MEDCONNOISSEURLIBRARIES.COM
MEDCONNOISSEURLIBRARIES.COM
, MEDCONNOISSEURLIBRARIES.COM
ClinicaloGuidelinesoinoPrimaryCareo3rdoEditionoTestobankChapte
ro1oCardiovascularoDisorders
MULTIPLEoCHOICE
1. Theonurseoisoawareothatotheomuscleolayeroofotheoheart,owhichoisoresponsibleoforotheoheartsoc
ontraction,oisothe:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS:oD
Theomyocardiumoisotheospecializedomuscleolayerothatoallowsotheoheartotoocontract.
2. Theonurseoclarifiesothatotheomasteropacemakeroofotheoheartoisothe:
a. leftoventricle.
b. atrioventricularo(AV)onode.
c. sinoatrialo(SA)onode.
d. bundleoofoHis.
ANS:oC
TheoSAonodeoisotheomasteropacemakeroofotheoheart.
3. Theonurseoisoawareothatotheosymptomsoofoanoimpendingomyocardialoinfarctiono(MI)odifferoinow
omenobecauseoacuteochestopainoisonotopresent.oWomenoareofrequentlyomisdiagnosedoasohaving:
a. hepatitisoA.
b. indigestion.
c. urinaryoinfection.
d. menopausalocomplications.
MEDCONNOISSEURLIBRARIES.COM
, MEDCONNOISSEURLIBRARIES.COM
ANS:oB
Indigestion,ogallbladderoattack,oanxietyoattack,oandodepressionoareofrequentomisdiagnosesoforowom
enohavingoanoMI.
4. TheonurseoidentifiesotheoLUBBosoundoofotheoLUBB/DUBBoofotheocardiacocycleoasotheosoundoofot
he:
a. AVovalvesoclosing.
b. closureoofotheosemilunarovalves.
c. contractionoofotheopapillaryomuscles.
d. contractionoofotheoventricles.
ANS:oA
TheoLUBBoisotheofirstosoundoofoaolowopitchoheardowhenotheoAVovalvesoclose.
5. Aopatientoisoadmittedofromotheoemergencyodepartment.oTheoemergencyodepartmentophysiciano
notesotheopatientohasoaodiagnosisoofoheartofailureowithoaoNewoYorkoHeartoAssociationo(NYHA)oc
lassificationoofoIV.oThisoindicatesotheopatientsoconditionoas:
a. moderateoheartofailure.
b. severeoheartofailure.
c. congestiveoheartofailure.
d. negligibleoheartofailure.
ANS:oB
ClassoIV:oSevere;opatientounableotooperformoanyophysicaloactivityowithoutodiscomfort.oAnginaooros
ymptomsoofocardiacoinefficiencyomayodevelopoatorest.
6. Theonurseoassessesothatotheohomeohealthopatientohasonoosignsoorosymptomsoofoheartofailure,obutod
oesohaveoaohistoryooforheumaticofeveroandohasobeenorecentlyodiagnosedowithodiabetesomellitus.oT
heonurseoisoawareothatousingotheoAmericanoCollegeoofoCardiologyoandotheoAmericanoHeartoAssoc
iationo(ACC/AHA)ostaging,othisopatientowouldobeoa:
a. stageoA.
b. stageoB.
c. stageoC.
d. stageoD.
ANS:oA
TheoACC/AHAostagingodescribesostageoAoasoaopersonowithoutosymptomsoofoheartofailure,obutowitho
primaryoconditionsoassociatedowithotheodevelopmentoofotheodisease.
MEDCONNOISSEURLIBRARIES.COM
, MEDCONNOISSEURLIBRARIES.COM
7. Theonurseocaringoforoaopatientorecoveringofromoaomyocardialoinfarctowhooisoonoremoteotelemetryor
ecognizesotheoneedoforoaddedoinstructionowhenotheopatientosays:
a. Iocanoambulateoinotheohallwayowithothisogadgetoon.
b. Ioalwaysotakeooffotheotelemetryodeviceowheno Ioshower.
c. MyoEKGoisobeingowatchedobyooneoofotheonursesoinoCCUoonotheohomeounit.
d. Ioamoableotoosleepojustofineowithothisodeviceoon.
ANS:oB
Remoteotelemetryoallowsotheopatientotoobeoonoaoseparateounit,obutobeomonitoredoinoaocentralolocatio
n.oTheopatientsocanobeoambulatoryoandocanosleepowithotheomonitoroon.oThey
shouldonotoremoveotheomonitorotooshower.
8. Theonurseoassessesopittingoedemaothatocanobeodepressedoapproximatelyoinchoandorefillsoino15os
econds.oTheonurseowouldodocumentothisoassessmentoas:
a. +1oedema.
b. +2oedema.
c. +3oedema.
d. +4oedema.
ANS:oB
Ao+2oedemaocanobeodocumentedoifotheoskinocanobeodepressedoinchoandorespondowithino15oseconds.
9. Whatodoodarkoorocoldospotsoonoaothalliumoscanoindicate?
a. Tissueowithoadequateobloodosupply
b. Dilatedovessels
c. Areasoofoneoplasticogrowth
d. Tissueothatohasoinadequateoperfusion
ANS:oD
Thalliumoscansoshowoadequateoperfusedoareasobyotheocollectionoofothallium.oDarkospotsoorocoldospo
tsoindicateotissuesothatohaveoinadequateoperfusion.
10.Theonurseorecognizesotheoechocardiogramoreportothatoshowsoanoejectionofactoroofo42%oasoanoi
ndicationoof:
a. normaloheartoaction.
b. mildoheartofailure.
c. moderateoheartofailure.
