1 out of 1 points
• Question 1
A 62-year-old male presents to his primary care provider reporting chest pain at rest and with
exertion. He does not have a history of coronary artery disease and reports that the pain often
occurs at night. He is most likely experiencing which type of angina?
Selected Answer: c.
Prinzmetal 1 out of 1 points
Correct Answer: c.
Prinzmetal
• Question 2
A 52-year-old female is diagnosed with coronary artery disease. The nurse assesses for
myocardial:
Selected Answer: b.
Ischemia 0 out of 1 points
Correct Answer: b.
Ischemia
• Question 3
A nurse monitors the patient for when rapid onset of malignant hypertension results.
Selected Answer: d.
Acute renal failure 1 out of 1 points
Correct Answer: b.
Encephalopathy
• Question 4
A 28-year-old female presents with severe chest pain and shortness of breath. She is
diagnosed with pulmonary embolism, which most likely originated from the:
Selected Answer: c.
Deep veins of the leg 1 out of 1 points
Correct Answer: c.
Deep veins of the leg
• Question 5
A 54-year-old male is diagnosed with left bundle branch block. Which of the following
structures would not receive an electrical impulse?
Selected Answer: d.
The left ventricle 1 out of 1 points
Correct Answer: d.
The left ventricle
• Question 6
, Which organ should the nurse monitor closely since it is often the first to fail in patients with
multiple organ dysfunction syndrome (MODS)?
Selected Answer: c.
Lungs
Correct Answer: c.
Lungs
• Question 7
1 out of 1 points
A 65-year-old male is transported to the ER for chest pain. An electrocardiogram reveals a
prolonged QRS interval. What is the nurse monitoring when the nurse observes the QRS
complex on the electrocardiogram? The QRS complex reflects:
Selected Answer: a.
Ventricular activity
Correct Answer: a.
Ventricular activity
• Question 8
1 out of 1 points
Which of the following patients is at highest risk for developing pulmonary embolism (PE)?
Selected d.
Answer: 72-year-old male who is recovering from hip replacement surgery in the
hospital
Correct Answer: d.
72-year-old male who is recovering from hip replacement surgery in the
hospital
• Question 9
0 out of 1 points
A 51-year-old male is at the health clinic for an annual physical exam. After walking from the
car to the clinic, he developed substernal pain. He also reported discomfort in his left shoulder
and his jaw, lasting 2 to 3 minutes and then subsiding with rest. He indicates that this has
occurred frequently over the past few months with similar exertion. The nurse suspects he is
most likely experiencing:
Selected Answer: b.
Unstable angina
Correct Answer: a.
Stable angina
• Question 10
1 out of 1 points
A 59-year-old female is diagnosed with left ventricular failure. If a decrease in kidney
perfusion occurs, the nurse knows this would ultimately cause:
Selected Answer: c.
Increased systemic vascular resistance
, Correct Answer: c.
Increased systemic vascular resistance
• Question 11
1 out of 1 points
A 68-year-old female is experiencing left heart failure. Physical exam reveals elevated blood
pressure. The nurse understands this is most likely caused by:
Selected Answer: a.
Sympathetic nervous system compensation for decreased cardiac output
Correct Answer: a.
Sympathetic nervous system compensation for decreased cardiac output
• Question 12
1 out of 1 points
Many valvular stenosis and regurgitation disorders in adults have a common etiology. Which
of the following conditions should alert the nurse that the patient may have both types of valve
dysfunction?
Selected Answer: c.
Rheumatic fever or heart disease
Correct Answer: c.
Rheumatic fever or heart disease
• Question 13
1 out of 1 points
Which condition should cause the nurse to assess for high-output failure in a patient?
Selected Answer: d.
Severe anemia
Correct Answer: d.
Severe anemia
• Question 14
1 out of 1 points
A patient wants to know what causes atherosclerosis. How should the nurse respond? In
general, atherosclerosis is caused by:
Selected Answer: b.
Endothelial injury and inflammation
Correct Answer: b.
Endothelial injury and inflammation
• Question 15
1 out of 1 points
A 65-year-old female presents to the emergency department reporting difficulty swallowing
and shortness of breath. A CT scan would most likely reveal an aneurysm in the:
Selected Answer: d.
Thoracic aorta
Correct Answer: d.
, Thoracic aorta
• Question 16
1 out of 1 points
A 32-year-old female presents with lower leg pain, with swelling and redness. While
obtaining the patient’s history, which finding could have caused her condition?
Selected Answer: a.
Venous thrombus
Correct Answer: a.
Venous thrombus
• Question 17
1 out of 1 points
A 52-year-old male presents with pooling of blood in the veins of the lower extremities and
edema. The diagnosis is chronic venous insufficiency, and an expected assessment finding of
this disorder is:
Selected Answer: b.
Skin hyperpigmentation
Correct Answer: b.
Skin hyperpigmentation
• Question 18
1 out of 1 points
An 82-year-old female was admitted to the hospital with confusion and severe hypotension.
Her body’s compensatory mechanisms are increased heart rate, vasoconstriction, and
movement of large volumes of interstitial fluid to the vascular compartment. What kind of
shock does the nurse suspect the patient is experiencing?
Selected Answer: b.
Hypovolemic
Correct Answer: b.
Hypovolemic
• Question 19
1 out of 1 points
A 50-year-old female received trauma to the chest that caused severe impairment of the
primary pacemaker cells of the heart. Which of the following areas received the greatest
damage?
Selected Answer: b.
Sinoatrial (SA) node
Correct Answer: b.
