NU 424 Cardiac PrepU EXAM
FINAL QUESTIONS AND
CORRECT ANSWERS.
"Arteriosclerosis is a condition that produces structural changes in the arteries, and
atherosclerosis is a specific type of arteriosclerosis." " - CORRECT ANSWER✅✅The
client asks the nurse to explain the difference between arteriosclerosis and
atherosclerosis. Which is the best explanation provided by the nurse?
"Arteriosclerosis is a condition that produces structural changes in the arteries, and
atherosclerosis is a specific type of arteriosclerosis." "Arteriosclerosis is when the
vessels become dilated and weakened,whereas atherosclerosis is the deposit of fatty
substances in the vessel lining." "Atherosclerosis and arteriosclerosis are disorders in
which the lining of the vessels become narrowed due to plaque formation."
"Arteriosclerosis and atherosclerosis are the same disorder. The terms are
interchangeable."
"I can take nitroglycerin before sex so I won't develop chest pain". - CORRECT
ANSWER✅✅The nurse has completed a teaching session on self-administration of
sublingual nitroglycerin. Which client statement indicates that the teaching has been
effective?
"I can take nitroglycerin before sex so I won't develop chest pain".
"I can put the nitroglycerin tablets in my daily pill dispenser with my other medications".
"Side effects of nitroglycerin include flushing, throbbing headache, and hypertension".
"After taking two tablets with no relief, I should call EMS."
"Practice meticulous foot care." - CORRECT ANSWER✅✅A client complains of leg
pain brought on by walking several blocks — a symptom that first arose several weeks
earlier. The client's history includes diabetes mellitus and a two-pack-per-day cigarette
habit for the past 42 years. The physician diagnoses intermittent claudication and orders
pentoxifylline (Trental), 400 mg three times daily with meals. Which instruction
concerning long-term care should the nurse provide?
"Reduce your level of exercise."
"Consider cutting down on your smoking."
"Practice meticulous foot care."
"See the physician if complications occur."
,"The difference is the timing of the delivery of the electric current." - CORRECT
ANSWER✅✅During a CPR class, a participant asks about the difference between
cardioversion and defibrillation. What would be the instructor's best response?
"The difference is the timing of the delivery of the electric current."
"Defibrillation is synchronized with the electrical activity of the heart, but cardioversion is
not."
"Cardioversion is done on a beating heart; defibrillation is not."
"Cardioversion is always attempted before defibrillation because it has fewer risks."
"The medication you were prescribed may cause sexual dysfunction; are you
experiencing this side effect?" - CORRECT ANSWER✅✅A 55-year-old client newly
diagnosed with hypertension returns to the physician's office for a routine follow-up
appointment after several months of treatment with metoprolol. During the initial
assessment, the nurse records the client's blood pressure (BP) as 180/90 mm Hg. The
client states that the medicatoin is not taken as prescribed. Which is the best response
by the nurse?
"Be certain to discuss your noncompliance with your medication regimen with the
physician."
"Your hypertension must be treated with medications; you need to take your metoprolol
every day."
"It is very important for you to take your medication as prescribed, or you could
experience a stroke."
"The medication you were prescribed may cause sexual dysfunction; are you
experiencing this side effect?"
10 minutes - CORRECT ANSWER✅✅A client has just arrived in the ER with a possible
myocardial infarction (MI). The electrocardiogram (ECG) should be obtained within
which time frame of arrival to the ER?
,20 minutes
15 minutes
5 minutes
10 minutes
12-lead ECG - CORRECT ANSWER✅✅A client presents to the emergency
department reporting chest pain. Which order should the nurse complete first?
Troponin level
2 L oxygen via nasal cannula 12-lead ECG
Aspirin 325 mg orally
140/90 or lower - CORRECT ANSWER✅✅A nurse educator is providing information to
a small group of clients about hypertension. A participant asks what her target blood
pressure should be. The nurse is aware of the target goals of the Seventh Report of the
Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High
Blood Pressure (JNC7). Which of the following reflects the goal for blood pressure
readings for people without co-morbidities?
145/95 or lower
140/90 or lower
135/80 or lower
135/85 or lower
2 to 2.5 - CORRECT ANSWER✅✅Heparin therapy is usually considered therapeutic
when the activated partial thromboplastin time (aPTT) is how many times higher than a
normal value?
1 to 1.5
1.5 to 2
2 to 2.5
2.5 to 3
, 20 to 25 lbs - CORRECT ANSWER✅✅The nurse is defibrillating a patient in ventricular
fibrillation with paddles on a monophasic defibrillator. How much paddle pressure
should the nurse apply when defibrillating?
5 to 10 lbs
20 to 25 lbs
15 to 20 lbs
5 to 10 lbs
30 - CORRECT ANSWER✅✅Approximately what percentage of adults in the United
States have hypertension?
20
30
40
50
4 to 6 hours - CORRECT ANSWER✅✅A client with suspected acute myocardial
infarction is admitted to the coronary care unit. To help confirm the diagnosis, the
physician orders serial enzyme tests. Increased serum levels of the isoenzyme
creatinine kinase of myocardial muscle (CK-MB), found only in cardiac muscle, can be
detected how soon after the onset of chest pain?
12 to 18 hours
4 to 6 hours
2 to 3 hours
FINAL QUESTIONS AND
CORRECT ANSWERS.
"Arteriosclerosis is a condition that produces structural changes in the arteries, and
atherosclerosis is a specific type of arteriosclerosis." " - CORRECT ANSWER✅✅The
client asks the nurse to explain the difference between arteriosclerosis and
atherosclerosis. Which is the best explanation provided by the nurse?
"Arteriosclerosis is a condition that produces structural changes in the arteries, and
atherosclerosis is a specific type of arteriosclerosis." "Arteriosclerosis is when the
vessels become dilated and weakened,whereas atherosclerosis is the deposit of fatty
substances in the vessel lining." "Atherosclerosis and arteriosclerosis are disorders in
which the lining of the vessels become narrowed due to plaque formation."
"Arteriosclerosis and atherosclerosis are the same disorder. The terms are
interchangeable."
"I can take nitroglycerin before sex so I won't develop chest pain". - CORRECT
ANSWER✅✅The nurse has completed a teaching session on self-administration of
sublingual nitroglycerin. Which client statement indicates that the teaching has been
effective?
"I can take nitroglycerin before sex so I won't develop chest pain".
"I can put the nitroglycerin tablets in my daily pill dispenser with my other medications".
"Side effects of nitroglycerin include flushing, throbbing headache, and hypertension".
"After taking two tablets with no relief, I should call EMS."
"Practice meticulous foot care." - CORRECT ANSWER✅✅A client complains of leg
pain brought on by walking several blocks — a symptom that first arose several weeks
earlier. The client's history includes diabetes mellitus and a two-pack-per-day cigarette
habit for the past 42 years. The physician diagnoses intermittent claudication and orders
pentoxifylline (Trental), 400 mg three times daily with meals. Which instruction
concerning long-term care should the nurse provide?
"Reduce your level of exercise."
"Consider cutting down on your smoking."
"Practice meticulous foot care."
"See the physician if complications occur."
,"The difference is the timing of the delivery of the electric current." - CORRECT
ANSWER✅✅During a CPR class, a participant asks about the difference between
cardioversion and defibrillation. What would be the instructor's best response?
"The difference is the timing of the delivery of the electric current."
"Defibrillation is synchronized with the electrical activity of the heart, but cardioversion is
not."
"Cardioversion is done on a beating heart; defibrillation is not."
"Cardioversion is always attempted before defibrillation because it has fewer risks."
"The medication you were prescribed may cause sexual dysfunction; are you
experiencing this side effect?" - CORRECT ANSWER✅✅A 55-year-old client newly
diagnosed with hypertension returns to the physician's office for a routine follow-up
appointment after several months of treatment with metoprolol. During the initial
assessment, the nurse records the client's blood pressure (BP) as 180/90 mm Hg. The
client states that the medicatoin is not taken as prescribed. Which is the best response
by the nurse?
"Be certain to discuss your noncompliance with your medication regimen with the
physician."
"Your hypertension must be treated with medications; you need to take your metoprolol
every day."
"It is very important for you to take your medication as prescribed, or you could
experience a stroke."
"The medication you were prescribed may cause sexual dysfunction; are you
experiencing this side effect?"
10 minutes - CORRECT ANSWER✅✅A client has just arrived in the ER with a possible
myocardial infarction (MI). The electrocardiogram (ECG) should be obtained within
which time frame of arrival to the ER?
,20 minutes
15 minutes
5 minutes
10 minutes
12-lead ECG - CORRECT ANSWER✅✅A client presents to the emergency
department reporting chest pain. Which order should the nurse complete first?
Troponin level
2 L oxygen via nasal cannula 12-lead ECG
Aspirin 325 mg orally
140/90 or lower - CORRECT ANSWER✅✅A nurse educator is providing information to
a small group of clients about hypertension. A participant asks what her target blood
pressure should be. The nurse is aware of the target goals of the Seventh Report of the
Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High
Blood Pressure (JNC7). Which of the following reflects the goal for blood pressure
readings for people without co-morbidities?
145/95 or lower
140/90 or lower
135/80 or lower
135/85 or lower
2 to 2.5 - CORRECT ANSWER✅✅Heparin therapy is usually considered therapeutic
when the activated partial thromboplastin time (aPTT) is how many times higher than a
normal value?
1 to 1.5
1.5 to 2
2 to 2.5
2.5 to 3
, 20 to 25 lbs - CORRECT ANSWER✅✅The nurse is defibrillating a patient in ventricular
fibrillation with paddles on a monophasic defibrillator. How much paddle pressure
should the nurse apply when defibrillating?
5 to 10 lbs
20 to 25 lbs
15 to 20 lbs
5 to 10 lbs
30 - CORRECT ANSWER✅✅Approximately what percentage of adults in the United
States have hypertension?
20
30
40
50
4 to 6 hours - CORRECT ANSWER✅✅A client with suspected acute myocardial
infarction is admitted to the coronary care unit. To help confirm the diagnosis, the
physician orders serial enzyme tests. Increased serum levels of the isoenzyme
creatinine kinase of myocardial muscle (CK-MB), found only in cardiac muscle, can be
detected how soon after the onset of chest pain?
12 to 18 hours
4 to 6 hours
2 to 3 hours
