lOMoAR cPSD| 57629747
Nursing exam review : cardiac vascular and respiratory
condition
, lOMoAR cPSD| 57629747
SET 2
1. A client in ventricular fibrillation is about to be defibrillated. A nurse knows that to convert this
rhythm effectively, the machine should be set at which of the following energy levels (in joules, J) for
the first delivery?
A. 50 J
B. 100 J
C. 200 J
D. 360 J
ANSWER: C
2. The nurse in the telemetry unit is faced with various situations. Which situation takes priority?
A. A client’s cardiac monitor suddenly reveals sinus tachycardia with isolated premature ventricular
contraction
B. A client’s cardiac rhythm suddenly changes from normal sinus rhythm to uncontrolled atrial
fibrillation
C. The client is requesting help to go to the bathroom
D. The cardiologist is asking the nurse to make rounds with him to his clients
ANSWER: B (2012)
SITUATION: Chito is admitted to the health care facility for treatment of an abdominal aortic
aneurysm.
3. The nurse who admitted Chito, recognizes that the development of abdominal aortic aneurysm in
the patient could be associated with which of the following data obtained through nursing history? A.
He stopped smoking when he was 65 years old.
B. Patients under treatment for hyperlipidemia
C. Prolonged history of hypertension
D. Patients is 70 years old
ANSWER: C (DEC 2012)
CARDIO
HPN is the most common cause of Aneurysm
4. Which of the following findings in Chito who is awaiting abdominal aortic aneurysm repair would you
report immediately to the physician? A. Severe back pain
B. Swelling of the arms and face
C. Bruit upon auscultation
D. Pulsatile mass
ANSWER: A
5. Chito is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the
client with an abdominal aortic aneurysm is: A. Loss of sensation in the lower extremities
B. Back pain that lessens when standing
C. Decreased urinary output
D. Pulsations in the periumbilical area
ANSWER: D (NL)
The client with an abdominal aortic aneurysm frequently complains of pulsations or “feeling my heart
beat” in the abdomen. Answers A and C are incorrect because they occur with rupture of the
aneurysm. Answer B is incorrect because back pain is not affected by changes in position.
6. Chito is admitted to the health care facility for treatment of an abdominal aortic aneurysm. When
planning Chito’s care, the nurse formulates interventions with which goal in mind?
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, lOMoAR cPSD| 57629747
A. Decreasing blood pressure and increasing mobility
B. Increasing blood pressure and reducing mobility
C. Stabilizing the heart rate and blood pressure and easing anxiety
D. increasing blood pressure and monitoring fluid intake and output
ANSWER: C
7. Which of the following observations of Chito would be most significant in documenting that surgical
repair of an abdominal aortic aneurysm has been effective?
A. Urine output of 30ml/hr
B. Presence of pre-tibial edema
C. Clear sclera
D. Presence of carotid bruit
ANSWER: A
SITUATION: Mike, a 43-year old construction worker, has a history smoking two packs of cigarettes a
day. His current concern is calf pain during minimal exercise that decreased with rest.
8. The nurse is teaching Mike who has peripheral vascular disease to stop smoking. Which physiologic
effect of nicotine should the nurse explain to the group?
A. Constriction of the superficial vessels, dilating the deep vessels
B. Constriction of the peripheral vessels, increasing the force of flow
C. Dilation of the superficial vessels with constriction of the collateral circulation
D. Dilation of the peripheral vessels, causing a reflex constriction of visceral vessels
ANSWER: B
9. Buerger’s disease is characterized by all of the following except:
A. Arterial thrombosis formation and occlusion
B. Lipid deposits in the arteries
C. Redness or cyanosis in the limb when it is dependent
D. Venous inflammation and occlusion
ANSWER: B (NL)
10. Which of the following questions is most important for a nurse to ask when gathering information
from a patient who has a history of Buerger’s Disease?
A. “Have you had recent lapses of memory?”
B. “Do you require several pillows to sleep?”
C. “Have you noticed weakness in your legs?”
D. “Do you have pain in your calves when you walk?”
ANSWER: D
11. Mike complains of pain and cramping after short period of walking that stop when he rest. The
nurse concludes he is describing which of the following symptoms of peripheral arterial disease? A.
Arterial Venous Shunting
B. Phlebitis
C. Intermittent Claudication
D. Raynaud’s phenomenon
ANSWER : C
12. Mike who has vascular insufficiency of the lower extremities experiences intermittent claudication.
To which of the following nursing diagnoses would a nurse give priority?
