Cardiac Diseases Quiz Part I
(235).jpg "Cardiac Diseases Quiz Part I - Quiz")
This is the first part of the quiz, please take the second one after this : )
- 1.
Dyspnea, fatigue, increased pulmonary artery pressure, and decreased cardiac output are indicitive of...
- A.
MI
- B.
Right sided valve damage
- C.
Left sided valve damage
- D.
JVD
Correct Answer
C. Left sided valve damageExplanation
ATI medical surgical book Pg 323Rate this question:
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- 2.
Atrial fibrillation is a common symptom that only occurs with...
- A.
Mitral stenosis
- B.
Mitral regurgitation
- C.
Aortic stenosis
- D.
Aortic regurgitation
Correct Answer
B. Mitral regurgitationExplanation
Atrial fibrillation is a common symptom that only occurs with mitral regurgitation. Mitral regurgitation refers to the backflow of blood from the left ventricle to the left atrium due to a faulty mitral valve. This regurgitation can cause the atria to become enlarged and stretched, leading to irregular and rapid electrical signals that result in atrial fibrillation. Atrial fibrillation is a condition where the heart's upper chambers (atria) beat irregularly and rapidly, affecting the heart's ability to pump blood efficiently. Therefore, mitral regurgitation is the correct answer as it is the only condition mentioned that is associated with atrial fibrillation.Rate this question:
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- 3.
A client with mitral stenosis is scheduled for mitral valve replacement. Which condition may arise as a complication of mitral stenosis?
- A.
Pulmonary hypertension
- B.
Left-sided heart failure
- C.
MI
- D.
Left ventricular hypertrophy
Correct Answer
A. Pulmonary hypertensionExplanation
Mitral stenosis, or severe narrowing of the mitral valve, impedes blood flow through the stenotic valve, increasing pressure in the left atrium and pulmonary circulation.Rate this question:
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- 4.
One of the most common causes of valvular heart disease is...
- A.
HTN
- B.
Tobacco smoking
- C.
Diabetes
- D.
Alcoholism
Correct Answer
A. HTNExplanation
ATI MS book page 329Rate this question:
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- 5.
A client is admitted to the health care facility for treatment of an abdominal aortic aneurysm. When planning this client's care, the nurse formulates interventions with which goal in mind?
- A.
Decreasing blood pressure and increasing mobility
- B.
Increasing blood pressure and reducing mobility
- C.
Stabilizing the heart rate and blood pressure and easing anxiety
- D.
Increasing blood pressure and monitoring fluid intake and output
Correct Answer
C. Stabilizing the heart rate and blood pressure and easing anxietyExplanation
For a client with an aneurysm, nursing interventions focus on stabilizing the heart rate and blood pressure, to avoid aneurysm rupture. Easing anxiety also is important because anxiety and increased stimulation may speed the heart rate and boost blood pressure, precipitating aneurysm rupture.Rate this question:
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- 6.
The physician orders blood coagulation tests to evaluate a client's blood-clotting ability. The nurse knows that such tests are important in assessing clients at risk for thrombi, such as those with a history of atrial fibrillation, infective endocarditis, prosthetic heart valves, or myocardial infarction. Which test is used to determine a client's response to oral anticoagulant drugs?
- A.
Bleeding time
- B.
Platelet count
- C.
Prothrombin time (PT)
- D.
Partial thromboplastin time (PTT)
Correct Answer
C. Prothrombin time (PT)Explanation
PT determines a client's response to oral anticoagulant therapy.Rate this question:
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- 7.
The nurse administers basic cardiac life support to a client in cardiac arrest. Which action does the nurse perform?
- A.
Assessing the patency of the airway
- B.
Administering I.V. medications
- C.
Administering a countershock of 200 joules
- D.
Breathing for the client after inserting an endotracheal (ET) tube
Correct Answer
A. Assessing the patency of the airwayExplanation
A nurse certified in basic cardiac life support can assess airway patency.Rate this question:
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- 8.
All are key manifestations of endocarditis EXCEPT?
- A.
Janeway's lesion
- B.
Fever
- C.
Dry, nonproductive cough
- D.
