Med Surg Ch.17,18,19&20 Exam Questions
With Accurate Answers
The nurse is educating a female patient with a family history of coronary artery disease
(CAD) about risk factors and prevention of heart disease in women. Which information
is most important for the nurse to include?
a.
Women should maintain a body mass index (BMI) of less than 28.
b.
Women should utilize estrogen supplementation to decrease risk of heart disease.
c.
Women should drink one alcoholic beverage daily.
d.
Women should incorporate stress reduction techniques into their daily lifestyle. -
ANSWER D
In a blood pressure of 120/80, what does the "80" indicate?
a.
Pulse pressure
b.
Pressure in the relaxed ventricles
c.
Relative ejection factor
d.
Stroke volume - ANSWER B
The nurse is caring for a patient on lisinopril (Zestril). The patient asks how this
medication affects blood pressure. Which response best explains the medication's
effects?
a.
"This medication blocks epinephrine and lowers the heart rate, which impacts blood
pressure."
b.
"This medication stimulates the release of sodium and water to be excreted."
c.
"This medication lowers blood pressure by blocking an enzyme that causes blood
vessels to constrict."
,d.
"This medication decreases cardiac output." - ANSWER C
The 85-year-old patient with a newly diagnosed heart murmur expresses concern that
he has never been notified of this finding before. What is the most likely cause of this
patient's heart murmur?
a.
Hypertension
b.
Atherosclerosis
c.
Insufficient valves
d.
Weakened pacemaker - ANSWER C
The nurse is caring for an older adult patient. While auscultating the patient's apical
pulse, the nurse notices an irregular rhythm. The nurse suspects which causative factor
for the patient's dysrhythmia?
a.
Loss of cells in the sinoatrial (SA) nodes
b.
Increased peripheral resistance
c.
Hypertension
d.
Atherosclerosis - ANSWER A
The nurse is assessing a female patient with a family history of coronary artery disease
(CAD). Which report is most concerning to the nurse?
a.
"I get a little short of breath after climbing the three flights of stairs to my apartment."
b.
"I stay tired all of the time, and it feels like my bra is too tight."
c.
"I awaken frequently in the night, and my husband says that I snore."
d.
"I notice wheezing after I dust or when I exercise." - ANSWER B
The nurse is outlining a teaching program for diabetic patients. Which teaching point
about heart disease prevention should the nurse emphasize most?
a.
Keep blood sugar below 100 mg/dL.
b.
Prevent infections.
c.
Eat meals at regular times.
, d.
Use sterile technique in insulin injections. - ANSWER A
Which statement accurately describes the purpose of a Doppler flow study?
a.
To detect a clot in a coronary artery
b.
To visualize obstructions in leg vessels
c.
To assess efficiency of blood flow through heart chambers
d.
To detect a defective heart valve - ANSWER B
The nurse is caring for a patient who just returned from a transradial heart
catheterization. Which action indicates the priority care for the postprocedure period?
a.
The nurse encourages the patient to increase fluid intake.
b.
The nurse checks the presence and strength of pedal pulses.
c.
The nurse places the pulse oximeter on the thumb or first digit of the affected hand.
d.
The nurse places the blood pressure cuff on the arm corresponding to the affected
hand. - ANSWER C
The nurse is caring for a patient who is scheduled to undergo a stress echocardiogram.
Which statement indicates that the nurse's teaching about preparation for the test has
been successful?
a.
"I should eat a full meal to give me energy to walk on the treadmill."
b.
"I will avoid smoking for fours before the test."
c.
"I will have to move extremely quickly from the treadmill to the table."
d.
"I should wear comfortable house shoes during the test." - ANSWER C
The 65-year-old patient complains of leg pain that disappears at rest after having
walked a short distance. The nurse recognizes that the patient's symptoms are
consistent with which problem?
a.
Muscle spasm
b.
Deep venous thrombosis
c.
Claudication
With Accurate Answers
The nurse is educating a female patient with a family history of coronary artery disease
(CAD) about risk factors and prevention of heart disease in women. Which information
is most important for the nurse to include?
a.
Women should maintain a body mass index (BMI) of less than 28.
b.
Women should utilize estrogen supplementation to decrease risk of heart disease.
c.
Women should drink one alcoholic beverage daily.
d.
Women should incorporate stress reduction techniques into their daily lifestyle. -
ANSWER D
In a blood pressure of 120/80, what does the "80" indicate?
a.
Pulse pressure
b.
Pressure in the relaxed ventricles
c.
Relative ejection factor
d.
Stroke volume - ANSWER B
The nurse is caring for a patient on lisinopril (Zestril). The patient asks how this
medication affects blood pressure. Which response best explains the medication's
effects?
a.
"This medication blocks epinephrine and lowers the heart rate, which impacts blood
pressure."
b.
"This medication stimulates the release of sodium and water to be excreted."
c.
"This medication lowers blood pressure by blocking an enzyme that causes blood
vessels to constrict."
,d.
"This medication decreases cardiac output." - ANSWER C
The 85-year-old patient with a newly diagnosed heart murmur expresses concern that
he has never been notified of this finding before. What is the most likely cause of this
patient's heart murmur?
a.
Hypertension
b.
Atherosclerosis
c.
Insufficient valves
d.
Weakened pacemaker - ANSWER C
The nurse is caring for an older adult patient. While auscultating the patient's apical
pulse, the nurse notices an irregular rhythm. The nurse suspects which causative factor
for the patient's dysrhythmia?
a.
Loss of cells in the sinoatrial (SA) nodes
b.
Increased peripheral resistance
c.
Hypertension
d.
Atherosclerosis - ANSWER A
The nurse is assessing a female patient with a family history of coronary artery disease
(CAD). Which report is most concerning to the nurse?
a.
"I get a little short of breath after climbing the three flights of stairs to my apartment."
b.
"I stay tired all of the time, and it feels like my bra is too tight."
c.
"I awaken frequently in the night, and my husband says that I snore."
d.
"I notice wheezing after I dust or when I exercise." - ANSWER B
The nurse is outlining a teaching program for diabetic patients. Which teaching point
about heart disease prevention should the nurse emphasize most?
a.
Keep blood sugar below 100 mg/dL.
b.
Prevent infections.
c.
Eat meals at regular times.
, d.
Use sterile technique in insulin injections. - ANSWER A
Which statement accurately describes the purpose of a Doppler flow study?
a.
To detect a clot in a coronary artery
b.
To visualize obstructions in leg vessels
c.
To assess efficiency of blood flow through heart chambers
d.
To detect a defective heart valve - ANSWER B
The nurse is caring for a patient who just returned from a transradial heart
catheterization. Which action indicates the priority care for the postprocedure period?
a.
The nurse encourages the patient to increase fluid intake.
b.
The nurse checks the presence and strength of pedal pulses.
c.
The nurse places the pulse oximeter on the thumb or first digit of the affected hand.
d.
The nurse places the blood pressure cuff on the arm corresponding to the affected
hand. - ANSWER C
The nurse is caring for a patient who is scheduled to undergo a stress echocardiogram.
Which statement indicates that the nurse's teaching about preparation for the test has
been successful?
a.
"I should eat a full meal to give me energy to walk on the treadmill."
b.
"I will avoid smoking for fours before the test."
c.
"I will have to move extremely quickly from the treadmill to the table."
d.
"I should wear comfortable house shoes during the test." - ANSWER C
The 65-year-old patient complains of leg pain that disappears at rest after having
walked a short distance. The nurse recognizes that the patient's symptoms are
consistent with which problem?
a.
Muscle spasm
b.
Deep venous thrombosis
c.
Claudication
