NUR 213 Cardio Practice Questions
1. may be used to dilate the smooth muscles of arteries andveins. By
dilating veins, preload can be reduced, thus allowing the heart to work less.: Nitrates
2. work to reduce blood pressure, and in some cases,reduce
heart rate.: Calcium channel blockers
3. are utilized to relieve pain in the client with AMI.: Anal-gesics
4. are drugs that dissolve or break up blood clots.: Fibrinolytics
5. You are completing preprocedure teaching on a client scheduled for an emergent
angiogram. Which assessment finding is most important to reportto the primary care provider?
Client had an angiogram 7 years ago.
Client is expressing concern over the impending procedure.Client has eaten within the last 30
minutes.
Client is allergic to shellfish.: Client is allergic to shellfish.
The dye used for angiograms normally has iodine in it, which is also found inshellfish, and a
shellfish allergy must be reported promptly.
The emergent need for the angiogram supersedes the client eating within the last30 minutes.
Monitor for emesis and nausea.
When the client expresses concerns over the procedure, the nurse should allow theclient to
express those concerns and answer any questions that the client may havewithin the nurse's
scope of practice before notifying the primary healthcare provider.The angiogram done 7 years
ago is not relevant to the emergent need for the angiogram.
6. You are providing post-procedure instructions to the client who requires an emergent
angiogram. What client statement indicates the need for furtherinstruction?
"I will be able to return to full duty at work within 24 hours."
"I will need to lie still for up to 8 hours after the procedure."
"I will need to use the call light when I need toileting assistance."
"I will need to let you know if there is moisture under me after the procedure."-
: "I will be able to return to full duty at work within 24 hours."
,The client needs more instruction because returning to work is usually allowed within
72 hours; 24 hours is too soon. All of the other statements are important teaching points that
the client must be informed of prior to an angiogram being performed, and the client must
demonstrate proper understanding.
7. You expect what client reaction during a coronary artery spasm?
Acute reduction in level of consciousness
Sudden onset of acute chest pain
Gradual increase in peripheral edema
Gradual increase in systolic blood pressure: Sudden onset of acute chest pain
The nurse would expect a sudden onset of acute chest pain from a coronary arteryspasm,
which is characteristic of Prinzmetal angina, in which there is an acute
reduction in coronary blood flow. An acute reduction in level of consciousness indicates
neurological involvement. A gradual increase in peripheral edema is a sign of heart failure. A
gradual increase in systolic blood pressure can have multiplecauses.
8. Ms. Fortune has been diagnosed with narrowing of the coronary arteries.What would be
the appropriate, conservative initial treatment for this condi- tion?
Exercise 3 times a week for 30 minutesCut smoking by half the amount
Eat a diet with a minimum of 20% fat
Take statins as prescribed: Exercise 3 times a week for 30 minutes
Conservative treatment would include regular physical exercise such as walking at a brisk
pace. Fat should be no more than 10% of the daily diet. Smoking should be
totally eliminated, usually through a cessation program or the use of assistive drugs such as
nicotine patches. By controlling cholesterol, the client can help control CAD. The statins are
one group of medications used to decrease circulating cholesterol.
9. Benny Spencer, a 57-year-old man, arrives in the emergency department reporting
persistent chest pain for the last 48 hours. The chest pain is rated as a 7 on a 1-10 scale, and it
, radiates up the client's neck. What lab values willbe the most important for the nurse to
monitor?
BMP, CPK, and troponinCBC and CPK
PTT, CBC, and Ck-MB
Troponin, CPK, and Ck-MB: Troponin, CPK, and Ck-MB
The troponin, CPK, and Ck-MB are collectively known as cardiac enzymes and
must be monitored closely to evaluate for cardiac damage. The other labs listed are important
to monitor the client's status, but the cardiac enzymes together are more
important to monitor for cardiac damage.
10. Ms. Wolfe, who has coronary artery disease, is leaving the hospital to gohome. Which
aspect of home care is most important for her to focus on?
Safety concernsFollow-up care
Return to normal activity
Lifestyle changes: Lifestyle changes
The most important focus for a patient with coronary artery disease is on lifestyle changes.
The most appropriate are diet, exercise, and how to use prescribed
medications. Safety concerns need to be assessed for the home environment priorto her return
home. When to return to normal activity will be part of the discharge instructions written by
the healthcare provider.
11. The nurse is developing a plan of care for a client with coronary artery disease. Which
mechanism does not contribute to decreased blood flow tothe client's coronary arteries?
Increased vasodilation of the arteries
Fat and fibrin deposits on the arterial walls
Spasms of normal or already narrowed arterial vessels
Increased platelet aggregation: Increased vasodilation of the arteries
Rationale: Platelet aggregation or clumping together increases, leading to the forma-tion of clots
which narrow the lumen of the arterial vessel. Vasodilation, or openingof the arteries,
increases blood flow. Fat and fibrin deposits on the arterial walls arecalled plaque. They cause
the artery to become thick and hardened with narrowing of the lumen and decrease blood flow.
