CARDIAC NCLEX ch 8 QUESTIONS CORRECTLY ANSWERED!

CARDIAC NCLEX ch 8 QUESTIONS CORRECTLY ANSWERED!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 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 D Which of the following is the most common symptom of myocardial infarction. A) Chest pain B) Dyspnea C) Edema D) Palpitations 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 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 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 C What supplemental medication is most frequently ordered in conjunction with furosemide (Lasix) A) Chloride B) Digoxin C) Potassium D) Sodium 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 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 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 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 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 C 00:02 01:34 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 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." A Which of the following classes of medications protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation? A) Beta-adrenergic blockers B) Calcium channel blockers C) Narcotics D) Nitrates A With which of the following disorders is jugular vein distention most prominent? A) Abdominal aortic aneurysm B) Hear failure C) Myocardial infarct D) Pneumothorax B Which of the following diagnostic tools is most commonly used to determine the location of myocardial damage? A) Cardiac catheterization B) Cardiac enzymes C) Echocardiogram D) Electrocardiogram D What is the first intervention for a client experiencing myocardial infarction? A) Administer morphine B) Administer oxygen C) Administer sublingual nitroglycerine D) Obtain an electrocardiogram B What is the most common complication of a myocardial infarction. A) Cardiogenic shock B) Heart failure C) Arrhythmias D) Pericarditis C Which of the following parameters should be checked before administering digoxin? A) Apical pules B) Blood pressure C) Radial pulse D) Respiratory rate A Prolonged occlusion of the right coronary artery produces an infarction in which of the following areas of the heart? A) Anterior B) Apical C) Inferior D) Lateral C Which of the following illnesses is the leading cause of death in the US? A) Cancer B) Coronary artery disease C) Liver failure D) Renal failure B Which of the following arteries primarily feeds the anterior wall of the heart? A) Circumflex artery B) Internal mammary artery C) Left anterior descending artery D) Right coronary artery C Which of the following actions is the first priority care for a client exhibiting signs and symptoms of coronary artery disease? A) Decrease anxiety B) Enhance myocardial oxygenation C) Administer sublingual nitroglycerin D) Educate the client about his symptoms B Which of the following conditions most commonly results in CAD? A) Atherosclerosis B) DM C) MI D) Renal failure A When do coronary arteries primarily receive blood flow? A) During inspiration B) During diastole C) During expiration D) During systole B Exceeding which of the following serum cholesterol levels significantly increases the risk of coronary artery disease? A) 100 mg/dl B) 150 mg/dl C) 175 mg/dl D) 200 mg/dl D Which of the following risk factors for coronary artery disease cannot be corrected? A) Cigarette smoking B) DM C) Heredity D) HPN C Atherosclerosis impedes coronary blood flow by which of the following mechanisms? A) Plaques obstruct the vein B) Plaques obstruct the artery C) Blood clots from outside the vessel wall D) Hardened vessels dilate to allow the blood to flow through B Non-invasive medical treatment of coronary artery disease includes which of the following procedures? A) Cardiac catheterization B) Coronary artery bypass surgery C) Oral medication administration D) Percutaneous transluminal coronary angioplasty C