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Cardiac Test Bank Ch. 25 Exam Questions Correctly Answered.

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Cardiac Test Bank Ch. 25 Exam Questions Correctly Answered. 1. A nurse is describing the process by which blood is ejected into circulation as the chambers of the heart A. Feedback: become smaller. The instructor categorizes this action Systole is the action of the of the heart as what? A. Systole B. Diastole C. Repolarization D. Ejection fraction chambers of the heart be- coming smaller and eject- ing blood. This action of the heart is not dias- tole (relaxations), ejection fraction (the amount of blood expelled), or repo- larization (electrical charg- ing). 2. During a shift assessment, the nurse is identifying the B. client's point of maximum impulse (PMI). Where will the nurse best palpate the PMI? Feedback: The left ventricle is respon- sible for the apical beat A. Left midclavicular line of the chest at the level of the or the point of maximum nipple B. Left midclavicular line of the chest at the fifth inter- costal space C. Midline between the xiphoid process and the left nipple D. Two to three centimeters to the left of the sternum 3. The nurse is calculating a cardiac patient's pulse pres- sure. If the patient's blood pressure is 122/76 mm Hg, what is the patient's pulse pressure? A. 46 mm Hg B. 99 mm Hg impulse, which is normally palpated in the left mid- clavicular line of the chest wall at the fifth intercostal space. A. Feedback: Pulse pressure is the dif- ference between the sys- tolic and diastolic pres- sure. In this case, this value is 46 mm Hg. C. 198 mm Hg D. 76 mm Hg 4. The nurse is caring for a patient admitted with unsta- C. ble angina. The laboratory result for the initial troponin Feedback: I is elevated in this patient. The nurse should recognize Troponin I, which is spe- what implication of this assessment finding? cific to cardiac muscle, is elevated within hours af- A. This is only an accurate indicator of myocardial dam- ter myocardial injury. Even age when it reaches its peak in 24 hours. B. Because the patient has a history of unstable angi- na, this is a poor indicator of myocardial injury. C. This is an accurate indicator of myocardial injury. D. This result indicates muscle injury, but does not specify the source. 5. The nurse is conducting patient teaching about cho- lesterol levels. When discussing the patient's elevated LDL and lowered HDL levels, the patient shows an understanding of the significance of these levels by stating what? A. Increased LDL and decreased HDL increase my risk of coronary artery disease. B. Increased LDL has the potential to decrease my risk of heart disease. C. The decreased HDL level will increase the amount of cholesterol moved away from the artery walls. D. The increased LDL will decrease the amount of cho- lesterol deposited on the artery walls. 6. The physician has placed a central venous pressure (CVP) monitoring line in an acutely ill patient so right with a diagnosis of unsta- ble angina, this is an accu- rate indicator of myocar- dial injury. A. Feedback: Elevated LDL levels and decreased HDL levels are associated with a greater incidence of coronary artery disease. A. Feedback: ventricular function and venous blood return can be closely monitored. The results show decreased CVP. What does this indicate? A. Possible hypovolemia B. Possible myocardial infarction (MI) C. Left-sided heart failure D. Aortic valve regurgitation Hypovolemia may cause a decreased CVP. MI, valve regurgitation and hea

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Cardiac Test Bank Ch. 25 Exam Questions Correctly
Answered.
1. A nurse is describing the process by which
A.
blood is ejected into circulation as the
Feedback:
chambers of the heart
become smaller. The instructor categorizes this action Systole is the
action of the
of the heart as chambers of the heart
what? be- coming smaller and
eject- ing blood. This
A. Systole
action of the heart is
B. Diastole
not dias-
C. Repolarization
tole (relaxations),
D. Ejection fraction
ejection fraction (the
amount of blood
expelled), or repo-
larization (electrical
charg- ing).

2. During a shift assessment, the nurse is identifying the B.
client's point of maximum impulse (PMI). Feedback:
Where will the nurse best palpate the PMI? The left ventricle is
respon- sible for the
apical beat
A. Left midclavicular line of the chest at the level of the or the point of
maximum
nipple pres- sure. If
B. Left midclavicular line of the chest at the fifth the patient's
inter- costal space blood
C. Midline between the xiphoid process and pressure is
the left nipple 122/76 mm
D. Two to three centimeters to the left of the Hg, what is
sternum the
patient's
3. The nurse is calculating a cardiac patient's pulse pulse


, Cardiac Test Bank Ch. 25 Exam Questions Correctly
Answered.
pressure? impulse, which is
normally palpated in the
A. 46 mm Hg
left mid- clavicular line of
B. 99 mm Hg
the chest wall at the fifth
intercostal space.


A.
Feedback:
Pulse pressure is the
dif- ference between
the sys- tolic and
diastolic pres- sure. In
this case, this value is
46 mm Hg.






, Cardiac Test Bank Ch. 25 Exam Questions Correctly
Answered.
C. 198 mm Hg
D. 76 mm Hg

4. The nurse is caring for a patient admitted with unsta- C.
ble angina. The laboratory result for the initial troponin Feedback:
I is elevated in this patient. The nurse should recognize Troponin I,
which is spe-
what implication of this assessment cific to cardiac muscle, is
finding? elevated within hours
af-
A. This is only an accurate indicator of myocardial dam- ter
myocardial injury. Even
age when it reaches its peak in 24 hours. artery
B. Because the patient has a history of unstable walls.
angi- na, this is a poor indicator of D. The
myocardial injury. increased
C. This is an accurate indicator of myocardial LDL will
injury. decrease the
D. This result indicates muscle injury, but does amount of
not specify the source. cho-
lesterol
5. The nurse is conducting patient teaching deposited
about cho- lesterol levels. When discussing the on the
patient's elevated LDL and lowered HDL artery
levels, the patient shows an understanding walls.
of the significance of these levels by stating
what? 6. The
physician
A. Increased LDL and decreased HDL increase has placed
my risk of coronary artery disease. a central
B. Increased LDL has the potential to decrease my venous
risk of heart disease. pressure
C. The decreased HDL level will increase the (CVP)
amount of cholesterol moved away from the monitoring


, Cardiac Test Bank Ch. 25 Exam Questions Correctly
Answered.
line in an acutely ill patient so right with a diagnosis of
unsta- ble angina, this is
an accu- rate indicator
of myocar- dial injury.



A.
Feedback:
Elevated LDL levels and
decreased HDL levels
are associated with a
greater incidence of
coronary artery
disease.




A.
Feedback:

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