Cardiovascular Disorders (Practice Mode)- Rnpedia

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Cardiovascular Disorders (Practice Mode)- Rnpedia - Quiz

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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 expiratio

    • D. 

      During systole

  • 3. 
    Which of the following conditions most commonly results in CAD? 
    • A. 

      Atherosclerosis

    • B. 

      DM

    • C. 

      DM

    • 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

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