Sinoatrial (SA) node
• Question 20
1 out of 1 points
A 70-year-old female is in the hospital for pelvic fracture. She develops pulmonary
thromboembolism. The nurse realizes this embolus is composed of:
• Question 1
A 62-year-old male presents to his primary care provider reporting chest pain at rest and with
exertion. He does not have a history of coronary artery disease and reports that the pain often
occurs at night. He is most likely experiencing which type of angina?
Selected Answer: c.
Prinzmetal 1 out of 1 points
Correct Answer: c.
Prinzmetal
• Question 2
A 52-year-old female is diagnosed with coronary artery disease. The nurse assesses for
myocardial:
Selected Answer: b.
Ischemia 0 out of 1 points
Correct Answer: b.
Ischemia
• Question 3
A nurse monitors the patient for when rapid onset of malignant hypertension results.
Selected Answer: d.
Acute renal failure 1 out of 1 points
Correct Answer: b.
Encephalopathy
• Question 4
A 28-year-old female presents with severe chest pain and shortness of breath. She is
diagnosed with pulmonary embolism, which most likely originated from the:
Selected Answer: c.
Deep veins of the leg 1 out of 1 points
Correct Answer: c.
Deep veins of the leg
• Question 5
A 54-year-old male is diagnosed with left bundle branch block. Which of the following
structures would not receive an electrical impulse?
Selected Answer: d.
The left ventricle 1 out of 1 points
Correct Answer: d.
The left ventricle
• Question 6
, Which organ should the nurse monitor closely since it is often the first to fail in patients with
multiple organ dysfunction syndrome (MODS)?
Selected Answer: c.
Lungs
Correct Answer: c.
Lungs
• Question 7
1 out of 1 points
A 65-year-old male is transported to the ER for chest pain. An electrocardiogram reveals a
prolonged QRS interval. What is the nurse monitoring when the nurse observes the QRS
complex on the electrocardiogram? The QRS complex reflects:
Selected Answer: a.
Ventricular activity
Correct Answer: a.
Ventricular activity
• Question 8
1 out of 1 points
Which of the following patients is at highest risk for developing pulmonary embolism (PE)?
Selected d.
Answer: 72-year-old male who is recovering from hip replacement surgery in the
hospital
Correct Answer: d.
72-year-old male who is recovering from hip replacement surgery in the
hospital
• Question 9
0 out of 1 points
A 51-year-old male is at the health clinic for an annual physical exam. After walking from the
car to the clinic, he developed substernal pain. He also reported discomfort in his left shoulder
and his jaw, lasting 2 to 3 minutes and then subsiding with rest. He indicates that this has
occurred frequently over the past few months with similar exertion. The nurse suspects he is
most likely experiencing:
Selected Answer: b.
Unstable angina
Correct Answer: a.
Stable angina
• Question 10
1 out of 1 points
A 59-year-old female is diagnosed with left ventricular failure. If a decrease in kidney
perfusion occurs, the nurse knows this would ultimately cause:
Selected Answer: c.
Increased systemic vascular resistance
, Correct Answer: c.
Increased systemic vascular resistance
• Question 11
1 out of 1 points
A 68-year-old female is experiencing left heart failure. Physical exam reveals elevated blood
pressure. The nurse understands this is most likely caused by:
Selected Answer: a.
Sympathetic nervous system compensation for decreased cardiac output
Correct Answer: a.
Sympathetic nervous system compensation for decreased cardiac output
• Question 12
1 out of 1 points
Many valvular stenosis and regurgitation disorders in adults have a common etiology. Which
of the following conditions should alert the nurse that the patient may have both types of valve
dysfunction?
Selected Answer: c.
Rheumatic fever or heart disease
Correct Answer: c.
Rheumatic fever or heart disease
• Question 13
1 out of 1 points
Which condition should cause the nurse to assess for high-output failure in a patient?
Selected Answer: d.
Severe anemia
Correct Answer: d.
Severe anemia
• Question 14
1 out of 1 points
A patient wants to know what causes atherosclerosis. How should the nurse respond? In
general, atherosclerosis is caused by:
Selected Answer: b.
Endothelial injury and inflammation
Correct Answer: b.
Endothelial injury and inflammation
• Question 15
1 out of 1 points
A 65-year-old female presents to the emergency department reporting difficulty swallowing
and shortness of breath. A CT scan would most likely reveal an aneurysm in the:
Selected Answer: d.
Thoracic aorta
Correct Answer: d.
, Thoracic aorta
• Question 16
1 out of 1 points
A 32-year-old female presents with lower leg pain, with swelling and redness. While
obtaining the patient’s history, which finding could have caused her condition?
Selected Answer: a.
Venous thrombus
Correct Answer: a.
Venous thrombus
• Question 17
1 out of 1 points
A 52-year-old male presents with pooling of blood in the veins of the lower extremities and
edema. The diagnosis is chronic venous insufficiency, and an expected assessment finding of
this disorder is:
Selected Answer: b.
Skin hyperpigmentation
Correct Answer: b.
Skin hyperpigmentation
• Question 18
1 out of 1 points
An 82-year-old female was admitted to the hospital with confusion and severe hypotension.
Her body’s compensatory mechanisms are increased heart rate, vasoconstriction, and
movement of large volumes of interstitial fluid to the vascular compartment. What kind of
shock does the nurse suspect the patient is experiencing?
Selected Answer: b.
Hypovolemic
Correct Answer: b.
Hypovolemic
• Question 19
1 out of 1 points
A 50-year-old female received trauma to the chest that caused severe impairment of the
primary pacemaker cells of the heart. Which of the following areas received the greatest
damage?
Selected Answer: b.
Sinoatrial (SA) node
Correct Answer: b.
Sinoatrial (SA) node
• Question 20
1 out of 1 points
A 70-year-old female is in the hospital for pelvic fracture. She develops pulmonary
thromboembolism. The nurse realizes this embolus is composed of:
