NUR361 CARDIAC EXAM 1 QUESTIONS
WITH VERIFIED ANSWERS
\.The nurse is reviewing the anatomy and physiology of the cardiac system with a
patient scheduled for pacemaker insertion. Which chamber of the heart should
the nurse instruct has the greatest workload and usually fails first as a result?
a. left atrium
B. right atrium
c. left ventricle
D. right ventricle - ANSWERS✔-C
\.The nurse is helping a patient understand why the heart beat can change in
speed. When doing so, what should the nurse explain as being the pacemaker of
the heart?
a.bundle of his
B. sinoatrial node
C. purkinjes fibers
D. atrioventricular node - ANSWERS✔-B
\.The nurse is using a stethoscope to listen to a patients heart sounds. The nurse
recognizes that the dupp of the characteristic lubb-dupp heart sound indicates
what part of the cardiac cycle?
a. the closure of the mitral valve
,b. the closer of the tricuspid valve
d. the closure of the aortic and pulmonary semilunar valves - ANSWERS✔-D
\.The nurse suspects that a patients heart rate is being affected by
parasympathetic influence. What should the nurse recall as the effect the
parasympathetic nervous system has on the heart?
a. deceases heart rate
b. decreases resting phase
C. increases cardiac output
D. increases strength of contraction - ANSWERS✔-A
\.The nurse is caring for a patient recovering from a cardiac catheterization with a
right femoral artery entry site. Which action should the nurse take?
a. ambulate every 2 hours
b. position knees with 40 degree bend
c. avoid movement of right leg as ordered
d. perform passive range of motion of right leg hourly - ANSWERS✔-C
\.The nurse is providing care for a patient whose right atrial pressure (RAP) is 12
mm Hg. Which action should the nurse take?
a. assess skin tugor
b. listen to breathe sounds
c. measure urine specific gravity
d. determine level of conciousness - ANSWERS✔-B
,\.A patient is diagnosed with epicarditis. What should the nurse recall regarding
the purpose of the epicardium when caring for this patient?
a. line the chambers of the heart
b. line the coronary blood vessels
c. cover the heart muscle and prevent friction
d. contract and pump blood from the ventricles - ANSWERS✔-C
\.The nurse is explaining the regulation of blood pressure to a patient newly
diagnosed with hypertension. What tissues within the artery wall that helps
maintain diastolic blood pressure should the nurse identify for the patient?
a. smooth muscle and elastic connective tissue
b. smooth muscle and simple squamous epithelium
c. elastic connective tissue and fibrous connective tissue
d. fibrous connective tissue and simple squamous epithelium - ANSWERS✔-A
\.The nurse instructs a patient on beverages to avoid when taking the prescribed
medication warfarin (Coumadin). Which beverage should the patient state that
indicates teaching has been effective?
a. beer
b. orange juice
c. grapefruit juice
d. cranberry juice - ANSWERS✔-D
, \.A patient has sustained damage to the sinoatrial node. Which heart rates
indicate that the patients atrioventricular node has taken over as the pacemaker
for the heart?
a. 10 to 20
b. 20 to 35
c. 40 t0 60
d. 80 to 100 - ANSWERS✔-C
\.The nurse is measuring a patients central venous pressure (CVP). Which patient
factors is reflected by this pressure reading?
a. hydration
b. cardiac output
c. blood pressure
d. peripheral vascular resistance - ANSWERS✔-A
\.A patient with type 1 diabetes mellitus arrives for cardiac surgery. During the
assessment, the nurse learns the patient self-administered the usual insulin dose.
Which action should the nurse take?
a. obtain vital signs
b. state, that is good
c. inform the physcian
d. give 6 ounces of cranberry juice now - ANSWERS✔-C
WITH VERIFIED ANSWERS
\.The nurse is reviewing the anatomy and physiology of the cardiac system with a
patient scheduled for pacemaker insertion. Which chamber of the heart should
the nurse instruct has the greatest workload and usually fails first as a result?
a. left atrium
B. right atrium
c. left ventricle
D. right ventricle - ANSWERS✔-C
\.The nurse is helping a patient understand why the heart beat can change in
speed. When doing so, what should the nurse explain as being the pacemaker of
the heart?
a.bundle of his
B. sinoatrial node
C. purkinjes fibers
D. atrioventricular node - ANSWERS✔-B
\.The nurse is using a stethoscope to listen to a patients heart sounds. The nurse
recognizes that the dupp of the characteristic lubb-dupp heart sound indicates
what part of the cardiac cycle?
a. the closure of the mitral valve
,b. the closer of the tricuspid valve
d. the closure of the aortic and pulmonary semilunar valves - ANSWERS✔-D
\.The nurse suspects that a patients heart rate is being affected by
parasympathetic influence. What should the nurse recall as the effect the
parasympathetic nervous system has on the heart?
a. deceases heart rate
b. decreases resting phase
C. increases cardiac output
D. increases strength of contraction - ANSWERS✔-A
\.The nurse is caring for a patient recovering from a cardiac catheterization with a
right femoral artery entry site. Which action should the nurse take?
a. ambulate every 2 hours
b. position knees with 40 degree bend
c. avoid movement of right leg as ordered
d. perform passive range of motion of right leg hourly - ANSWERS✔-C
\.The nurse is providing care for a patient whose right atrial pressure (RAP) is 12
mm Hg. Which action should the nurse take?
a. assess skin tugor
b. listen to breathe sounds
c. measure urine specific gravity
d. determine level of conciousness - ANSWERS✔-B
,\.A patient is diagnosed with epicarditis. What should the nurse recall regarding
the purpose of the epicardium when caring for this patient?
a. line the chambers of the heart
b. line the coronary blood vessels
c. cover the heart muscle and prevent friction
d. contract and pump blood from the ventricles - ANSWERS✔-C
\.The nurse is explaining the regulation of blood pressure to a patient newly
diagnosed with hypertension. What tissues within the artery wall that helps
maintain diastolic blood pressure should the nurse identify for the patient?
a. smooth muscle and elastic connective tissue
b. smooth muscle and simple squamous epithelium
c. elastic connective tissue and fibrous connective tissue
d. fibrous connective tissue and simple squamous epithelium - ANSWERS✔-A
\.The nurse instructs a patient on beverages to avoid when taking the prescribed
medication warfarin (Coumadin). Which beverage should the patient state that
indicates teaching has been effective?
a. beer
b. orange juice
c. grapefruit juice
d. cranberry juice - ANSWERS✔-D
, \.A patient has sustained damage to the sinoatrial node. Which heart rates
indicate that the patients atrioventricular node has taken over as the pacemaker
for the heart?
a. 10 to 20
b. 20 to 35
c. 40 t0 60
d. 80 to 100 - ANSWERS✔-C
\.The nurse is measuring a patients central venous pressure (CVP). Which patient
factors is reflected by this pressure reading?
a. hydration
b. cardiac output
c. blood pressure
d. peripheral vascular resistance - ANSWERS✔-A
\.A patient with type 1 diabetes mellitus arrives for cardiac surgery. During the
assessment, the nurse learns the patient self-administered the usual insulin dose.
Which action should the nurse take?
a. obtain vital signs
b. state, that is good
c. inform the physcian
d. give 6 ounces of cranberry juice now - ANSWERS✔-C
