NUR361 CARDIO EXAM 4 QUESTIONS
WITH VERIFIED ANSWERS
\.After a cardiac catheterization, the client needs to increase his or her fluid intake
for which reason?
a. NPO status will cause the client to be thirsty.
b. The dye causes an osmotic diuresis.
c. The dye contains a heavy sodium load.
d. The pedal pulses will be more easily palpable. - ANSWERS✔-b. The dye causes
an osmotic diuresis.
\.A client who is suffering from dyspnea on exertion and congestive heart failure
(CHF) will most likely report which symptom during the health history?
a. Fatigue
b. Swelling of one leg
c. Slow heart rate
d. Brown discoloration of lower extremities - ANSWERS✔-a. Fatigue
\.Which statement by the client with a recent cardiovascular diagnosis indicates
maladaptive denial?
,a. "I don't know how I am going to change my lifestyle."
b. "I don't need to change. It hasn't killed me yet."
c. "I don't think it is as bad as the doctors say."
d. "I will have to change my diet and exercise more." - ANSWERS✔-b. "I don't need
to change. It hasn't killed me yet."
\.Which client has the highest risk for cardiovascular disease?
a. Man who smokes and whose father died at 49 of myocardial infarction (MI)
b. Woman with abdominal obesity who exercises three times per week
c. Woman with diabetes whose high-density lipoprotein (HDL) cholesterol is 75
mg/dL (1.94 mmol/L)
d. Man who is sedentary and reports four episodes of strep throat - ANSWERS✔-a.
Man who smokes and whose father died at 49 of myocardial infarction (MI)
\.Which client would the charge nurse assign to a graduate RN who has completed
2 months of orientation to the coronary care unit?
a. Client with a new diagnosis of heart failure who needs a pulmonary artery
catheter inserted
b. Client who has just arrived after a coronary arteriogram and has vital signs
requested every 15 minutes
c. Client with acute electrocardiographic changes who is requesting nitroglycerin
for left anterior chest pain
,d. Client who has many questions about the electrophysiology studies (EPS)
scheduled for today - ANSWERS✔-b. Client who has just arrived after a coronary
arteriogram and has vital signs requested every 15 minutes
\.Which of these factors contribute to the risk for cardiovascular disease?
Select all that apply.
a.Consuming a diet rich in fiber
b. Elevated C-reactive protein levels
c. Low blood pressure
d. Elevated high-density lipoprotein (HDL) cholesterol level
e. Smoking - ANSWERS✔-b. Elevated C-reactive protein levels
e. Smoking
\.Which client has pain most consistent with myocardial infarction (MI) requiring
notification of the health care provider?
a. Client with abdominal pain and belching
b. Client with pressure in the mid-abdomen and profound diaphoresis
c. Client with dyspnea on exertion (DOE) and inability to sleep flat who sleeps on
four pillows
d. Client with claudication and fatigue - ANSWERS✔-b. Client with pressure in the
mid-abdomen and profound diaphoresis
, \.A client with heart failure reports a 7.6-pound (3.4 kg) weight gain in the past
week. What intervention does the nurse anticipate from the primary health care
provider?
a. Dietary consult
b. Sodium restriction
c. Daily weight monitoring
d. Restricted activity - ANSWERS✔-c. Daily weight monitoring
\.The nurse is caring for a client with an arterial line. How does the nurse
recognize that the client is at risk for insufficient perfusion of body organs?
a. Right atrial pressure is 4 mm Hg.
b. Mean arterial pressure (MAP) is 58 mm Hg.
c. Pulmonary artery wedge pressure (PAWP) is 7 mm Hg.
d. PO2 is reported as 78 mm Hg. - ANSWERS✔-b. Mean arterial pressure (MAP) is
58 mm Hg.
\.Which signs and symptoms are seen with suspected pericarditis?
