Nursing Theory IIb Test Review with Complete
Solutions/ Correct-Verified Answers
Hypertension is known as the silent killer. This phrase is associated with the fact that
hypertension often goes undetected until symptoms of other system failures occur. This
may occur in the form of:
A. Cerebrovascular accident
B. Liver disease
C. Myocardial infarction
D. Pulmonary disease - ANSWER A. Cerebrovascular accident
During the previous few months, a 56-year-old woman felt brief twinges of chest pain while
working in her garden and has had frequent episodes of indigestion. She comes to the hospital
after experiencing severe anterior chest pain while raking leaves. Her evaluation confirms a
diagnosis of stable angina pectoris. After stabilization and treatment, the client is discharged
from the hospital. At her follow-up appointment, she is discouraged because she is
experiencing pain with increasing frequency. She states that she is visiting an invalid friend
twice a week and now cannot walk up the second flight of steps to the friend's apartment
without pain. Which of the following measures that the nurse could suggest would most likely
help the client deal with this problem?
A. Visit her friend earlier in the day.
B. Rest for at least an hour before climbing the stairs.
C. Take a nitroglycerin tablet before climbing the stairs. - ANSWER C. Take a nitroglycerin
tablet before climbing the stairs.
,Sublingual nitroglycerin tablets begin to work within 1 to 2 minutes. How should the
nurse instruct the client to use the drug when chest pain occurs?
A. Take one tablet every 2 to 5 minutes until the pain stops
B. Take one tablet and rest for 10 minutes. Call the physician if pain persists after 10 minutes
C. Take one tablet, then an additional tablet every 5 minutes for a total of 3 tablets. Call
the physician if pain persists after 3 tablets
D. Take one tablet. If pain persists after 5 minutes, take 2 tablets. If pain still persists 5 minutes
later, call the physician - ANSWER C. Take one tablet, then an additional tablet every 5
minutes for a total of 3 tablets. Call the physician if pain persists after 3 tablets
Which of the following arteries primarily feeds the anterior wall of the heart?
A. circumflex artery
B. Internal mammary artery
C. Left anterior descending artery
D. Right coronary artery - ANSWER C. Left anterior descending artery
Which of the following blood tests is most indicative of cardiac damage?
A. Lactate dehydrogenase
B. Complete blood count (CBC)
C. Troponin 1
D. Creatine kinase (CK) - ANSWER C. Troponin 1
Which of the following diagnostic tools is most commonly used to determine the location of
myocardial damage?
A. Cardiac catheterization
B. Cardiac enzymes
C. Echocardiogram
D. Electrocardiogram (ECG) - ANSWER D. Electrocardiogram (ECG)
,Which of the following parameters is the major determinant of diastolic blood pressure?
A. Baroreceptors
B. Cardiac output
C. Renal function
D. Vascular resistance - ANSWER D. Vascular resistance
Which of the following factors can cause blood pressure to drop to normal levels?
A. Kidneys' excretion of sodium only
B. Kidneys' retention of sodium and water
C. Kidneys' excretion of sodium and water
D. Kidneys' retention of sodium and excretion of water - ANSWER C. Kidneys' excretion of
sodium and water
Baroreceptors in the carotid artery walls and aorta respond to which of the following
conditions?
A. Changes in blood pressure
B. Changes in arterial oxygen tension
C. Changes in arterial carbon dioxide tension
D. Changes in heart rate - ANSWER A. Changes in blood pressure
Which of the following terms describes the force against which the ventricle must expel blood?
A. Afterload
B. Cardiac Output
C. Overload
D. Preload - ANSWER A. Afterload
Which of the following terms is used to describe the amount of stretch on the myocardium
at the end of diastole?
, A. Afterload
B. Cardiac Index
C. Cardiac output
D. Preload - ANSWER D. Preload
A 57-year-old client with a history of asthma is prescribed propranolol (Inderal) to control
hypertension. Before administering propranolol, which of the following actions should
the nurse take first?
A. Monitor the apical pulse rate
B. Instruct the client to take medication with food
C. Question the physician about the order
D. Caution the client to rise slowly when standing - ANSWER C. Question the physician about
the order
One hour after administering IV furosemide (Lasix) to a client with heart failure, a short burst
of ventricular tachycardia appears on the cardiac monitor. Which of the following electrolyte
imbalances should the nurse suspect?
