Nursing School Test Banks
Chapter 36: Cardiac Disorders
Chapter 36: Cardiac Disorders
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
MULTIPLE CHOICE
1. A nurse performs an apical-radial pulse evaluation, with the result of 100/88. What is the puls
a. 12
b. 24
c. 76
d. 88
ANS: A
To detect an apical-radial pulse deficit, the rates should be counted simultaneously and compa
ences. If a difference exists between the apical rate and the radial rate, then a pulse deficit is pr
ample, in atrial fibrillation, a pulse deficit exists.
DIF: Cognitive Level: Analysis REF: p. 687 OBJ: 8
TOP: Vital Sign Assessment: Pulse Deficit
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. What is increased in hypertension that in turn causes an increase in the work of the heart?
a. Preload
b. Stroke volume
c. Contractility
d. Afterload
ANS: D
An increase blood pressure creates an increase in afterload because the heart must work harde
blood out of the left ventricle into the circulating volume.
, MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. Which heart sound should the nurse record as normal?
a. Ventricular gallop in a 20-year-old patient
b. Atrial gallop in a 25-year-old patient
c. Friction rub in a 45-year-old patient
d. Medium diastolic murmur in a 50-year-old patient
ANS: A
Ventricular gallops are considered normal in individuals younger than 30 years of age. All other
pathologic abnormalities.
DIF: Cognitive Level: Application REF: p. 688 OBJ: 7
TOP: Heart Sound Assessment KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. A 49-year-old patient has multiple risk factors for coronary artery disease. Which risk factor i
modifiable?
a. Family history
b. Age
c. Smoking
d. Male gender
ANS: C
Smoking, a high-fat diet, hypertension, sedentary lifestyle, and stress are considered modifiable
DIF: Cognitive Level: Comprehension REF: p. 708 OBJ: 7
TOP: Coronary Artery Disease Risk Factors
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
5. A patient asks what a transesophageal echocardiogram (TEE) is and what it is expected to do?
best explanation by the nurse?
a. Measures conductivity
b. Records the force of contraction
c. Evaluates the efficiency of the valves
d. Checks the volume of the preload
ANS: C
TEE evaluates the efficiency of the valves.
Chapter 36: Cardiac Disorders
Chapter 36: Cardiac Disorders
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
MULTIPLE CHOICE
1. A nurse performs an apical-radial pulse evaluation, with the result of 100/88. What is the puls
a. 12
b. 24
c. 76
d. 88
ANS: A
To detect an apical-radial pulse deficit, the rates should be counted simultaneously and compa
ences. If a difference exists between the apical rate and the radial rate, then a pulse deficit is pr
ample, in atrial fibrillation, a pulse deficit exists.
DIF: Cognitive Level: Analysis REF: p. 687 OBJ: 8
TOP: Vital Sign Assessment: Pulse Deficit
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. What is increased in hypertension that in turn causes an increase in the work of the heart?
a. Preload
b. Stroke volume
c. Contractility
d. Afterload
ANS: D
An increase blood pressure creates an increase in afterload because the heart must work harde
blood out of the left ventricle into the circulating volume.
, MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. Which heart sound should the nurse record as normal?
a. Ventricular gallop in a 20-year-old patient
b. Atrial gallop in a 25-year-old patient
c. Friction rub in a 45-year-old patient
d. Medium diastolic murmur in a 50-year-old patient
ANS: A
Ventricular gallops are considered normal in individuals younger than 30 years of age. All other
pathologic abnormalities.
DIF: Cognitive Level: Application REF: p. 688 OBJ: 7
TOP: Heart Sound Assessment KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. A 49-year-old patient has multiple risk factors for coronary artery disease. Which risk factor i
modifiable?
a. Family history
b. Age
c. Smoking
d. Male gender
ANS: C
Smoking, a high-fat diet, hypertension, sedentary lifestyle, and stress are considered modifiable
DIF: Cognitive Level: Comprehension REF: p. 708 OBJ: 7
TOP: Coronary Artery Disease Risk Factors
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
5. A patient asks what a transesophageal echocardiogram (TEE) is and what it is expected to do?
best explanation by the nurse?
a. Measures conductivity
b. Records the force of contraction
c. Evaluates the efficiency of the valves
d. Checks the volume of the preload
ANS: C
TEE evaluates the efficiency of the valves.
