“CARDIAC-VASCULAR NURSING EXAM SAMPLE
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Cardiac-Vascular Nursing Exam Sample Questions
Which of the following statements regarding the pharmacologic management
of renal patients with hypertension is not true?
A) only requires mono therapy or a single drug to control
B) requires 3 or more drugs to control
C) ACEI and ARBs are effective in decreasing diabetic and non-diabetic renal
disease
D) often given loop diuretics
A) only requires mono therapy or a single drug to control
Which of the following agents is more likely to cause side effects when used in
the management of elderly patients with hypertension?
A) beta blockers
B) diuretics
C) calcium channel blockers
D) ACE inhibitors
A) beta blockers
Identify the new AHA/ACC guidelines for a normal blood pressure range?
A) <120 systolic, <80 diastolic
B) 120-139 systolic, 80-89 diastolic
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C) 140-159 systolic, 90-99 diastolic
D) >160 diastolic, >100 diastolic
E) >180 diastolic, >110 diastolic
A) <120 systolic, <80 diastolic
Which of the following statements is true regarding the pharmacologic
management of hypertrophic cardiomyopathy?
A) beta blockers are strictly prohibited as they may decrease left ventricular
filling pressures
B) calcium channel blockers can be used only when there is no obstruction
present
C) Antihistamines are prohibited in these patients
D) Diuretics may be considered for patients with fluid overload, but use with
caution if there is evidence of obstruction
E) a and d
F) b and d
F) b and d
Which of the following statements are true regarding hypertrophic
cardiomyopathy?
A) primarily a right ventricular disease
B) primarily a left ventricular disease
C) may affect the entire septum or only a portion of it in 2/3 of patients
D) it may be non-obstructive or an obstructive type
E) all of the above
F) b, c, and d only
F) b, c, and d only
Management for dilated cardiomyopathy includes:
A) agents to increase preload
B) agents to decrease preload
C) ACE-Is to lower blood pressure, improve blood flow, and decrease the
workload of the heart
D) aldosterone antagonists
E) all of the above
F) b, c, and d only
F) b, c, and d only
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Which type of cardiomyopathy leads to the gradual dilation of the ventricle
changing its shape from the normal elliptical egg shape to a spherical shape,
and leads to a decline in the ejection fraction?
A) Hypertrophic
B) Dilated
C) Restrictive
D) Arrhythmogenic right ventricular dysplasia
E) all of the above
F) a and d only
B) dilated
Dilated cardiomyopathy is often associated with:
A) alcohol abuse
B) myocarditis
C) valvular heart disease
D) hypertension
E) all of the above
F) b and d only
E) all of the above
Systolic dysfunction, or heart failure w/ reduced ejection fraction (HFrEF) is
characterized by:
A) failure of pump function of ventricles, dilated thick wall; eccentrically
hypertrophied
B) decreased EF, SV, and CO
C) backward flow of blood from LV into the lungs
D) increased pulmonary pressures
E) dyspnea, orthopnea, and wheezing
F) all of the above
F) all of the above
In left ventricular heart failure we may find:
A) distended neck veins (increased JVD)
B) systolic murmur such as mitral regurgitation
C) S3 and S4
D) decreased PA pressure
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E) all of the above
F) b and c only
F) b and c only
In right ventricular heart failure we may find:
A) distended neck veins (increased JVD)
B) hepatic engorgement
C) weight gain
D) increased CVP
E) all of the above
F) a and d only
E) all of the above
Nursing management for patients on ACE inhibitors includes monitoring:
A) for hypotension & dizziness
B) for worsening renal function - checking serum creatinine levels
C) for the development of an irritating cough
D) for hyperkalemia
E) all of the above
F) b and c only
E) all of the above
Manifestations of diastolic dysfunction or heart failure with preserved ejection
fraction (HFpEF) include:
A) impaired relaxation during diastole
B) increased filling pressures in LA and LV due to stiff noncompliant ventricles
C) fluid accumulation in feet, ankles, and legs
D) may have a normal ejection fraction (EF)
E) all of the above
F) b and c only
E) all of the above
With regard to a left heart catheterization, we know that:
A) a catheter is fed through a vein to the right side of the heart
B) it provides direct pressure measurements of the aorta, left atria, and left
ventricle
C) it provides direct pressure measurements of the superior vena cava, right
atria and right ventricle