Medical Surgical Nursing: Cardiovascular Care

15 Questions  I  By Frostanity
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Medical Surgical Nursing Quizzes & Trivia
Test your cognitive nursing skills in med-surg cardiovascular care for the adult patient. Please note that this quiz does not cover cardiovascular disorders.

  
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Questions and Answers

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  • 1. 
    Which of the following is the correct definition of a stroke volume?
    • A. 

      The volume of blood stretching the left ventricle at the end of diastole

    • B. 

      The volume of blood ejected by the left ventricle during each contraction

    • C. 

      The pressure against which the ventricles has to eject blood through the semilunar valves

    • D. 

      The volume of blood pumped from the left ventricle in one minute


  • 2. 
    Which of the following is a normal finding in the aging adult?
    • A. 

      Conduction time decreases

    • B. 

      Baroreceptors become more sensitive

    • C. 

      The left ventricle increases in size

    • D. 

      Systemic vascular resistance decreases


  • 3. 
    An ER nurse is reviewing the charts of several patients. Which of the following patients would the nurse interpret as having an angina?
    • A. 

      A 39-year-old female patient complaining of indigestion, discomfort, and states that she feels like she has to "catch her breath."

    • B. 

      A 51-year-old male patient who states "It hurts when I breathe!"

    • C. 

      A 42-year-old female patient complaining of pain traveling up and down her chest

    • D. 

      A 27-year old male patient complaining of a dull ache on his chest, palpitations, and numbness in his fingertips


  • 4. 
    A nurse is interviewing a 56-year-old patient who states that after sleeping for two hours, he feels like he's suffocating. He also says that "Once I sit up and dangle my legs off the bed, I feel better." The nurse interprets these findings as:
    • A. 

      Orthopnea

    • B. 

      Anxiety

    • C. 

      Insomnia

    • D. 

      Paroxysmal nocturnal dyspnea


  • 5. 
    Which of the following is the correct method in identifying for postural hypotension?
    • A. 

      First check the BP at the sitting position. After 3 minutes, have patient at the prone position. Wait for 1 minute to auscultate the BP and count the radial pulse.

    • B. 

      First check the BP at the supine position, After 3 minutes, have patient sit or stand. Wait for 1 minute to auscultate the BP and count the radial pulse.

    • C. 

      Wait for 1 minute to auscultate the BP and count the radial pulse while the patient is sitting. Then have the patient at the supine position and check for the BP.

    • D. 

      First check the BP at the prone position, After 3 minutes, have patient sit or stand. Wait for 1 minute to auscultate the BP and count the radial pulse.


  • 6. 
    A nurse in the telemetry unit is caring for a patient who has a weak pulse that changes to a strong pulse. The nurse would document this finding as:
    • A. 

      Paradoxical pulse

    • B. 

      Gallop

    • C. 

      Hyperkinetic pulse

    • D. 

      Pulsus alternans


  • 7. 
    While the nurse is doing a cardiovascular assessment on a 67-year-old patient, she hears an atrial gallop (S4). The nurse should evaluate this finding as:
    • A. 

      Possibility for hypertension

    • B. 

      Possibility for aortic stenosis

    • C. 

      Possibility for ventricular hypertrophy

    • D. 

      A normal finding


  • 8. 
    A nurse is reviewing a patient's chart. Which lab finding would reveal to the nurse that the patient has an MI? (Select all that apply)
    • A. 

      CK-MB

    • B. 

      CK-MM

    • C. 

      CK-BB

    • D. 

      Troponins

    • E. 

      Creatinine


  • 9. 
    Which electrolyte does not play a major role in cardiovascular performance?
    • A. 

      Magnesium

    • B. 

      Chloride

    • C. 

      Potassium

    • D. 

      Calcium


  • 10. 
    A nurse is reviewing an ECG reading and notes an increased U wave with a depressed ST. The nurse interprets this reading as what electrolyte imbalance?
    • A. 

      Hypocalcemia

    • B. 

      Hypercalcemia

    • C. 

      Hypokalemia

    • D. 

      Hyperkalemia


  • 11. 
    A nurse is providing preoperative teaching to a patient who will undergo cardiac catheterization. Which of the following statements indicates further teaching?
    • A. 

      "I shouldn't take my digoxin before catheterization."

    • B. 

      "I will be under general anesthesia."

    • C. 

      "I shouldn't eat anything after midnight."

    • D. 

      "Coughing is normal during the procedure."


  • 12. 
    Before undergoing cardiac catherization, it is important for the nurse to ask the patient if they have any allergies to:
    • A. 

      Shellfish

    • B. 

      Egg

    • C. 

      Avocados

    • D. 

      Peanuts


  • 13. 
    A nurse is providing teaching to a patient scheduled for a stress test. The patient understands instruction when he states:
    • A. 

      "I shouldn't use my Verapamil before the test."

    • B. 

      "It is important that I have a large meal before the test."

    • C. 

      "I'm allowed to drink my coffee on the day of the test."

    • D. 

      "I'm going to take a long hot shower after the test."


  • 14. 
    The patient is being discharged with warfarin (Coumadin). What labs should be routinely monitored for this patient?
    • A. 

      Serum lipid panel

    • B. 

      PTT

    • C. 

      CBC

    • D. 

      PT and INR


  • 15. 
    A patient who is being hemodynamically monitored has an increased RA pressure. How does the nurse interpret this finding?
    • A. 

      Pulmonary rupture

    • B. 

      Hypovolemia

    • C. 

      Right ventricular failure

    • D. 

      Afterload reduction


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