Medical Surgical Nursing: Cardiovascular care

15 Questions | By Frostanity | Last updated: Mar 21, 2022 | Total Attempts: 12734

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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.

Questions and Answers

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