UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK
Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 289
Chapter 21. Cardiovascular System Function, Assessment, and
Therapeutic Measures
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is reviewing the anatomy and physiology of the cardiac system with a patient scheduled for
pacemaker insertion. Which chamber of the heart should the nurse instruct has the greatest workload and
usually fails first as a result?
a. Left atrium
b. Right atrium
c. Left ventricle
d. Right ventricle
____ 2. The nurse is helping a patient understand why the heart beat can change in speed. When doing so, what
should the nurse explain as being the pacemaker of the heart?
a. Bundle of His
b. Sinoatrial node
c. Purkinjes fibers
d. Atrioventricular node NURSINGTB.COM
____ 3. The nurse is using a stethoscope to listen to a patients heart sounds. The nurse recognizes that the dupp
of the characteristic lubb-dupp heart sound indicates what part of the cardiac cycle?
a. The closure of the mitral valve
b. The closure of the tricuspid valve
c. The closure of the atrioventricular valves
d. The closure of the aortic and pulmonary semilunar valves
____ 4. The nurse suspects that a patients heart rate is being affected by parasympathetic influence. What
should the nurse recall as the effect the parasympathetic nervous system has on the heart?
a. Decreases heart rate
b. Decreases resting phase
c. Increases cardiac output
d. Increases strength of contraction
____ 5. The nurse is caring for a patient recovering from a cardiac catheterization with a right femoral artery
entry site. Which action should the nurse take?
a. Ambulate every 2 hours.
NURSINGTB.COM
, UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK
Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 290
b. Position knees with 40-degree bend.
c. Avoid movement of right leg as ordered.
d. Perform passive range of motion of right leg hourly.
____ 6. The nurse is providing care for a patient whose right atrial pressure (RAP) is 12 mm Hg. Which action
should the nurse take?
a. Assess skin turgor.
b. Listen to breath sounds.
c. Measure urine specific gravity.
d. Determine level of consciousness.
____ 7. A patient is diagnosed with epicarditis. What should the nurse recall regarding the purpose of the
epicardium when caring for this patient?
a. Line the chambers of the heart.
b. Line the coronary blood vessels.
c. Cover the heart muscle and prevent friction.
d. Contract and pump blood from the ventricles.
____ 8. The nurse is explaining the regulation of blood pressure to a patient newly diagnosed with
NURSINGTB.COM
hypertension. What tissues within the artery wall that helps maintain diastolic blood pressure should the nurse
identify for the patient?
a. Smooth muscle and elastic connective tissue
b. Smooth muscle and simple squamous epithelium
c. Elastic connective tissue and fibrous connective tissue
d. Fibrous connective tissue and simple squamous epithelium
____ 9. The nurse instructs a patient on beverages to avoid when taking the prescribed medication warfarin
(Coumadin). Which beverage should the patient state that indicates teaching has been effective?
a. Beer
b. Orange juice
c. Grapefruit juice
d. Cranberry juice
____ 10. A patient has sustained damage to the sinoatrial node. Which heart rates indicate that the patients
atrioventricular node has taken over as the pacemaker for the heart?
a. 10 to 20
b. 20 to 35
NURSINGTB.COM
, UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK
Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 291
c. 40 to 60
d. 80 to 100
____ 11. The nurse is measuring a patients central venous pressure (CVP). Which patient factors is reflected
by this pressure reading?
a. Hydration
b. Cardiac output
c. Blood pressure
d. Peripheral vascular resistance
____ 12. A patient with type 1 diabetes mellitus arrives for cardiac surgery. During the assessment, the nurse
learns the patient self-administered the usual insulin dose. Which action should the nurse take?
a. Obtain vital signs.
b. State, that is good.
c. Inform the physician.
d. Give 6 ounces of cranberry juice now.
____ 13. Upon auscultating a patients heart sounds, the nurse is concerned that a pericardial friction rub is
present. Which health problem should the nurse suspect is possibly occurring in this patient?
NURSINGTB.COM
a. Pleurisy
b. Pneumonia
c. Mitral valve prolapse
d. Myocardial infarction
____ 14. The nurse reviews the cardiac catheterization procedure with a patient scheduled for the test in 2
hours. Which patient statement indicates that teaching has been effective?
a. I know the room will be very warm.
b. Most people feel drowsy during the procedure.
c. The table may move while the test is being done.
d. I should expect a cool sensation throughout my body when they inject the dye.