A. Hypocalcemia
B. Hypermagnesemia
C. Hypokalemia
D. Hypernatremia - ANSWER C. Hypokalemia
To evaluate a client's condition following cardiac catheterization, the nurse will palpate
the pulse:
A. In all extremities
B. At the insertion site
C. Distal to the catheter insertion
D. Above the catheter insertion - ANSWER C. Distal to the catheter insertion
Solutions/ Correct-Verified Answers
Hypertension is known as the silent killer. This phrase is associated with the fact that
hypertension often goes undetected until symptoms of other system failures occur. This
may occur in the form of:
A. Cerebrovascular accident
B. Liver disease
C. Myocardial infarction
D. Pulmonary disease - ANSWER A. Cerebrovascular accident
During the previous few months, a 56-year-old woman felt brief twinges of chest pain while
working in her garden and has had frequent episodes of indigestion. She comes to the hospital
after experiencing severe anterior chest pain while raking leaves. Her evaluation confirms a
diagnosis of stable angina pectoris. After stabilization and treatment, the client is discharged
from the hospital. At her follow-up appointment, she is discouraged because she is
experiencing pain with increasing frequency. She states that she is visiting an invalid friend
twice a week and now cannot walk up the second flight of steps to the friend's apartment
without pain. Which of the following measures that the nurse could suggest would most likely
help the client deal with this problem?
A. Visit her friend earlier in the day.
B. Rest for at least an hour before climbing the stairs.
C. Take a nitroglycerin tablet before climbing the stairs. - ANSWER C. Take a nitroglycerin
tablet before climbing the stairs.
,Sublingual nitroglycerin tablets begin to work within 1 to 2 minutes. How should the
nurse instruct the client to use the drug when chest pain occurs?
A. Take one tablet every 2 to 5 minutes until the pain stops
B. Take one tablet and rest for 10 minutes. Call the physician if pain persists after 10 minutes
C. Take one tablet, then an additional tablet every 5 minutes for a total of 3 tablets. Call
the physician if pain persists after 3 tablets
D. Take one tablet. If pain persists after 5 minutes, take 2 tablets. If pain still persists 5 minutes
later, call the physician - ANSWER C. Take one tablet, then an additional tablet every 5
minutes for a total of 3 tablets. Call the physician if pain persists after 3 tablets
Which of the following arteries primarily feeds the anterior wall of the heart?
A. circumflex artery
B. Internal mammary artery
C. Left anterior descending artery
D. Right coronary artery - ANSWER C. Left anterior descending artery
Which of the following blood tests is most indicative of cardiac damage?
A. Lactate dehydrogenase
B. Complete blood count (CBC)
C. Troponin 1
D. Creatine kinase (CK) - ANSWER C. Troponin 1
Which of the following diagnostic tools is most commonly used to determine the location of
myocardial damage?
A. Cardiac catheterization
B. Cardiac enzymes
C. Echocardiogram
D. Electrocardiogram (ECG) - ANSWER D. Electrocardiogram (ECG)
,Which of the following parameters is the major determinant of diastolic blood pressure?
A. Baroreceptors
B. Cardiac output
C. Renal function
D. Vascular resistance - ANSWER D. Vascular resistance
Which of the following factors can cause blood pressure to drop to normal levels?
A. Kidneys' excretion of sodium only
B. Kidneys' retention of sodium and water
C. Kidneys' excretion of sodium and water
D. Kidneys' retention of sodium and excretion of water - ANSWER C. Kidneys' excretion of
sodium and water
Baroreceptors in the carotid artery walls and aorta respond to which of the following
conditions?
A. Changes in blood pressure
B. Changes in arterial oxygen tension
C. Changes in arterial carbon dioxide tension
D. Changes in heart rate - ANSWER A. Changes in blood pressure
Which of the following terms describes the force against which the ventricle must expel blood?
A. Afterload
B. Cardiac Output
C. Overload
D. Preload - ANSWER A. Afterload
Which of the following terms is used to describe the amount of stretch on the myocardium
at the end of diastole?
, A. Afterload
B. Cardiac Index
C. Cardiac output
D. Preload - ANSWER D. Preload
A 57-year-old client with a history of asthma is prescribed propranolol (Inderal) to control
hypertension. Before administering propranolol, which of the following actions should
the nurse take first?
A. Monitor the apical pulse rate
B. Instruct the client to take medication with food
C. Question the physician about the order
D. Caution the client to rise slowly when standing - ANSWER C. Question the physician about
the order
One hour after administering IV furosemide (Lasix) to a client with heart failure, a short burst
of ventricular tachycardia appears on the cardiac monitor. Which of the following electrolyte
imbalances should the nurse suspect?
A. Hypocalcemia
B. Hypermagnesemia
C. Hypokalemia
D. Hypernatremia - ANSWER C. Hypokalemia
To evaluate a client's condition following cardiac catheterization, the nurse will palpate
the pulse:
A. In all extremities
B. At the insertion site
C. Distal to the catheter insertion
D. Above the catheter insertion - ANSWER C. Distal to the catheter insertion