MEDCONNOISSEURLIBRARIES.COM
MEDCONNOISSEURLIBRARIES.COM
, MEDCONNOISSEURLIBRARIES.COM
ClinicaloGuidelinesoinoPrimaryCareo3rdoEditionoTestobankChapte
ro1oCardiovascularoDisorders
MULTIPLEoCHOICE
1. Theonurseoisoawareothatotheomuscleolayeroofotheoheart,owhichoisoresponsibleoforotheoheartsoc
ontraction,oisothe:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS:oD
Theomyocardiumoisotheospecializedomuscleolayerothatoallowsotheoheartotoocontract.
2. Theonurseoclarifiesothatotheomasteropacemakeroofotheoheartoisothe:
a. leftoventricle.
b. atrioventricularo(AV)onode.
c. sinoatrialo(SA)onode.
d. bundleoofoHis.
ANS:oC
TheoSAonodeoisotheomasteropacemakeroofotheoheart.
3. Theonurseoisoawareothatotheosymptomsoofoanoimpendingomyocardialoinfarctiono(MI)odifferoinow
omenobecauseoacuteochestopainoisonotopresent.oWomenoareofrequentlyomisdiagnosedoasohaving:
a. hepatitisoA.
b. indigestion.
c. urinaryoinfection.
d. menopausalocomplications.
MEDCONNOISSEURLIBRARIES.COM
, MEDCONNOISSEURLIBRARIES.COM
ANS:oB
Indigestion,ogallbladderoattack,oanxietyoattack,oandodepressionoareofrequentomisdiagnosesoforowom
enohavingoanoMI.
4. TheonurseoidentifiesotheoLUBBosoundoofotheoLUBB/DUBBoofotheocardiacocycleoasotheosoundoofot
he:
a. AVovalvesoclosing.
b. closureoofotheosemilunarovalves.
c. contractionoofotheopapillaryomuscles.
d. contractionoofotheoventricles.
ANS:oA
TheoLUBBoisotheofirstosoundoofoaolowopitchoheardowhenotheoAVovalvesoclose.
5. Aopatientoisoadmittedofromotheoemergencyodepartment.oTheoemergencyodepartmentophysiciano
notesotheopatientohasoaodiagnosisoofoheartofailureowithoaoNewoYorkoHeartoAssociationo(NYHA)oc
lassificationoofoIV.oThisoindicatesotheopatientsoconditionoas:
a. moderateoheartofailure.
b. severeoheartofailure.
c. congestiveoheartofailure.
d. negligibleoheartofailure.
ANS:oB
ClassoIV:oSevere;opatientounableotooperformoanyophysicaloactivityowithoutodiscomfort.oAnginaooros
ymptomsoofocardiacoinefficiencyomayodevelopoatorest.
6. Theonurseoassessesothatotheohomeohealthopatientohasonoosignsoorosymptomsoofoheartofailure,obutod
oesohaveoaohistoryooforheumaticofeveroandohasobeenorecentlyodiagnosedowithodiabetesomellitus.oT
heonurseoisoawareothatousingotheoAmericanoCollegeoofoCardiologyoandotheoAmericanoHeartoAssoc
iationo(ACC/AHA)ostaging,othisopatientowouldobeoa:
a. stageoA.
b. stageoB.
c. stageoC.
d. stageoD.
ANS:oA
TheoACC/AHAostagingodescribesostageoAoasoaopersonowithoutosymptomsoofoheartofailure,obutowitho
primaryoconditionsoassociatedowithotheodevelopmentoofotheodisease.
MEDCONNOISSEURLIBRARIES.COM
, MEDCONNOISSEURLIBRARIES.COM
7. Theonurseocaringoforoaopatientorecoveringofromoaomyocardialoinfarctowhooisoonoremoteotelemetryor
ecognizesotheoneedoforoaddedoinstructionowhenotheopatientosays:
a. Iocanoambulateoinotheohallwayowithothisogadgetoon.
b. Ioalwaysotakeooffotheotelemetryodeviceowheno Ioshower.
c. MyoEKGoisobeingowatchedobyooneoofotheonursesoinoCCUoonotheohomeounit.
d. Ioamoableotoosleepojustofineowithothisodeviceoon.
ANS:oB
Remoteotelemetryoallowsotheopatientotoobeoonoaoseparateounit,obutobeomonitoredoinoaocentralolocatio
n.oTheopatientsocanobeoambulatoryoandocanosleepowithotheomonitoroon.oThey
shouldonotoremoveotheomonitorotooshower.
8. Theonurseoassessesopittingoedemaothatocanobeodepressedoapproximatelyoinchoandorefillsoino15os
econds.oTheonurseowouldodocumentothisoassessmentoas:
a. +1oedema.
b. +2oedema.
c. +3oedema.
d. +4oedema.
ANS:oB
Ao+2oedemaocanobeodocumentedoifotheoskinocanobeodepressedoinchoandorespondowithino15oseconds.
9. Whatodoodarkoorocoldospotsoonoaothalliumoscanoindicate?
a. Tissueowithoadequateobloodosupply
b. Dilatedovessels
c. Areasoofoneoplasticogrowth
d. Tissueothatohasoinadequateoperfusion
ANS:oD
Thalliumoscansoshowoadequateoperfusedoareasobyotheocollectionoofothallium.oDarkospotsoorocoldospo
tsoindicateotissuesothatohaveoinadequateoperfusion.
10.Theonurseorecognizesotheoechocardiogramoreportothatoshowsoanoejectionofactoroofo42%oasoanoi
ndicationoof:
a. normaloheartoaction.
b. mildoheartofailure.
c. moderateoheartofailure.
MEDCONNOISSEURLIBRARIES.COM
