Medical Surgical Nursing: Cardiovascular care

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| By Frostanity
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Frostanity
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Quizzes Created: 2 | Total Attempts: 28,464
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  • 1/15 Questions

    Before undergoing cardiac catherization, it is important for the nurse to ask the patient if they have any allergies to:

    • Shellfish
    • Egg
    • Avocados
    • Peanuts
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About This Quiz

Test your cognitive nursing skills in med-surg cardiovascular care for the adult patient. Please note that this quiz does not cover cardiovascular disorders.

Medical Surgical Nursing: Cardiovascular care - Quiz

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  • 2. 

    A nurse is providing teaching to a patient scheduled for a stress test. The patient understands instruction when he states:

    • "I shouldn't use my Verapamil before the test."

    • "It is important that I have a large meal before the test."

    • "I'm allowed to drink my coffee on the day of the test."

    • "I'm going to take a long hot shower after the test."

    Correct Answer
    A. "I shouldn't use my Verapamil before the test."
    Explanation
    Calcium channel blockers, like Verapamil should be withheld before the test to allow the heart rate to increase during the test

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  • 3. 

    The patient is being discharged with warfarin (Coumadin). What labs should be routinely monitored for this patient?

    • Serum lipid panel

    • PTT

    • CBC

    • PT and INR

    Correct Answer
    A. PT and INR
    Explanation
    PT (prothrombin time) and INR (international normalized ratio) are monitored for the therapeutic effects of the anticoagulant

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  • 4. 

    Which of the following is the correct method in identifying for postural hypotension?

    • 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.

    • 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.

    • 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.

    • 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.

    Correct Answer
    A. 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.
    Explanation
    Postural hypotension is when there is a decrease of more than 20 mm Hg in systolic pressure or greater than 10 mm Hg in dystolic pressure. When a patient moves from a supine to a sitting or standing position, they are experiencing dizziness due to postural hypotension.

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  • 5. 

    Which electrolyte does not play a major role in cardiovascular performance?

    • Magnesium

    • Chloride

    • Potassium

    • Calcium

    Correct Answer
    A. Chloride
    Explanation
    Chloride maintains osmotic pressure and plays a role in the buffering mechanism of the body

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  • 6. 

    Which of the following is the correct definition of a stroke volume?

    • The volume of blood stretching the left ventricle at the end of diastole

    • The volume of blood ejected by the left ventricle during each contraction

    • The pressure against which the ventricles has to eject blood through the semilunar valves

    • The volume of blood pumped from the left ventricle in one minute

    Correct Answer
    A. The volume of blood ejected by the left ventricle during each contraction
    Explanation
    Choice B is correct

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  • 7. 

    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?

    • Hypocalcemia

    • Hypercalcemia

    • Hypokalemia

    • Hyperkalemia

    Correct Answer
    A. Hypokalemia
    Explanation
    Increased U waves with a depressed ST and flat, inverted T waves are normally found in hypokalemia.

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  • 8. 

    A patient who is being hemodynamically monitored has an increased RA pressure. How does the nurse interpret this finding?

    • Pulmonary rupture

    • Hypovolemia

    • Right ventricular failure

    • Afterload reduction

    Correct Answer
    A. Right ventricular failure
    Explanation
    Normal RA ranges between 1-8 mm Hg. An increased RA indicates right ventricular failure whereas a low RA indicates hypovolemia

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  • 9. 

    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:

    • Orthopnea

    • Anxiety

    • Insomnia

    • Paroxysmal nocturnal dyspnea

    Correct Answer
    A. Paroxysmal nocturnal dyspnea
    Explanation
    PND occurs when the patient lies down for a few hours and is awakened with shortness of breath. Reclining and dangling the legs off the bed relieves their dyspnea.

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  • 10. 

    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)

    • CK-MB

    • CK-MM

    • CK-BB

    • Troponins

    • Creatinine

    Correct Answer(s)
    A. CK-MB
    A. Troponins
    Explanation
    CK-MB and troponins are not found in a healthy patients; therefore, an elevation of both indicates an infarct

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  • 11. 

    An ER nurse is reviewing the charts of several patients. Which of the following patients would the nurse interpret as having an angina?

    • A 39-year-old female patient complaining of indigestion, discomfort, and states that she feels like she has to "catch her breath."

    • A 51-year-old male patient who states "It hurts when I breathe!"

    • A 42-year-old female patient complaining of pain traveling up and down her chest

    • A 27-year old male patient complaining of a dull ache on his chest, palpitations, and numbness in his fingertips

    Correct Answer
    A. A 39-year-old female patient complaining of indigestion, discomfort, and states that she feels like she has to "catch her breath."
    Explanation
    As opposed to men, women have atypical signs of an angina pectoris. Signs and symptoms include, dyspnea, stabbing chest pain, indigestion, fatigue, nausea and vomiting.

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  • 12. 

    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:

    • Paradoxical pulse

    • Gallop

    • Hyperkinetic pulse

    • Pulsus alternans

    Correct Answer
    A. Pulsus alternans
    Explanation
    Pulsus alternans is where a weak pulse alternates with a stronger one.

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  • 13. 

    A nurse is providing preoperative teaching to a patient who will undergo cardiac catheterization. Which of the following statements indicates further teaching?

    • "I shouldn't take my digoxin before catheterization."

    • "I will be under general anesthesia."

    • "I shouldn't eat anything after midnight."

    • "Coughing is normal during the procedure."

    Correct Answer
    A. "I will be under general anesthesia."
    Explanation
    Local anesthesia is given so that the patient may report chest pain or pressure on the site

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  • 14. 

    Which of the following is a normal finding in the aging adult?

    • Conduction time decreases

    • Baroreceptors become more sensitive

    • The left ventricle increases in size

    • Systemic vascular resistance decreases

    Correct Answer
    A. The left ventricle increases in size
    Explanation
    An increased left ventricle is a common finding in the aging adult

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  • 15. 

    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:

    • Possibility for hypertension

    • Possibility for aortic stenosis

    • Possibility for ventricular hypertrophy

    • A normal finding

    Correct Answer
    A. A normal finding
    Explanation
    This would be a normal finding for this particular patient since the ventricles stiffen in the aging adult

    Rate this question:

Quiz Review Timeline (Updated): Apr 18, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Apr 18, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Apr 02, 2010
    Quiz Created by
    Frostanity
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