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Nursing exam review : cardiac vascular and respiratory
condition
, lOMoAR cPSD| 57629747
SET 2
1. A client in ventricular fibrillation is about to be defibrillated. A nurse knows that to convert this
rhythm effectively, the machine should be set at which of the following energy levels (in joules, J) for
the first delivery?
A. 50 J
B. 100 J
C. 200 J
D. 360 J
ANSWER: C
2. The nurse in the telemetry unit is faced with various situations. Which situation takes priority?
A. A client’s cardiac monitor suddenly reveals sinus tachycardia with isolated premature ventricular
contraction
B. A client’s cardiac rhythm suddenly changes from normal sinus rhythm to uncontrolled atrial
fibrillation
C. The client is requesting help to go to the bathroom
D. The cardiologist is asking the nurse to make rounds with him to his clients
ANSWER: B (2012)
SITUATION: Chito is admitted to the health care facility for treatment of an abdominal aortic
aneurysm.
3. The nurse who admitted Chito, recognizes that the development of abdominal aortic aneurysm in
the patient could be associated with which of the following data obtained through nursing history? A.
He stopped smoking when he was 65 years old.
B. Patients under treatment for hyperlipidemia
C. Prolonged history of hypertension
D. Patients is 70 years old
ANSWER: C (DEC 2012)
CARDIO
HPN is the most common cause of Aneurysm
4. Which of the following findings in Chito who is awaiting abdominal aortic aneurysm repair would you
report immediately to the physician? A. Severe back pain
B. Swelling of the arms and face
C. Bruit upon auscultation
D. Pulsatile mass
ANSWER: A
5. Chito is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the
client with an abdominal aortic aneurysm is: A. Loss of sensation in the lower extremities
B. Back pain that lessens when standing
C. Decreased urinary output
D. Pulsations in the periumbilical area
ANSWER: D (NL)
The client with an abdominal aortic aneurysm frequently complains of pulsations or “feeling my heart
beat” in the abdomen. Answers A and C are incorrect because they occur with rupture of the
aneurysm. Answer B is incorrect because back pain is not affected by changes in position.
6. Chito is admitted to the health care facility for treatment of an abdominal aortic aneurysm. When
planning Chito’s care, the nurse formulates interventions with which goal in mind?
messages.pdf_cover_qr_code_label
messages.downloaded_by
, lOMoAR cPSD| 57629747
A. Decreasing blood pressure and increasing mobility
B. Increasing blood pressure and reducing mobility
C. Stabilizing the heart rate and blood pressure and easing anxiety
D. increasing blood pressure and monitoring fluid intake and output
ANSWER: C
7. Which of the following observations of Chito would be most significant in documenting that surgical
repair of an abdominal aortic aneurysm has been effective?
A. Urine output of 30ml/hr
B. Presence of pre-tibial edema
C. Clear sclera
D. Presence of carotid bruit
ANSWER: A
SITUATION: Mike, a 43-year old construction worker, has a history smoking two packs of cigarettes a
day. His current concern is calf pain during minimal exercise that decreased with rest.
8. The nurse is teaching Mike who has peripheral vascular disease to stop smoking. Which physiologic
effect of nicotine should the nurse explain to the group?
A. Constriction of the superficial vessels, dilating the deep vessels
B. Constriction of the peripheral vessels, increasing the force of flow
C. Dilation of the superficial vessels with constriction of the collateral circulation
D. Dilation of the peripheral vessels, causing a reflex constriction of visceral vessels
ANSWER: B
9. Buerger’s disease is characterized by all of the following except:
A. Arterial thrombosis formation and occlusion
B. Lipid deposits in the arteries
C. Redness or cyanosis in the limb when it is dependent
D. Venous inflammation and occlusion
ANSWER: B (NL)
10. Which of the following questions is most important for a nurse to ask when gathering information
from a patient who has a history of Buerger’s Disease?
A. “Have you had recent lapses of memory?”
B. “Do you require several pillows to sleep?”
C. “Have you noticed weakness in your legs?”
D. “Do you have pain in your calves when you walk?”
ANSWER: D
11. Mike complains of pain and cramping after short period of walking that stop when he rest. The
nurse concludes he is describing which of the following symptoms of peripheral arterial disease? A.
Arterial Venous Shunting
B. Phlebitis
C. Intermittent Claudication
D. Raynaud’s phenomenon
ANSWER : C
12. Mike who has vascular insufficiency of the lower extremities experiences intermittent claudication.
To which of the following nursing diagnoses would a nurse give priority?
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