of an ECG used to calculate ventricular rate and rhythm.
C) They are the part of an ECG that reflects the time from ventricular
depolarization through repolarization.
D) They are the part of an ECG that represents early ventricular repolarization.
- answer-Ans: D
Feedback:
ST segment is the part of an ECG that reflects the end of the QRS complex to the
beginning of the T wave. The part of an ECG that reflects repolarization of the
ventricles is the T wave. The part of an ECG used to calculate ventricular rate and
rhythm is the RR interval. The part of an ECG that reflects the time from
ventricular depolarization through repolarization is the QT interval.
A nurse has taken on the care of a patient who had a coronary artery stent placed
yesterday. When reviewing the patient's daily medication administration record,
the nurse should anticipate administering what drug?
A) Ibuprofen
B) Clopidogrel
,C) Dipyridamole
D) Acetaminophen
- answer-Ans: B
Feedback:
Because of the risk of thrombus formation within the stent, the patient receives
antiplatelet medications, usually aspirin and clopidogrel. Ibuprofen and
acetaminophen are not antiplatelet drugs. Dipyridamole is not the drug of choice
following stent placement.
A nurse is caring for a patient who is exhibiting ventricular tachycardia (VT).
Because the patient is pulseless, the nurse should prepare for what intervention?
A) Defibrillation
B) ECG monitoring
C) Implantation of a cardioverter defibrillator
D) Angioplasty
- answer-Ans: A
Feedback:
Any type of VT in a patient who is unconscious and without a pulse is treated in
the same manner as ventricular fibrillation: Immediate defibrillation is the action of
choice. ECG monitoring is appropriate, but this is an assessment, not an
intervention, and will not resolve the problem. An ICD and angioplasty do not
address the dysrhythmia.
A nurse is working with a patient who has been scheduled for a percutaneous
coronary intervention (PCI) later in the week. What anticipatory guidance should
the nurse provide to the patient?
A) He will remain on bed rest for 48 to 72 hours after the procedure.
B) He will be given vitamin K infusions to prevent bleeding following PCI.
, C) A sheath will be placed over the insertion site after the procedure is finished.
D) The procedure will likely be repeated in 6 to 8 weeks to ensure success.
- answer-Ans: C
Feedback:
A sheath is placed over the PCI access site and kept in place until adequate
coagulation is achieved. Patients resume activity a few hours after PCI and
repeated treatments may or may not be necessary. Anticoagulants, not vitamin K,
are administered during PCI.
A patient calls his cardiologist's office and talks to the nurse. He is concerned
because he feels he is being defibrillated too often. The nurse tells the patient to
come to the office to be evaluated because the nurse knows that the most frequent
complication of ICD therapy is what?
A) Infection
B) Failure to capture
C) Premature battery depletion
D) Oversensing of dysrhythmias
- answer-Ans: D
Feedback:
Inappropriate delivery of ICD therapy, usually due to oversensing of atrial and
sinus tachycardias with a rapid ventricular rate response, is the most frequent
complication of ICD. Infections, failure to capture, and premature battery failure
are less common.
A patient converts from normal sinus rhythm at 80 bpm to atrial fibrillation with a
ventricular response at 166 bpm. Blood pressure is 162/74 mm Hg. Respiratory
rate is 20 breaths per minute with normal chest expansion and clear lungs
bilaterally. IV heparin and Cardizem are given. The nurse caring for the patient
understands that the main goal of treatment is what?
A) Decrease SA node conduction