____ 15. The nurse is caring for a patient who had a cardiac catheterization using the left femoral site for entry.
Which data is most important for the nurse to monitor?
a. Pupil reaction
b. Left pedal pulse
c. Orientation status
d. Right foot sensation
NURSINGTB.COM
Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 289
Chapter 21. Cardiovascular System Function, Assessment, and
Therapeutic Measures
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is reviewing the anatomy and physiology of the cardiac system with a patient scheduled for
pacemaker insertion. Which chamber of the heart should the nurse instruct has the greatest workload and
usually fails first as a result?
a. Left atrium
b. Right atrium
c. Left ventricle
d. Right ventricle
____ 2. The nurse is helping a patient understand why the heart beat can change in speed. When doing so, what
should the nurse explain as being the pacemaker of the heart?
a. Bundle of His
b. Sinoatrial node
c. Purkinjes fibers
d. Atrioventricular node NURSINGTB.COM
____ 3. The nurse is using a stethoscope to listen to a patients heart sounds. The nurse recognizes that the dupp
of the characteristic lubb-dupp heart sound indicates what part of the cardiac cycle?
a. The closure of the mitral valve
b. The closure of the tricuspid valve
c. The closure of the atrioventricular valves
d. The closure of the aortic and pulmonary semilunar valves
____ 4. The nurse suspects that a patients heart rate is being affected by parasympathetic influence. What
should the nurse recall as the effect the parasympathetic nervous system has on the heart?
a. Decreases heart rate
b. Decreases resting phase
c. Increases cardiac output
d. Increases strength of contraction
____ 5. The nurse is caring for a patient recovering from a cardiac catheterization with a right femoral artery
entry site. Which action should the nurse take?
a. Ambulate every 2 hours.
NURSINGTB.COM
, UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK
Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 290
b. Position knees with 40-degree bend.
c. Avoid movement of right leg as ordered.
d. Perform passive range of motion of right leg hourly.
____ 6. The nurse is providing care for a patient whose right atrial pressure (RAP) is 12 mm Hg. Which action
should the nurse take?
a. Assess skin turgor.
b. Listen to breath sounds.
c. Measure urine specific gravity.
d. Determine level of consciousness.
____ 7. A patient is diagnosed with epicarditis. What should the nurse recall regarding the purpose of the
epicardium when caring for this patient?
a. Line the chambers of the heart.
b. Line the coronary blood vessels.
c. Cover the heart muscle and prevent friction.
d. Contract and pump blood from the ventricles.
____ 8. The nurse is explaining the regulation of blood pressure to a patient newly diagnosed with
NURSINGTB.COM
hypertension. What tissues within the artery wall that helps maintain diastolic blood pressure should the nurse
identify for the patient?
a. Smooth muscle and elastic connective tissue
b. Smooth muscle and simple squamous epithelium
c. Elastic connective tissue and fibrous connective tissue
d. Fibrous connective tissue and simple squamous epithelium
____ 9. The nurse instructs a patient on beverages to avoid when taking the prescribed medication warfarin
(Coumadin). Which beverage should the patient state that indicates teaching has been effective?
a. Beer
b. Orange juice
c. Grapefruit juice
d. Cranberry juice
____ 10. A patient has sustained damage to the sinoatrial node. Which heart rates indicate that the patients
atrioventricular node has taken over as the pacemaker for the heart?
a. 10 to 20
b. 20 to 35
NURSINGTB.COM
, UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK
Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 291
c. 40 to 60
d. 80 to 100
____ 11. The nurse is measuring a patients central venous pressure (CVP). Which patient factors is reflected
by this pressure reading?
a. Hydration
b. Cardiac output
c. Blood pressure
d. Peripheral vascular resistance
____ 12. A patient with type 1 diabetes mellitus arrives for cardiac surgery. During the assessment, the nurse
learns the patient self-administered the usual insulin dose. Which action should the nurse take?
a. Obtain vital signs.
b. State, that is good.
c. Inform the physician.
d. Give 6 ounces of cranberry juice now.
____ 13. Upon auscultating a patients heart sounds, the nurse is concerned that a pericardial friction rub is
present. Which health problem should the nurse suspect is possibly occurring in this patient?
NURSINGTB.COM
a. Pleurisy
b. Pneumonia
c. Mitral valve prolapse
d. Myocardial infarction
____ 14. The nurse reviews the cardiac catheterization procedure with a patient scheduled for the test in 2
hours. Which patient statement indicates that teaching has been effective?
a. I know the room will be very warm.
b. Most people feel drowsy during the procedure.
c. The table may move while the test is being done.
d. I should expect a cool sensation throughout my body when they inject the dye.
____ 15. The nurse is caring for a patient who had a cardiac catheterization using the left femoral site for entry.
Which data is most important for the nurse to monitor?
a. Pupil reaction
b. Left pedal pulse
c. Orientation status
d. Right foot sensation
NURSINGTB.COM