1. may be used to dilate the smooth muscles of arteries andveins. By
dilating veins, preload can be reduced, thus allowing the heart to work less.: Nitrates
2. work to reduce blood pressure, and in some cases,reduce
heart rate.: Calcium channel blockers
3. are utilized to relieve pain in the client with AMI.: Anal-gesics
4. are drugs that dissolve or break up blood clots.: Fibrinolytics
5. You are completing preprocedure teaching on a client scheduled for an emergent
angiogram. Which assessment finding is most important to reportto the primary care provider?
Client had an angiogram 7 years ago.
Client is expressing concern over the impending procedure.Client has eaten within the last 30
minutes.
Client is allergic to shellfish.: Client is allergic to shellfish.
The dye used for angiograms normally has iodine in it, which is also found inshellfish, and a
shellfish allergy must be reported promptly.
The emergent need for the angiogram supersedes the client eating within the last30 minutes.
Monitor for emesis and nausea.
When the client expresses concerns over the procedure, the nurse should allow theclient to
express those concerns and answer any questions that the client may havewithin the nurse's
scope of practice before notifying the primary healthcare provider.The angiogram done 7 years
ago is not relevant to the emergent need for the angiogram.
6. You are providing post-procedure instructions to the client who requires an emergent
angiogram. What client statement indicates the need for furtherinstruction?
"I will be able to return to full duty at work within 24 hours."
"I will need to lie still for up to 8 hours after the procedure."
"I will need to use the call light when I need toileting assistance."
"I will need to let you know if there is moisture under me after the procedure."-
: "I will be able to return to full duty at work within 24 hours."
,The client needs more instruction because returning to work is usually allowed within
72 hours; 24 hours is too soon. All of the other statements are important teaching points that
the client must be informed of prior to an angiogram being performed, and the client must
demonstrate proper understanding.
7. You expect what client reaction during a coronary artery spasm?
Acute reduction in level of consciousness
Sudden onset of acute chest pain
Gradual increase in peripheral edema
Gradual increase in systolic blood pressure: Sudden onset of acute chest pain
The nurse would expect a sudden onset of acute chest pain from a coronary arteryspasm,
which is characteristic of Prinzmetal angina, in which there is an acute
reduction in coronary blood flow. An acute reduction in level of consciousness indicates
neurological involvement. A gradual increase in peripheral edema is a sign of heart failure. A
gradual increase in systolic blood pressure can have multiplecauses.
8. Ms. Fortune has been diagnosed with narrowing of the coronary arteries.What would be
the appropriate, conservative initial treatment for this condi- tion?
Exercise 3 times a week for 30 minutesCut smoking by half the amount
Eat a diet with a minimum of 20% fat
Take statins as prescribed: Exercise 3 times a week for 30 minutes
Conservative treatment would include regular physical exercise such as walking at a brisk
pace. Fat should be no more than 10% of the daily diet. Smoking should be
totally eliminated, usually through a cessation program or the use of assistive drugs such as
nicotine patches. By controlling cholesterol, the client can help control CAD. The statins are
one group of medications used to decrease circulating cholesterol.
9. Benny Spencer, a 57-year-old man, arrives in the emergency department reporting
persistent chest pain for the last 48 hours. The chest pain is rated as a 7 on a 1-10 scale, and it
, radiates up the client's neck. What lab values willbe the most important for the nurse to
monitor?
BMP, CPK, and troponinCBC and CPK
PTT, CBC, and Ck-MB
Troponin, CPK, and Ck-MB: Troponin, CPK, and Ck-MB
The troponin, CPK, and Ck-MB are collectively known as cardiac enzymes and
must be monitored closely to evaluate for cardiac damage. The other labs listed are important
to monitor the client's status, but the cardiac enzymes together are more
important to monitor for cardiac damage.
10. Ms. Wolfe, who has coronary artery disease, is leaving the hospital to gohome. Which
aspect of home care is most important for her to focus on?
Safety concernsFollow-up care
Return to normal activity
Lifestyle changes: Lifestyle changes
The most important focus for a patient with coronary artery disease is on lifestyle changes.
The most appropriate are diet, exercise, and how to use prescribed
medications. Safety concerns need to be assessed for the home environment priorto her return
home. When to return to normal activity will be part of the discharge instructions written by
the healthcare provider.
11. The nurse is developing a plan of care for a client with coronary artery disease. Which
mechanism does not contribute to decreased blood flow tothe client's coronary arteries?
Increased vasodilation of the arteries
Fat and fibrin deposits on the arterial walls
Spasms of normal or already narrowed arterial vessels
Increased platelet aggregation: Increased vasodilation of the arteries
Rationale: Platelet aggregation or clumping together increases, leading to the forma-tion of clots
which narrow the lumen of the arterial vessel. Vasodilation, or openingof the arteries,
increases blood flow. Fat and fibrin deposits on the arterial walls arecalled plaque. They cause
the artery to become thick and hardened with narrowing of the lumen and decrease blood flow.
