NR 661 Cardiovascular Exam Review | Complete
Study Pack with Verified Questions, Correct
Answers | Advanced Cardiac Nursing Guide
ALL QUESTIONS WITH ANSWERS
A patient has had poorly controlled hypertension for more than 10 years.
Indicate the most likely position of his point of maximal impulse (PMI)
a. 5th intercostal space (ICS) midclavicular line (MCL)
b. 8th ICS MCL
c. 5th ICS, left of MCL
d. 6th ICS, right of MCL
CORRECT ANS-c. 5th ICS, left of MCL
Valve most commonly involved in chronic rheumatic heart disease is the:
a. aortic
b. mitral
c. pulmonic
d. tricuspid
,CORRECT ANS-b. mitral
A 50 year old patient with Hypertension has taken hydrochlorozide 25 mg daily
for the past 4 weeks. How should the nurse practitioner proceed? BP-155/95;
145/90
a. wait 4 weeks before making a dosage change
b. increase the hydrochlorothiazide to 50mg daily
c. add a drug from another class to the daily 25 mg hydrochlorothiazide
d. stop the hydrochlorothiazide and start a drug from a different class
CORRECT ANS-c. add a drug from another class to the daily 25 mg
hydrochlorothiazide
Which choice below would be the best choice for an 80-year old patient whose
blood pressure is 172/72
a. chlorthalidone
b. amlodipine
c. monopril
d. acebutolol
CORRECT ANS-b. amlodipine
The diagnosis of mitral valve prolapse can be confirmed by:
a. physical examination
b. electrocardiography
c. echocardiography
d. chest xray
CORRECT ANS-c. echocardiography
,A patient taking candesartan for treatment for hypertension should avoid
a. strenuous exercise
b. potassium supplements
c. protein rich meals
d. grapefruit juice
CORRECT ANS-b. potassium supplements
According to the National Heart, Lung and Blood institute, which characteristic
listed below is a coronary disease (CHD) risk equivelant; that is, which risk factor
places the patient at a CHD risk similar to a history of CHD
a. Hypertension
b. cigarette smoking
c. male age >45 years
d. Diabetes Mellitus
CORRECT ANS-d. Diabetes Mellitus
Classic symptoms of deep vein thrombosis (DVT) include:
a. swelling, pain, redness
b. calf complaints, pain with walking, history of exercise
c. swelling, pain, discoloration in lower extremity
d. warmth, edema and relief of pain with walking
CORRECT ANS-c. swelling, pain, discoloration in lower extremity
, Which mitral valve disorder results from redundancy of the mitral valve's
leaflets??
a. acute mitral regurgitation
b. chronic mitral regurgitation
c. mitral valve prolapse
d. mitral stenosis
CORRECT ANS-c. mitral valve prolapse
Tables are used for determination of maximum blood pressure values for
adolescents. How are blood pressure values established for adolescents?
a. height percentile, body mass index and gender
b. gender and age
c. height percentile, gender and age
d. body mass index and gender
CORRECT ANS-c. height percentile, gender and age
The correlation between blood pressure and age greater than 60 years is that as
age increases:
a. diastolic blood pressure increases
b. systolic blood pressure decreases
c. blood pressure remains about the same
d. diastolic blood pressure decreases
CORRECT ANS-d. diastolic blood pressure decreases
An 80 year old female who is otherwise well has the following blood pressure
readings. How should she be managed? 160/70; 175/68; 171/71; 163/63
Study Pack with Verified Questions, Correct
Answers | Advanced Cardiac Nursing Guide
ALL QUESTIONS WITH ANSWERS
A patient has had poorly controlled hypertension for more than 10 years.
Indicate the most likely position of his point of maximal impulse (PMI)
a. 5th intercostal space (ICS) midclavicular line (MCL)
b. 8th ICS MCL
c. 5th ICS, left of MCL
d. 6th ICS, right of MCL
CORRECT ANS-c. 5th ICS, left of MCL
Valve most commonly involved in chronic rheumatic heart disease is the:
a. aortic
b. mitral
c. pulmonic
d. tricuspid
,CORRECT ANS-b. mitral
A 50 year old patient with Hypertension has taken hydrochlorozide 25 mg daily
for the past 4 weeks. How should the nurse practitioner proceed? BP-155/95;
145/90
a. wait 4 weeks before making a dosage change
b. increase the hydrochlorothiazide to 50mg daily
c. add a drug from another class to the daily 25 mg hydrochlorothiazide
d. stop the hydrochlorothiazide and start a drug from a different class
CORRECT ANS-c. add a drug from another class to the daily 25 mg
hydrochlorothiazide
Which choice below would be the best choice for an 80-year old patient whose
blood pressure is 172/72
a. chlorthalidone
b. amlodipine
c. monopril
d. acebutolol
CORRECT ANS-b. amlodipine
The diagnosis of mitral valve prolapse can be confirmed by:
a. physical examination
b. electrocardiography
c. echocardiography
d. chest xray
CORRECT ANS-c. echocardiography
,A patient taking candesartan for treatment for hypertension should avoid
a. strenuous exercise
b. potassium supplements
c. protein rich meals
d. grapefruit juice
CORRECT ANS-b. potassium supplements
According to the National Heart, Lung and Blood institute, which characteristic
listed below is a coronary disease (CHD) risk equivelant; that is, which risk factor
places the patient at a CHD risk similar to a history of CHD
a. Hypertension
b. cigarette smoking
c. male age >45 years
d. Diabetes Mellitus
CORRECT ANS-d. Diabetes Mellitus
Classic symptoms of deep vein thrombosis (DVT) include:
a. swelling, pain, redness
b. calf complaints, pain with walking, history of exercise
c. swelling, pain, discoloration in lower extremity
d. warmth, edema and relief of pain with walking
CORRECT ANS-c. swelling, pain, discoloration in lower extremity
, Which mitral valve disorder results from redundancy of the mitral valve's
leaflets??
a. acute mitral regurgitation
b. chronic mitral regurgitation
c. mitral valve prolapse
d. mitral stenosis
CORRECT ANS-c. mitral valve prolapse
Tables are used for determination of maximum blood pressure values for
adolescents. How are blood pressure values established for adolescents?
a. height percentile, body mass index and gender
b. gender and age
c. height percentile, gender and age
d. body mass index and gender
CORRECT ANS-c. height percentile, gender and age
The correlation between blood pressure and age greater than 60 years is that as
age increases:
a. diastolic blood pressure increases
b. systolic blood pressure decreases
c. blood pressure remains about the same
d. diastolic blood pressure decreases
CORRECT ANS-d. diastolic blood pressure decreases
An 80 year old female who is otherwise well has the following blood pressure
readings. How should she be managed? 160/70; 175/68; 171/71; 163/63
