Myocardial Infarction And Heart Failure Practice Quiz. Complete Questions and Answers .

Myocardial Infarction And Heart Failure Practice Quiz. Complete Questions And Answers . (Check the last part for detailed answers) 1. Which of the following actions is the first priority of care for a client exhibiting signs and symptoms of coronary artery disease? 1. Decrease anxiety 2. Enhance myocardial oxygenation 3. Administer sublingual nitroglycerin 4. Educate the client about his symptoms 2. Medical treatment of coronary artery disease includes which of the following procedures? 1. Cardiac catheterization 2. Coronary artery bypass surgery 3. Oral medication therapy 4. Percutaneous transluminal coronary angioplasty 3. Which of the following is the most common symptom of myocardial infarction (MI)? 1. Chest pain 2. Dyspnea 3. Edema 4. Palpitations 4. Which of the following symptoms is the most likely origin of pain the client described as knifelike chest pain that increases in intensity with inspiration? 1. Cardiac 2. Gastrointestinal 3. Musculoskeletal 4. Pulmonary 5. Which of the following blood tests is most indicative of cardiac damage? 1. Lactate dehydrogenase 2. Complete blood count (CBC) 3. Troponin I 4. Creatine kinase (CK) 6. What is the primary reason for administering morphine to a client with an MI? 1. To sedate the client 2. To decrease the client’s pain 3. To decrease the client’s anxiety 4. To decrease oxygen demand on the client’s heart 7. Which of the following conditions is most commonly responsible for myocardial infarction? 1. Aneurysm 2. Heart failure 3. Coronary artery thrombosis 4. Renal failure 8. Which of the following complications is indicated by a third heart sound (S3)? 1. Ventricular dilation 2. Systemic hypertension 3. Aortic valve malfunction 4. Increased atrial contractions 9. After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs? 1. Left-sided heart failure 2. Pulmonic valve malfunction 3. Right-sided heart failure 4. Tricupsid valve malfunction 10. What is the first intervention for a client experiencing MI? 1. Administer morphine 2. Administer oxygen 3. Administer sublingual nitroglycerin 4. Obtain an ECG 11. Which of the following classes of medications protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation? 1. Beta-adrenergic blockers 2. Calcium channel blockers 3. Narcotics 4. Nitrates 12. What is the most common complication of an MI? 1. Cardiogenic shock 2. Heart failure 3. arrhythmias 4. Pericarditis 13. With which of the following disorders is jugular vein distention most prominent? 1. Abdominal aortic aneurysm 2. Heart failure 3. MI 4. Pneumothorax 14. Toxicity from which of the following medications may cause a client to see a green-yellow halo around lights? 1. Digoxin 2. Furosemide (Lasix) 3. Metoprolol (Lopressor) 4. Enalapril (Vasotec) 15. Which of the following symptoms is most commonly associated with left-sided heart failure? 1. Crackles 2. Arrhythmias 3. Hepatic engorgement 4. Hypotension 16. In which of the following disorders would the nurse expect to assess sacral edema in a bedridden client? 1. Diabetes 2. Pulmonary emboli 3. Renal failure 4. Right-sided heart failure 17. Which of the following symptoms might a client with right-sided heart failure exhibit? 1. Adequate urine output 2. Polyuria 3. Oliguria 4. Polydipsia 18. Which of the following classes of medications maximizes cardiac performance in clients with heart failure by increasing ventricular contractility? 1. Beta-adrenergic blockers 2. Calcium channel blockers 3. Diuretics 4. Inotropic agents 19. Stimulation of the sympathetic nervous system produces which of the following responses? 1. Bradycardia 2. Tachycardia 3. Hypotension 4. Decreased myocardial contractility 20. Which of the following conditions is most closely associated with weight gain, nausea, and a decrease in urine output? 1. Angina pectoris 2. Cardiomyopathy 3. Left-sided heart failure 4. Right-sided heart failure 21. Which of the following heart muscle diseases is unrelated to other cardiovascular disease? 1. Cardiomyopathy 2. Coronary artery disease 3. Myocardial infarction 4. Pericardial effusion 22. Which of the following types of cardiomyopathy can be associated with childbirth? 1. Dilated 2. Hypertrophic 3. Myocarditis 4. Restrictive 23. Septal involvement occurs in which type of cardiomyopathy? 