Cardiovascular Disorders (Exam Mode) By Rnpedia

60 Questions | By Rnpedia | Updated: Mar 21, 2022 | Attempts: 3725

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Questions and Answers

1.

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
2.

When do coronary arteries primarily receive blood flow?
- A.
  
  During inspiration
- B.
  
  During diastole
- C.
  
  During expiration
- D.
  
  During systole
3.

Which of the following conditions most commonly results in CAD?
- A.
  
  Atherosclerosis
- B.
  
  DM
- C.
  
  MI
- D.
  
  Renal failure
4.

Which of the following illnesses is the leading cause of death in the US?
- A.
  
  Cancer
- B.
  
  Coronary artery diseas
- C.
  
  Liver failure
- D.
  
  Renal failur
5.

Atherosclerosis impedes coronary blood flow by which of the following mechanisms
- A.
  
  Plaques obstruct the vein
- B.
  
  Plaques obstruct the artery
- C.
  
  Blood clots form outside the vessel wall
- D.
  
  Hardened vessels dilate to allow the blood to flow through
6.

Which of the following risk factors for coronary artery disease cannot be corrected?
- A.
  
  Cigarette smoking
- B.
  
  DM
- C.
  
  Heredity
- D.
  
  HPN
7.

Exceeding which of the following serum cholesterol levels significantly increases the risk of coronary artery disease?
- A.
  
  100 mg/dl
- B.
  
  150 mg/dl
- C.
  
  175 mg/dl
- D.
  
  200 mg/dl
8.

Which of the following actions is the first priority care for a client exhibiting signs and symptoms of coronary artery disease?
- A.
  
  Decrease anxiety
- B.
  
  Enhance myocardial oxygenatio
- C.
  
  Administer sublignual nitroglycerin
- D.
  
  Educate the client about his symptoms
9.

Medical treatment of coronary artery disease includes which of the following procedures?
- A.
  
  Cardiac catheterization
- B.
  
  Coronary artery bypass surger
- C.
  
  Oral medication administratio
- D.
  
  Percutaneous transluminal coronary angioplasty
10.

Prolonged occlusion of the right coronary artery produces an infarction in which of he following areas of the heart?
- A.
  
  Anterior
- B.
  
  Apical
- C.
  
  Inferior
- D.
  
  Lateral
11.

Which of the following is the most common symptom of myocardial infarction?
- A.
  
  Chest pain
- B.
  
  Dyspne
- C.
  
  Edema
- D.
  
  Palpitations
12.

Which of the following landmarks is the corect one for obtaining an apical pulse?
- A.
  
  Left intercostal space, midaxillary line
- B.
  
  Left fifth intercostal space, midclavicular line
- C.
  
  Left second intercostal space, midclavicular line
- D.
  
  Left seventh intercostal space, midclavicular line
13.

Which of the following systems is the most likely origin of pain the client describes as knifelike chest pain that increases in intensity with inspiration?
- A.
  
  Cardiac
- B.
  
  Gastrointestinal
- C.
  
  Musculoskeletal
- D.
  
  Pulmonary
14.

A murmur is heard at the second left intercostal space along the left sternal border. Which valve area is this
- A.
  
  Aortic
- B.
  
  Mitral
- C.
  
  Pulmonic
- D.
  
  Tricuspid
15.

Which of the following blood tests is most indicative of cardiac damage?
- A.
  
  Lactate dehydrogenase
- B.
  
  Complete blood count
- C.
  
  Troponin I
- D.
  
  Creatine kinase
16.

What is the primary reason for administering morphine to a client with myocardial infarction?
- A.
  
  To sedate the clien
- B.
  
  To decrease the client's pain
- C.
  
  To decrease the client's anxiet
- D.
  
  To decrease oxygen demand on the client's heart
17.

Which of the followng conditions is most commonly responsible for myocardial infarction?
- A.
  
  Aneurysm
- B.
  
  Heart failure
- C.
  
  Coronary artery thrombosis
- D.
  
  Renal failure
18.

What supplemental medication is most frequently ordered in conjuction with furosemide (Lasix)?
- A.
  
  Chloride
- B.
  
  Digoxin
- C.
  
  Potassium
- D.
  
  Sodium
19.

After myocardial infarction, serum glucose levels and free fatty acids are both increase. What type of physiologic changes are these?
- A.
  
  Electrophysiologic
- B.
  
  Hematologic
- C.
  
  Mechanical
- D.
  
  Metabolic
20.

Which of the following complications is indicated by a third heart sound (S3)?
- A.
  
  Ventricular dilation
- B.
  
  Systemic hypertensio
- C.
  
  Aortic valve malfunc
- D.
  
  Increased atrial contractions
21.

After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs?
- A.
  
  Left-sided heart failure
- B.
  
  Pulmonic valve malfunction
- C.
  
  Right-sided heart failure
- D.
  
  Tricuspid valve malfunction
22.

Which of the following diagnostic tools is most commonly used to determine the location of myocardial damage?
- A.
  
  Cardiac catheterization
- B.
  
  Cardiac enzyme
- C.
  
  Echocardiogram
- D.
  
  Electrocardiogram
23.

What is the first intervention for a client experiencing myocardial infarction?
- A.
  
  Administer morphine
- B.
  
  Administer oxygen
- C.
  
  Administer sublingual nitroglycerin
- D.
  
  Obtain an electrocardiogram
24.

What is the most appropriate nursing response to a myocardial infarction client who is fearful of dying?
- A.
  
  "Tell me about your feeling right now."
- B.
  
  "When the doctor arrives, everything will be fine."
- C.
  
  "This is a bad situation, but you'll feel better soon."
- D.
  
  "Please be assured we're doing everything we can to make you feel better."
25.

Which of the following classes of medications protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation?
- A.
  
  Beta-adrenergic blockers
- B.
  
  Calcium channel blocker
- C.
  
  Narcotics
- D.
  
  Nitrate