Medical Surgical Nursing: Cardiovascular care
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Test your cognitive nursing skills in med-surg cardiovascular care for the adult patient. Please note that this quiz does not cover cardiovascular disorders.
- 1.
- 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.
- 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.
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.
Paradoxical pulse
- B.
Gallop
- C.
Hyperkinetic pulse
- D.
Pulsus alternans
- 7.
- 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.
Hypocalcemia
- B.
Hypercalcemia
- C.
Hypokalemia
- D.
Hyperkalemia
- 11.
- 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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