Exam 2 Remediation—Chapters 21-27
1. The physical therapist notifies the nurse that a client with coronary artery disease
(CAD) experienced a significant increase in heart rate during physical therapy. The
nurse recognizes that an increase in heart rate in a client with CAD may result in
which outcome?
A. Development of an atrial–septal defect
B. Myocardial ischemia
C. Formation of a pulmonary embolism
D. Release of potassium ions from cardiac cells
2. The cardiac care nurse is reviewing the conduction system of the heart. The nurse
is aware that electrical conduction of the heart usually originates in the sinoatrial
(SA) node and then proceeds in which sequence?
A. Bundle of His to atrioventricular (AV) node to Purkinje fibers
B. AV node to Purkinje fibers to bundle of His
C. Bundle of His to Purkinje fibers to AV node
D. AV node to bundle of His to Purkinje fibers
3. A client has returned to the cardiac care unit after having a permanent pacemaker
implantation. For which potential complication should the nurse most closely
assess this client?
A. Chest pain
B. Bleeding at the implantation site
C. Malignant hyperthermia
D. Bradycardia
4. A nurse is caring for a client who is exhibiting ventricular tachycardia (VT). Because
the client is pulseless, the nurse should prepare for what intervention?
A. Defibrillation
B. ECG monitoring
C. Implantation of a cardioverter defibrillator
D. Angioplasty
5. The nurse is caring for an adult client who had symptoms of unstable angina upon
admission to the hospital. What nursing diagnosis underlies the discomfort
associated with angina?
, A. Ineffective breathing pattern related to decreased cardiac output
B. Anxiety related to fear of death
C. Ineffective cardiopulmonary tissue perfusion related to coronary
artery disease (CAD)
D. Impaired skin integrity related to CAD
6. A client with angina has been prescribed nitroglycerin. Before administering the
drug, the nurse should inform the client about what potential adverse effects?
A. Nervousness or paresthesia
B. Throbbing headache or dizziness
C. Drowsiness or blurred vision
D. Tinnitus or diplopia
7. The nurse is providing an educational workshop about coronary artery disease
(CAD) and its risk factors. The nurse explains to participants that CAD has many
risk factors, some that can be controlled and some that cannot. Which risk factors
should the nurse list that can be controlled or modified?
A. Gender, obesity, family history, and smoking
B. Inactivity, stress, gender, and smoking
C. Cholesterol levels, hypertension, and smoking
D. Stress, family history, and obesity
8. The nurse is caring for a client with a history of endocarditis. Which topic would the
nurse prioritize during health promotion education?
A. Oral hygiene
B. Physical activity
C. Dietary guidelines
D. Fluid intake
9. The staff educator is presenting a workshop on valvular disorders. When discussing
the pathophysiology of aortic regurgitation, the educator describes what
consequence of this disorder?
A. Cardiac tamponade
B. Left ventricular hypertrophy
C. Right-sided heart failure
1. The physical therapist notifies the nurse that a client with coronary artery disease
(CAD) experienced a significant increase in heart rate during physical therapy. The
nurse recognizes that an increase in heart rate in a client with CAD may result in
which outcome?
A. Development of an atrial–septal defect
B. Myocardial ischemia
C. Formation of a pulmonary embolism
D. Release of potassium ions from cardiac cells
2. The cardiac care nurse is reviewing the conduction system of the heart. The nurse
is aware that electrical conduction of the heart usually originates in the sinoatrial
(SA) node and then proceeds in which sequence?
A. Bundle of His to atrioventricular (AV) node to Purkinje fibers
B. AV node to Purkinje fibers to bundle of His
C. Bundle of His to Purkinje fibers to AV node
D. AV node to bundle of His to Purkinje fibers
3. A client has returned to the cardiac care unit after having a permanent pacemaker
implantation. For which potential complication should the nurse most closely
assess this client?
A. Chest pain
B. Bleeding at the implantation site
C. Malignant hyperthermia
D. Bradycardia
4. A nurse is caring for a client who is exhibiting ventricular tachycardia (VT). Because
the client is pulseless, the nurse should prepare for what intervention?
A. Defibrillation
B. ECG monitoring
C. Implantation of a cardioverter defibrillator
D. Angioplasty
5. The nurse is caring for an adult client who had symptoms of unstable angina upon
admission to the hospital. What nursing diagnosis underlies the discomfort
associated with angina?
, A. Ineffective breathing pattern related to decreased cardiac output
B. Anxiety related to fear of death
C. Ineffective cardiopulmonary tissue perfusion related to coronary
artery disease (CAD)
D. Impaired skin integrity related to CAD
6. A client with angina has been prescribed nitroglycerin. Before administering the
drug, the nurse should inform the client about what potential adverse effects?
A. Nervousness or paresthesia
B. Throbbing headache or dizziness
C. Drowsiness or blurred vision
D. Tinnitus or diplopia
7. The nurse is providing an educational workshop about coronary artery disease
(CAD) and its risk factors. The nurse explains to participants that CAD has many
risk factors, some that can be controlled and some that cannot. Which risk factors
should the nurse list that can be controlled or modified?
A. Gender, obesity, family history, and smoking
B. Inactivity, stress, gender, and smoking
C. Cholesterol levels, hypertension, and smoking
D. Stress, family history, and obesity
8. The nurse is caring for a client with a history of endocarditis. Which topic would the
nurse prioritize during health promotion education?
A. Oral hygiene
B. Physical activity
C. Dietary guidelines
D. Fluid intake
9. The staff educator is presenting a workshop on valvular disorders. When discussing
the pathophysiology of aortic regurgitation, the educator describes what
consequence of this disorder?
A. Cardiac tamponade
B. Left ventricular hypertrophy
C. Right-sided heart failure