Select all that apply.
a. Squeezing, vise-like chest pain
b. Chest pain relieved by sitting upright
c. Chest and abdominal pain relieved by antacids
WITH VERIFIED ANSWERS
\.After a cardiac catheterization, the client needs to increase his or her fluid intake
for which reason?
a. NPO status will cause the client to be thirsty.
b. The dye causes an osmotic diuresis.
c. The dye contains a heavy sodium load.
d. The pedal pulses will be more easily palpable. - ANSWERS✔-b. The dye causes
an osmotic diuresis.
\.A client who is suffering from dyspnea on exertion and congestive heart failure
(CHF) will most likely report which symptom during the health history?
a. Fatigue
b. Swelling of one leg
c. Slow heart rate
d. Brown discoloration of lower extremities - ANSWERS✔-a. Fatigue
\.Which statement by the client with a recent cardiovascular diagnosis indicates
maladaptive denial?
,a. "I don't know how I am going to change my lifestyle."
b. "I don't need to change. It hasn't killed me yet."
c. "I don't think it is as bad as the doctors say."
d. "I will have to change my diet and exercise more." - ANSWERS✔-b. "I don't need
to change. It hasn't killed me yet."
\.Which client has the highest risk for cardiovascular disease?
a. Man who smokes and whose father died at 49 of myocardial infarction (MI)
b. Woman with abdominal obesity who exercises three times per week
c. Woman with diabetes whose high-density lipoprotein (HDL) cholesterol is 75
mg/dL (1.94 mmol/L)
d. Man who is sedentary and reports four episodes of strep throat - ANSWERS✔-a.
Man who smokes and whose father died at 49 of myocardial infarction (MI)
\.Which client would the charge nurse assign to a graduate RN who has completed
2 months of orientation to the coronary care unit?
a. Client with a new diagnosis of heart failure who needs a pulmonary artery
catheter inserted
b. Client who has just arrived after a coronary arteriogram and has vital signs
requested every 15 minutes
c. Client with acute electrocardiographic changes who is requesting nitroglycerin
for left anterior chest pain
,d. Client who has many questions about the electrophysiology studies (EPS)
scheduled for today - ANSWERS✔-b. Client who has just arrived after a coronary
arteriogram and has vital signs requested every 15 minutes
\.Which of these factors contribute to the risk for cardiovascular disease?
Select all that apply.
a.Consuming a diet rich in fiber
b. Elevated C-reactive protein levels
c. Low blood pressure
d. Elevated high-density lipoprotein (HDL) cholesterol level
e. Smoking - ANSWERS✔-b. Elevated C-reactive protein levels
e. Smoking
\.Which client has pain most consistent with myocardial infarction (MI) requiring
notification of the health care provider?
a. Client with abdominal pain and belching
b. Client with pressure in the mid-abdomen and profound diaphoresis
c. Client with dyspnea on exertion (DOE) and inability to sleep flat who sleeps on
four pillows
d. Client with claudication and fatigue - ANSWERS✔-b. Client with pressure in the
mid-abdomen and profound diaphoresis
, \.A client with heart failure reports a 7.6-pound (3.4 kg) weight gain in the past
week. What intervention does the nurse anticipate from the primary health care
provider?
a. Dietary consult
b. Sodium restriction
c. Daily weight monitoring
d. Restricted activity - ANSWERS✔-c. Daily weight monitoring
\.The nurse is caring for a client with an arterial line. How does the nurse
recognize that the client is at risk for insufficient perfusion of body organs?
a. Right atrial pressure is 4 mm Hg.
b. Mean arterial pressure (MAP) is 58 mm Hg.
c. Pulmonary artery wedge pressure (PAWP) is 7 mm Hg.
d. PO2 is reported as 78 mm Hg. - ANSWERS✔-b. Mean arterial pressure (MAP) is
58 mm Hg.
\.Which signs and symptoms are seen with suspected pericarditis?
Select all that apply.
a. Squeezing, vise-like chest pain
b. Chest pain relieved by sitting upright
c. Chest and abdominal pain relieved by antacids