Systemic embolization
Correct Answer
C. Dry, nonproductive coughExplanation
Endocarditis is an infection of the inner lining of the heart chambers and valves. It is characterized by symptoms such as fever, Janeway's lesions (small, painless red spots on the palms and soles), and systemic embolization (when infected material breaks off and travels to other parts of the body). However, a dry, nonproductive cough is not typically associated with endocarditis. Therefore, the correct answer is "Dry, nonproductive cough."Rate this question:
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- 9.
All are assessment findings of pericarditis EXCEPT?
- A.
Ankle edema
- B.
Substernal pain
- C.
Firction rubs
- D.
Elevated WBC count
Correct Answer
A. Ankle edemaExplanation
Pericarditis is inflammation of the pericardium, the sac-like membrane surrounding the heart. Common symptoms include substernal pain, friction rubs (a scraping or grating sound heard during auscultation of the heart), and an elevated white blood cell (WBC) count indicating inflammation. Ankle edema, or swelling in the ankles, is not typically associated with pericarditis. Therefore, ankle edema is the only assessment finding that is not commonly seen in pericarditis.Rate this question:
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- 10.
What is the best way to treat cardiac tamponade?
- A.
Diuertics
- B.
Chest tube
- C.
Pericardiocentesis
- D.
Paracentesis
Correct Answer
C. PericardiocentesisExplanation
Pericardiocentesis is the best way to treat cardiac tamponade. This procedure involves inserting a needle or catheter into the pericardial sac to drain excess fluid or blood that is causing compression on the heart. It is a minimally invasive procedure that can quickly relieve symptoms and prevent further complications. Diuretics may be used to manage fluid overload, but they are not effective in treating the underlying cause of cardiac tamponade. Chest tube insertion and paracentesis are not appropriate treatments for cardiac tamponade.Rate this question:
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- 11.
Which signs and symptoms are present with a diagnosis of pericarditis?
- A.
Fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)
- B.
Low urine output secondary to left ventricular dysfunction
- C.
Lethargy, anorexia, and heart failure
- D.
Pitting edema, chest discomfort, and nonspecific ST-segment elevation
Correct Answer
A. Fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)Explanation
The classic signs and symptoms of pericarditis include fever, positional chest discomfort, nonspecific ST-segment elevation, elevated ESR, and pericardial friction rub.Rate this question:
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- 12.
The nurse is awaiting the arrival of a client from the emergency department. The client has a left ventricular myocardial infarction and is being admitted. In caring for this client, the nurse should be alert for which signs and symptoms of left-sided heart failure?
- A.
Jugular vein distention
- B.
Hepatomegaly
- C.
Dyspnea
- D.
Crackles
- E.
Tachycardia
Correct Answer(s)
A. Jugular vein distention
C. Dyspnea
D. Crackles
E. TachycardiaExplanation
Signs and symptoms of left-sided heart failure include dyspnea, orthopnea, JVD, tachycardia, crackles and paroxysmal nocturnal dyspnea; fatigue; nonproductive cough and cracklesRate this question:
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- 13.
Which of the following is least likely to increase the risk for MI
- A.
Male gender
- B.
Being the CEO of a company
- C.
Being 30 y/o
- D.
HTN
Correct Answer
C. Being 30 y/oExplanation
Being 30 years old is the least likely to increase the risk for MI (Myocardial Infarction). MI is more commonly associated with older age, so being younger would decrease the risk. Male gender, being the CEO of a company, and having hypertension (HTN) are all factors that can increase the risk for MI. However, it is important to note that while being 30 years old may decrease the risk, it does not completely eliminate the possibility of MI.Rate this question:
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- 14.
The nurse is caring for a client who is recovering from a myocardial infarction (MI). The cardiologist refers him to cardiac rehabilitation. Which statement by the client indicates an understanding of cardiac rehabilitation?
- A.
"When I finish the rehabilitation program I'll never have to worry about heart trouble again."
- B.
"I won't be able to jog again even with rehabilitation."
- C.
"Rehabilitation will help me function as well as I physically can."
- D.
"I'll get rest during these rehabilitation classes. All I have to do is sit and listen to the instructor."
Correct Answer
C. "Rehabilitation will help me function as well as I physically can."Explanation
Cardiac rehabilitation helps the client reach his activity potential. Coronary artery disease, which typically causes an acute MI, is a chronic condition that isn't cured.Rate this question:
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Mar 22, 2023Quiz Edited by
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Dec 08, 2008Quiz Created by
Tyraikaika
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