Cardiac Vascular Nursing
Questions With Accurate
Answers
A 17 year old patietn has a hx of lightheadedness and syncope in the
past. When playing basketball, he collapses suddenly. A nurse who is
attending the event recognizes the immediate need for resuscitation
when no pulse is felt and knows that a potential cause of his sudden
cardiac death is: correct answer Hypertrophic cardiomyopathy
is the most common cause of death in people under 30. It is commonly
a hereditary condition that can lead to arrhythmias and cardiac death
A 34 year old patient with history of marfans syndrome presents with a
sudden 'tearing' chest and back pain. The nurse immediately identified
a potential life threatening complication: correct answer Aortic
dissection
- is a life-threatening disorder more common from a connective tissue
disorder such as marfans syndrome.
A 35 year old female patient with hypertension is on the following
medications: tramadol, lisinopril, metformin, atorvastatin, Ortho Tri-
Cyclen, and a multivitamin. The nurse evaluates which medication may
be causing the patients blood pressure to be elevated and identifies:
,correct answer Ortho Tri-Cyclin is an oral contraceptive pill which can
raise blood pressure
A 46 year old patient presents to the emergency department with a
blood pressure of 210/120. The nurse recognizes the immediate need
for blood pressure control to decrease: correct answer Target organ
damage
BP above 180/120 with new or worsening target organ damage
(unstable angina, intercranial hemorrhage, acute ischemic stroke,
hypertensive encephalopathy, ICH, eclampsia, acute MI, unstable
angina, dissecting aortic aneurysm, pulmonary edema for left
ventricular failure, and acute renal failure) constitutes a hypertensive
crisis.
A 50 year old patient is overweight and has a history of cigarette
smoking, HTN, sedentary lifestyle. Which of the following risk factors
will the nurse prioritize for modification in a teaching plan to reduce the
risk of peripheral vascular disease? correct answer cigarette smoking
and HTN
A 56 year old female sees her healthcare provider for increased fatigue
and shortness of breath over the last two weeks. The nurse recognizes
the need to identify conditions requiring immediate treatment by:
correct answer EKG
,A MI may present as fatigue or SOB. Women are more likely to have
atypical symptoms although chest pain is still the most common
symptoms of a MI in both men and women.
A 56 year old patient comes to the clinic for a follow up blood pressure
check. The nurse performs the check while asking the patient about
their current medications. A reading of 150/84 mmHg is obtained.
Based on this reading, the nurse initially recommends: correct answer
Patients should sit quietly without talking for 5 minutes prior to
obtaining a blood pressure to improve accuracy of the reading.
A 57 year old patient arrives to the ED with a BP of 80-42, HR 124 with
thready pulse, RR 26 with oxygen sat 88%, cold and clammy, and feeling
lightheaded with altered mental status. The nurse immediately
suspects: correct answer Cardiogenic shock
-results from a sudden lack of adequate heart function to meet the
metabolic needs of the body
A 73 year old, 3 day post-op coronary artery bypass surgery was
transferred to the tele unit on their second day post-op day. The
patient has been ambulating and following the inpatient ambulation
protocol. The patient has been having intermittent episodes of afib
associated with ventricular response of 120-130 beats per minuted,
lasting 1-2 hours, several times a day. This morning, the nurse finds the
patietn lethargic and not following commands. The bp is 114/66, HR 84
and irregular, RR 22, deep and labored. The change in patients
, condition can most likely be attributed to: correct answer
Cerebrovascular accident
The patients change in level of consciousness and deep and labored
respirations in the setting of an irregular pulse are often early signs of a
stroke.
A 76 year old patietn has a biventricular defibrillator for cardiac
resynchronization therapy (CRT-D) to treat their heart failure. The nurse
identifies a potential malfunction of the device when: correct answer A
pacer spike without a mechanical result of cardiac contraction is a
failure to capture, which is a malfunction. Some failure to capture can
be related to lead fracture, electrolyte imbalance, myocarditis,
medications lowering the capture threshold, or electrical interference.
