CARDIAC NCLEX CH 8 QUESTIONS AND ANSWERS 2022 LATEST UPDATE

CARDIAC NCLEX CH 8 QUESTIONS AND ANSWERS 2022 LATEST UPDATE Which of the following complications is indicated by a third heart sound? A) Ventricular dilation B) Systemic hypertension C) Aortic valve malfunction D) Increased atrial contractions - ANS-B After myocardial infarction, serum glucose levels and free fatty acids are both increased. What type of physiologic changes are these? A) electrophysiologic B) Hematologic C) Mechanical D) Metabolic - ANS-D Which of the following is the most common symptom of myocardial infarction. A) Chest pain B) Dyspnea C) Edema D) Palpitations - ANS-B Which of the following systems is the most likely origin of pain the client describes as knifelike chest pain that increases in intensity with inspiration? A) Cardiac B) Gastrointestinal C) Muskuloskeletal D) Pulomnary - ANS-C Which of the following landmarks is the correct one for obtaining an apical pulse? A) Left intercostal space, midaxillary line B) Left fifth intercostal space, midclavicular line C) Left second intercostal space, midclavicular line D) Left seventh intercostal space, midclavicular line - ANS-b Which of the falling blood tests is most indicative of cardiac damage? A) Lactate dehydrogenase B) Complete blood count C) Troponin 1 D) Creatine kinase - ANS-C What supplemental medication is most frequently ordered in conjunction with furosemide (Lasix) A) Chloride B) Digoxin C) Potassium D) Sodium - ANS-C What is the primary reason for administering morphine to a client with myocardial infarction? A) To sedate the client B) To decrease the client's anxiety C) To decrease the client's anxiety D) To decrease oxygen demand on the client's heart - ANS-D Which of the following conditions is most commonly responsible for myocardial infarction? A) Aneurysm B) Heart Failure C) Coronary artery thrombosis D) Renal Failure - ANS-C A murmur is heard at the second left intercostal space along the left sternal border. Which valve area is this? A) Aortic B) Mitral C) Pulmonic D) Tricuspid - ANS-C After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs? A) Left-sided heart failure B) Pulmonic valve malfunction C) Right-sided heart failure D) Tricuspid valve malfunction - ANS-A What position should the nurse place the head of the bed in to obtain the most accurate reading of the jugular vein distention? A) High-fowlers B) Raised 10 degrees C) Raised 30 degrees D) Supine position - ANS-C Toxicity from which of the following medications may cause a client to see a green halo around lights? A) Digoxin B) Furosemide C) Metoprolol D) Enalapril - ANS-A What is the most appropriate nursing response to a myocardial infarction client who is fearful of dying? A) "Tell me about your feeling right now." B) "When the doctor arrives, everything will be fine." C) "This is a bad situation, but you'll feel better soon." D) "Please be assured we're doing everything we can to make you feel better." - ANS-A Which of the following classes of medications protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation? CONTINUES...