Cardiac Lewis Test Bank
After noting a pulse deficit when assessing a 74-year-old patient who has
just emergency
the arrived in department, the nurse will anticipate that the patient
may require
a. emergent
cardioversion.
b. a cardiac
catheterization.
c. hourly blood pressure (BP)
checks.
d. electrocardiographic (ECG) monitoring. correct answers d.
electrocardiographic
(ECG)
monitoring
Pulse deficit indicates that there may be a cardiac dysrhythmia that
would best
detected be ECG
with
monitoring
When reviewing the 12-lead electrocardiograph (ECG) for a healthy 79 year
old patient
who is having an annual physical exam, what would be most concern to
the nurse?
a. The PR interval is 0.21
seconds
b. The QRS duration is 0.13
seconds
c. There is a right bundle branch
block
d. The HR is 42 beats/minute correct answers d. The HR is 42
beats/minute
The HR does not change with aging, so the decrease in HR
requires further
investigatio
n.
During the physical examination of a 74 year old patient, the nurse palpates
the point impulse
maximal of (PMI) in the sixth intercostal space lateral to the left
midclavicular
The line.
most appropriate action for the nurse to take next
will be to
a. ask the patient about risk factors for
atherosclerosis
b. document that the PMI is in the normal anatomic
location
c. auscultate both the cardiac arteries for the presence
of assess
d. a bruit the patient for symptoms of left ventricular hypertrophy correct
answers
asses thed.patient for symptoms of left ventricular
hypertrophy assess
The PMI should be felt at the intersection of the fifth intercostal space
and the left line. A PMI outside of that would indicate possible cardiac
midclavicular
enlargement,
such as left ventricular
hypertrophy.
A patient is scheduled for cardiac catheterization with coronary angiography.
Before
test, the
the nurse informs the
patient that
a. it will be important to lie completely still during the
procedure
, b. a flushed feeling may be noted when the contrast dye is
injected
c. monitored anesthesia care will be provided during the procedure
during the
procedur
e
d. arterial pressure will be required for 24 hours after the test correct
answersfeeling
flushed b. a may be noted when the contrast dye is
injected
A sensation of warmth or flushing is common when the contrast material
is injected,
which can be anxiety producing procedure unless it has been
discussed
patient, with the
anxiety-
producing
While assessing a patient who was admitted with heart failure, the nurse
notes that
patient hastheJVD when lying flat in bed. Which action should the nurse
take next?
a. Document the finding in the patient's
record
b. Obtain vital signs, including oxygen
saturation
c. Have the patient perform the Valsalva
maneuver
d. Observe for JVD with the patient upright at 45 degrees correct answers
d. Observe
for JVD with the patient upright at 45
degrees
When a patient is lying flat, the jugular vein is at the level of the right
atrium, soJVD
common. JVDthat
is persists when the patient is sitting at a 30 to 45-
degree angle
greater is or
significant.
The nurse received the laboratory results for a patient who developed
chest pain
hours 4 may have myocardial infarction. The most important
ago and
laboratory
review will result will
be
a.
myoglobin
b. low-density lipoprotein
(LDL)
c. troponins T
and
d. creatine
L kinase-MB (CK-MB) correct answers c. troponins
T and L
cardiac troponins start to elevate 4 to 6 hours after myocardial injury
and are to
specific highly
the myocardium. They are the preferred diagnostic marker for
myocardial
infarctio
n.
When the nurse is monitoring a patient who is undergoing exercise (stress)
testing on which
treadmill, a assessment finding requires the most rapid action by
the nurse?
a. Patient complaint of feeling
tired
b. Pulse change from 87 to 101
beats/minute
c. Blood pressure (BP) increase from 134/68 to 150/80
mm
d. Hg inverted T waves on the electrocardiogram correct answers d.
Newly
Newly
T wavesinverted
on the
electrocardiogram
After noting a pulse deficit when assessing a 74-year-old patient who has
just emergency
the arrived in department, the nurse will anticipate that the patient
may require
a. emergent
cardioversion.
b. a cardiac
catheterization.
c. hourly blood pressure (BP)
checks.
d. electrocardiographic (ECG) monitoring. correct answers d.
electrocardiographic
(ECG)
monitoring
Pulse deficit indicates that there may be a cardiac dysrhythmia that
would best
detected be ECG
with
monitoring
When reviewing the 12-lead electrocardiograph (ECG) for a healthy 79 year
old patient
who is having an annual physical exam, what would be most concern to
the nurse?
a. The PR interval is 0.21
seconds
b. The QRS duration is 0.13
seconds
c. There is a right bundle branch
block
d. The HR is 42 beats/minute correct answers d. The HR is 42
beats/minute
The HR does not change with aging, so the decrease in HR
requires further
investigatio
n.
During the physical examination of a 74 year old patient, the nurse palpates
the point impulse
maximal of (PMI) in the sixth intercostal space lateral to the left
midclavicular
The line.
most appropriate action for the nurse to take next
will be to
a. ask the patient about risk factors for
atherosclerosis
b. document that the PMI is in the normal anatomic
location
c. auscultate both the cardiac arteries for the presence
of assess
d. a bruit the patient for symptoms of left ventricular hypertrophy correct
answers
asses thed.patient for symptoms of left ventricular
hypertrophy assess
The PMI should be felt at the intersection of the fifth intercostal space
and the left line. A PMI outside of that would indicate possible cardiac
midclavicular
enlargement,
such as left ventricular
hypertrophy.
A patient is scheduled for cardiac catheterization with coronary angiography.
Before
test, the
the nurse informs the
patient that
a. it will be important to lie completely still during the
procedure
, b. a flushed feeling may be noted when the contrast dye is
injected
c. monitored anesthesia care will be provided during the procedure
during the
procedur
e
d. arterial pressure will be required for 24 hours after the test correct
answersfeeling
flushed b. a may be noted when the contrast dye is
injected
A sensation of warmth or flushing is common when the contrast material
is injected,
which can be anxiety producing procedure unless it has been
discussed
patient, with the
anxiety-
producing
While assessing a patient who was admitted with heart failure, the nurse
notes that
patient hastheJVD when lying flat in bed. Which action should the nurse
take next?
a. Document the finding in the patient's
record
b. Obtain vital signs, including oxygen
saturation
c. Have the patient perform the Valsalva
maneuver
d. Observe for JVD with the patient upright at 45 degrees correct answers
d. Observe
for JVD with the patient upright at 45
degrees
When a patient is lying flat, the jugular vein is at the level of the right
atrium, soJVD
common. JVDthat
is persists when the patient is sitting at a 30 to 45-
degree angle
greater is or
significant.
The nurse received the laboratory results for a patient who developed
chest pain
hours 4 may have myocardial infarction. The most important
ago and
laboratory
review will result will
be
a.
myoglobin
b. low-density lipoprotein
(LDL)
c. troponins T
and
d. creatine
L kinase-MB (CK-MB) correct answers c. troponins
T and L
cardiac troponins start to elevate 4 to 6 hours after myocardial injury
and are to
specific highly
the myocardium. They are the preferred diagnostic marker for
myocardial
infarctio
n.
When the nurse is monitoring a patient who is undergoing exercise (stress)
testing on which
treadmill, a assessment finding requires the most rapid action by
the nurse?
a. Patient complaint of feeling
tired
b. Pulse change from 87 to 101
beats/minute
c. Blood pressure (BP) increase from 134/68 to 150/80
mm
d. Hg inverted T waves on the electrocardiogram correct answers d.
Newly
Newly
T wavesinverted
on the
electrocardiogram