A beta blocker agent should not be administered in the setting of
correct answer complete heart block
A beta blocker can worsen the heart block and further depress
subsiduart pacemaker sites
A class of medication used to reduce preload correct answer diuretic
A diuretic will reduce intravascular volume and preload by causing
diuresis
Questions With Accurate
Answers
A 17 year old patietn has a hx of lightheadedness and syncope in the
past. When playing basketball, he collapses suddenly. A nurse who is
attending the event recognizes the immediate need for resuscitation
when no pulse is felt and knows that a potential cause of his sudden
cardiac death is: correct answer Hypertrophic cardiomyopathy
is the most common cause of death in people under 30. It is commonly
a hereditary condition that can lead to arrhythmias and cardiac death
A 34 year old patient with history of marfans syndrome presents with a
sudden 'tearing' chest and back pain. The nurse immediately identified
a potential life threatening complication: correct answer Aortic
dissection
- is a life-threatening disorder more common from a connective tissue
disorder such as marfans syndrome.
A 35 year old female patient with hypertension is on the following
medications: tramadol, lisinopril, metformin, atorvastatin, Ortho Tri-
Cyclen, and a multivitamin. The nurse evaluates which medication may
be causing the patients blood pressure to be elevated and identifies:
,correct answer Ortho Tri-Cyclin is an oral contraceptive pill which can
raise blood pressure
A 46 year old patient presents to the emergency department with a
blood pressure of 210/120. The nurse recognizes the immediate need
for blood pressure control to decrease: correct answer Target organ
damage
BP above 180/120 with new or worsening target organ damage
(unstable angina, intercranial hemorrhage, acute ischemic stroke,
hypertensive encephalopathy, ICH, eclampsia, acute MI, unstable
angina, dissecting aortic aneurysm, pulmonary edema for left
ventricular failure, and acute renal failure) constitutes a hypertensive
crisis.
A 50 year old patient is overweight and has a history of cigarette
smoking, HTN, sedentary lifestyle. Which of the following risk factors
will the nurse prioritize for modification in a teaching plan to reduce the
risk of peripheral vascular disease? correct answer cigarette smoking
and HTN
A 56 year old female sees her healthcare provider for increased fatigue
and shortness of breath over the last two weeks. The nurse recognizes
the need to identify conditions requiring immediate treatment by:
correct answer EKG
,A MI may present as fatigue or SOB. Women are more likely to have
atypical symptoms although chest pain is still the most common
symptoms of a MI in both men and women.
A 56 year old patient comes to the clinic for a follow up blood pressure
check. The nurse performs the check while asking the patient about
their current medications. A reading of 150/84 mmHg is obtained.
Based on this reading, the nurse initially recommends: correct answer
Patients should sit quietly without talking for 5 minutes prior to
obtaining a blood pressure to improve accuracy of the reading.
A 57 year old patient arrives to the ED with a BP of 80-42, HR 124 with
thready pulse, RR 26 with oxygen sat 88%, cold and clammy, and feeling
lightheaded with altered mental status. The nurse immediately
suspects: correct answer Cardiogenic shock
-results from a sudden lack of adequate heart function to meet the
metabolic needs of the body
A 73 year old, 3 day post-op coronary artery bypass surgery was
transferred to the tele unit on their second day post-op day. The
patient has been ambulating and following the inpatient ambulation
protocol. The patient has been having intermittent episodes of afib
associated with ventricular response of 120-130 beats per minuted,
lasting 1-2 hours, several times a day. This morning, the nurse finds the
patietn lethargic and not following commands. The bp is 114/66, HR 84
and irregular, RR 22, deep and labored. The change in patients
, condition can most likely be attributed to: correct answer
Cerebrovascular accident
The patients change in level of consciousness and deep and labored
respirations in the setting of an irregular pulse are often early signs of a
stroke.
A 76 year old patietn has a biventricular defibrillator for cardiac
resynchronization therapy (CRT-D) to treat their heart failure. The nurse
identifies a potential malfunction of the device when: correct answer A
pacer spike without a mechanical result of cardiac contraction is a
failure to capture, which is a malfunction. Some failure to capture can
be related to lead fracture, electrolyte imbalance, myocarditis,
medications lowering the capture threshold, or electrical interference.
A beta blocker agent should not be administered in the setting of
correct answer complete heart block
A beta blocker can worsen the heart block and further depress
subsiduart pacemaker sites
A class of medication used to reduce preload correct answer diuretic
A diuretic will reduce intravascular volume and preload by causing
diuresis
