NUR305L Shadow Health Cardiovascular
Tina Jones Assessment-Completed A/NUR
305L Shadow Health Cardiovascular Tina
Jones Assessment-Completed A
Course
NUR 305L
1. What is the primary purpose of a cardiovascular assessment?
A. Evaluate hearing function
B. Assess heart function, circulation, and identify cardiovascular abnormalities
C. Diagnose gastrointestinal disorders
D. Measure pulmonary capacity only
✅ Correct Answer: B. Assess heart function, circulation, and identify cardiovascular
abnormalities
Rationale
A cardiovascular assessment evaluates the heart, blood vessels, peripheral circulation, and signs
of cardiovascular disease through history and physical examination.
2. Which subjective symptom should the nurse investigate first when assessing cardiovascular
health?
A. Chest pain
B. Hair color
C. Appetite
D. Vision changes
✅ Correct Answer: A. Chest pain
Rationale
Chest pain may indicate acute coronary syndrome or other life-threatening conditions and
requires immediate, focused assessment.
,3. When a patient reports chest pain, which assessment framework is most appropriate?
A. OLDCARTS (or OPQRST)
B. Glasgow Coma Scale
C. Braden Scale
D. Morse Fall Scale
✅ Correct Answer: A. OLDCARTS (or OPQRST)
Rationale
OLDCARTS/OPQRST systematically assesses pain onset, location, duration, characteristics,
aggravating/relieving factors, radiation, timing, and severity.
4. Which question best evaluates dyspnea during the health history?
A. "Do you become short of breath when walking or lying flat?"
B. "What is your favorite meal?"
C. "Do you wear glasses?"
D. "Have you traveled recently?"
✅ Correct Answer: A. "Do you become short of breath when walking or lying flat?"
Rationale
Dyspnea on exertion and orthopnea are common symptoms of heart failure and other cardiac
disorders.
5. Orthopnea is defined as:
A. Shortness of breath when lying flat
B. Chest pain after meals
C. Difficulty swallowing
D. Pain with inspiration
✅ Correct Answer: A. Shortness of breath when lying flat
, Rationale
Orthopnea occurs because lying flat increases venous return, worsening pulmonary congestion
in heart failure.
6. Which symptom is commonly associated with left-sided heart failure?
A. Dyspnea on exertion
B. Right upper quadrant pain
C. Constipation
D. Dysuria
✅ Correct Answer: A. Dyspnea on exertion
Rationale
Pulmonary congestion caused by left ventricular dysfunction results in exertional dyspnea,
orthopnea, and paroxysmal nocturnal dyspnea.
7. Which finding should prompt immediate notification of the healthcare provider?
A. Crushing chest pain with diaphoresis
B. Mild ankle soreness after exercise
C. Dry lips
D. Occasional hiccups
✅ Correct Answer: A. Crushing chest pain with diaphoresis
Rationale
These findings are classic for acute myocardial infarction and require emergency evaluation.
8. Which risk factor for cardiovascular disease cannot be modified?
A. Family history
B. Smoking
C. Obesity
Tina Jones Assessment-Completed A/NUR
305L Shadow Health Cardiovascular Tina
Jones Assessment-Completed A
Course
NUR 305L
1. What is the primary purpose of a cardiovascular assessment?
A. Evaluate hearing function
B. Assess heart function, circulation, and identify cardiovascular abnormalities
C. Diagnose gastrointestinal disorders
D. Measure pulmonary capacity only
✅ Correct Answer: B. Assess heart function, circulation, and identify cardiovascular
abnormalities
Rationale
A cardiovascular assessment evaluates the heart, blood vessels, peripheral circulation, and signs
of cardiovascular disease through history and physical examination.
2. Which subjective symptom should the nurse investigate first when assessing cardiovascular
health?
A. Chest pain
B. Hair color
C. Appetite
D. Vision changes
✅ Correct Answer: A. Chest pain
Rationale
Chest pain may indicate acute coronary syndrome or other life-threatening conditions and
requires immediate, focused assessment.
,3. When a patient reports chest pain, which assessment framework is most appropriate?
A. OLDCARTS (or OPQRST)
B. Glasgow Coma Scale
C. Braden Scale
D. Morse Fall Scale
✅ Correct Answer: A. OLDCARTS (or OPQRST)
Rationale
OLDCARTS/OPQRST systematically assesses pain onset, location, duration, characteristics,
aggravating/relieving factors, radiation, timing, and severity.
4. Which question best evaluates dyspnea during the health history?
A. "Do you become short of breath when walking or lying flat?"
B. "What is your favorite meal?"
C. "Do you wear glasses?"
D. "Have you traveled recently?"
✅ Correct Answer: A. "Do you become short of breath when walking or lying flat?"
Rationale
Dyspnea on exertion and orthopnea are common symptoms of heart failure and other cardiac
disorders.
5. Orthopnea is defined as:
A. Shortness of breath when lying flat
B. Chest pain after meals
C. Difficulty swallowing
D. Pain with inspiration
✅ Correct Answer: A. Shortness of breath when lying flat
, Rationale
Orthopnea occurs because lying flat increases venous return, worsening pulmonary congestion
in heart failure.
6. Which symptom is commonly associated with left-sided heart failure?
A. Dyspnea on exertion
B. Right upper quadrant pain
C. Constipation
D. Dysuria
✅ Correct Answer: A. Dyspnea on exertion
Rationale
Pulmonary congestion caused by left ventricular dysfunction results in exertional dyspnea,
orthopnea, and paroxysmal nocturnal dyspnea.
7. Which finding should prompt immediate notification of the healthcare provider?
A. Crushing chest pain with diaphoresis
B. Mild ankle soreness after exercise
C. Dry lips
D. Occasional hiccups
✅ Correct Answer: A. Crushing chest pain with diaphoresis
Rationale
These findings are classic for acute myocardial infarction and require emergency evaluation.
8. Which risk factor for cardiovascular disease cannot be modified?
A. Family history
B. Smoking
C. Obesity
