Med-Surg Cardiovascular Review Questions With Correct Answers

Med-Surg Cardiovascular Review
Questions With Correct Answers



1. A client complains of crushing chest pain that radiates to his left arm.
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He should be presented with the following treatment:
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1. Aspirin, oxygen, nitroglycerin, and morphine
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2. Aspirin, oxygen, nitroglycerin, and codeine
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3. Oxygen, nitroglycerin, meperidine, and thrombolytics
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4. Aspirin, oxygen, nitroprusside, and morphine - CORRECT
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ANSWER✔✔-Answer: 1. Aspirin, oxygen, nitroglycerin, and morphine | | | | | |




2. Which lifestyle changes should a client diagnosed with coronary
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artery disease consider?
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1. Smoking cessation
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2. Establishing a regular exercise routine
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3. Weight reduction
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4. All of the Above - CORRECT ANSWER✔✔-Answer: 4. All of the Above
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,3. A client's cardiac monitor alarm sounds, indicating ventricular
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tachycardia. The nurse should: | | |




1. perform immediate defibrillation.
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2. Assess the client.
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3. Call the physician.
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4. Administer a precordial thump. - CORRECT ANSWER✔✔-Answer: 2.
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Assess the client.
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4. A complication of peripheral vascular disease may be:
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1. stasis ulcer.
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2. Pressure ulcer.
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3. Gastric ulcer.
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4. Duodenal ulcer. - CORRECT ANSWER✔✔-Answer: 1. stasis ulcer.
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5. A key diagnostic test for heart failure is:
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1. serum potassium.
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2. B-type natriuretic peptide.
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3. Troponin I
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4. cardiac enzymes. - CORRECT ANSWER✔✔-Answer: 2. B-type
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natriuretic peptide. |

,6. While auscultating the heart sounds of a client with mitral
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insufficiency, the nurse hears an extra heart sound immediately after
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the S2. The nurse should document this extra heart sound as a:
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1. S1.
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2. S3.
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3. S4.
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4. mitral murmur. - CORRECT ANSWER✔✔-Answer: 2. S3.
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Rationale: An S3, is heard following an S2. This indicates that the client
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is experiencing heart failure and results from increased filling pressures.
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An S1 is a normal heart sound made by the closing of the mitral and
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tricuspid valves. An S4 is heard before S1 and is caused by resistance to
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ventricular filling. A murmur of mitral insufficiency occurs during systole
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and is heard when there's turbulent blood flow across the valve.
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7. A nurse administers heparin to a client with deep vein
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thrombophlebitis. Which laboratory value should the nurse monitor to | | | | | | | | |



determine the effectiveness of heparin? | | | |




1. PTT
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2. HCT
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3. CBC
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4. PT - CORRECT ANSWER✔✔-Answer: 1. PTT
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Rationale: The therapeutic effectiveness of heparin is determined by
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monitoring the patient's PTT, PT, HCT, and CBC don't monitor the
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, therapeutic effectiveness of heparin. Monitoring the PT determines
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warfarin's effectiveness. |




8. A client has just returned from cardiac catheterization. Which nursing
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intervention would be most appropriate? | | | |




1. Help the client ambulate to the bathroom.
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2. Restrict fluids.
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3. Monitor peripheral pulses.
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4. Insert an indwelling urinary catheter. - CORRECT ANSWER✔✔-
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Answer. 3. Monitor peripheral pulses.
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Rationale: After cardiac catheterization, monitor peripheral pulses to
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assess peripheral perfusion. Helping the client ambulate to the
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bathroom is incorrect because the client should be on bed rest for 4 to 8
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|hours after the procedure to reduce the risk of bleeding at the insertion
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|site. Restricting fluids is incorrect because the client should be
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encouraged to drink fluids after the procedure, unless contraindicated.
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Adequate hydration reduces the risk of nephrotoxicity that can occur
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with the use of contrast dye. Although urine output is monitored
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following cardiac catheterization, the insertion of a urinary catherter
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isn't necessary.
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9. A client is in the first postoperative day after left femoropopliteal
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revascularization. Which position would be most appropriate for this | | | | | | | | |



client?
1. On his left-sided
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