1. Congestive 2. Dilated 3. Hypertrophic 4. Restrictive 24. Which of the following recurring conditions most commonly occurs in clients with cardiomyopathy? 1. Heart failure 2. Diabetes 3. MI 4. Pericardial effusion 25. Dyspnea, cough, expectoration, weakness, and edema are classic signs and symptoms of which of the following conditions? 1. Pericarditis 2. Hypertension 3. MI 4. Heart failure 26. In which of the following types of cardiomyopathy does cardiac output remain normal? 1. Dilated 2. Hypertrophic 3. Obliterative 4. Restrictive 27. Which of the following cardiac conditions does a fourth heart sound (S4) indicate? 1. Dilated aorta 2. Normally functioning heart 3. Decreased myocardial contractility 4. Failure of the ventricle to eject all of the blood during systole 28. Which of the following classes of drugs is most widely used in the treatment of cardiomyopathy? 1. Antihypertensive 2. Beta-adrenergic blockers 3. Calcium channel blockers 4. Nitrates 29. If medical treatments fail, which of the following invasive procedures is necessary for treating cardiomyopathy? 1. Cardiac catheterization 2. Coronary artery bypass graft (CABG) 3. Heart transplantation 4. Intra-aortic balloon pump (IABP) 30. Which of the following conditions is associated with a predictable level of pain that occurs as a result of physical or emotional stress? 1. Anxiety 2. Stable angina 3. Unstable angina 4. Variant angina 31. Which of the following types of angina is most closely related with an impending MI? 1. Angina decubitus 2. Chronic stable angina 3. Nocturnal angina 4. Unstable angina 32. Which of the following conditions is the predominant cause of angina? 1. Increased preload 2. Decreased afterload 3. Coronary artery spasm 4. Inadequate oxygen supply to the myocardium 33. Which of the following tests is used most often to diagnose angina? 1. Chest x-ray 2. Echocardiogram 3. Cardiac catheterization 4. 12-lead electrocardiogram (ECG) 34. Which of the following results is the primary treatment goal for angina? 1. Reversal of ischemia 2. Reversal of infarction 3. Reduction of stress and anxiety 4. Reduction of associated risk factors 35. Which of the following interventions should be the first priority when treating a client experiencing chest pain while walking? 1. Sit the client down 2. Get the client back to bed 3. Obtain an ECG 4. Administer sublingual nitroglycerin 36. Myocardial oxygen consumption increases as which of the following parameters increase? 1. Preload, afterload, and cerebral blood flow 2. Preload, afterload, and renal blood flow 3. Preload, afterload, contractility, and heart rate. 4. Preload, afterload, cerebral blood flow, and heart rate. 37. Which of the following positions would best aid breathing for a client with acute pulmonary edema? 1. Lying flat in bed 2. Left side-lying 3. In high Fowler’s position 4. In semi-Fowler’s position 38. Which of the following blood gas abnormalities is initially most suggestive of pulmonary edema? 1. Anoxia 2. Hypercapnia 3. Hyper oxygenation 4. Hypomania 39. Which of the following is a compensatory response to decreased cardiac output? 1. Decreased BP 2. Alteration in LOC 3. Decreased BP and diuresis 4. Increased BP and fluid retention 40. Which of the following actions is the appropriate initial response to a client coughing up pink, frothy sputum? 1. Call for help 2. Call the physician 3. Start an I.V. line 4. Suction the client 41. Which of the following terms describes the force against which the ventricle must expel blood? 1. Afterload 2. Cardiac output 3. Overload 4. Preload 42. Acute pulmonary edema caused by heart failure is usually a result of damage to which of the following areas of the heart? 1. Left atrium 2. Right atrium 3. Left ventricle 4. Right ventricle 43. An 18-year-old client who recently had an URI is admitted with suspected rheumatic fever. Which assessment findings confirm this diagnosis? 1. Erythema marginatum, subcutaneous nodules, and fever 2. Tachycardia, finger clubbing, and a load S3 3. Dyspnea, cough, and palpitations 4. Dyspnea, fatigue, and syncope 44. A client admitted with angina complains of severe chest pain and suddenly becomes unresponsive. After establishing unresponsiveness, which of the following actions should the nurse take first? 1. Activate the resuscitation team 2. Open the client’s airway 3. Check for breathing 4. Check for signs of circulation 45. A 55-year-old client is admitted with an acute inferior-wall myocardial infarction.