Different Symptoms Of Heart Disease
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- 1.Myra is ordered laboratory tests after she is admitted to the hospitalfor angina. The isoenzyme test that is the most reliable early indicatorof myocardial insult is
- A.
CK-MB
- B.
SGPT
- C.
LDH
- D.
AST
- 2.Joey is a 46 year-old radio technician who is admitted because ofmild chest pain. He is 5 feet, 8 inches tall and weighs 190 pounds. He isdiagnosed with a myocardial infarct. Morphine sulfate, Diazepam (Valium)and Lidocaine are prescribed. The physician orders 8 mg of MorphineSulfate to be given IV. The vial on hand is labeled 1 ml/ 10 mg. Thenurse should administer:
- A.
12 minims
- B.
8 minims
- C.
15 minims
- D.
10 minims
- 3.An early finding in the EKG of a client with an infarcted mycardiumwould be:
- A.
Elevated ST segments
- B.
Disappearance of Q waves
- C.
Absence of P wave
- D.
Flattened T waves
- 4.Mr. Ong, a client with CHF, has been receiving a cardiac glycoside, adiuretic, and a vasodilator drug. His apical pulse rate is 44 and he is onbed rest. The nurse concludes that his pulse rate is most likely the resultof the:
- A.
Cardiac glycoside
- B.
Vasodilator
- C.
Diuretic
- D.
Bed-rest regimen
- 5.After the acute phase of congestive heart failure, the nurse shouldexpect the dietary management of the client to include the restriction of:
- A.
Sodium
- B.
Potassium
- C.
Calcium
- D.
Magnesium
- 6.Mr. Ong is admitted to the hospital with a diagnosis of Left-sided CHF.In the assessment, the nurse should expect to find:
- A.
Dyspnea on exertion
- B.
Jugular vein distention
- C.
Extensive peripheral edema
- D.
Crushing chest pain
- 7.What would be the primary goal of therapy for a client withpulmonary edema and heart failure?
- A.
Increase cardiac output
- B.
Peripheral edema decreased
- C.
Enhance comfort
- D.
Improve respiratory status
- 8.During the second day of hospitalization of the client aftera Myocardial Infarction. Which of thefollowing is an expected outcome?
- A.
Able to perform self-care activities without pain
- B.
Can Participate in cardiac rehabilitation walking program
- C.
Severe chest pain
- D.
Can recognize the risk factors of Myocardial Infarction
- 9.Upon admission to an intensive care unit, a client diagnosed with anacute myocardialinfarction is ordered oxygen. The nurse knows that the major reason thatoxygen
- A.
Increase oxygen level in the myocardium
- B.
Relieve dyspnea
- C.
Saturate the red blood cells
- D.
Decrease cyanosis
- 10.A 66 year-old client is admitted for mitral valve replacement surgery.The client has ahistory of mitral valve regurgitation and mitral stenosis since her teenageyears. During theadmission assessment, the nurse should ask the client if as a child shehad
- A.
Rheumatic fever
- B.
Measles
- C.
Hay fever
- D.
Encephalitis
- 11.Electrocardiogarphy (ECG) is a diagnostic tool used to evaluate theelectrical activity of the heart. Which of the following ECG results wouldreveal that there is myocardial ischemia?
- A.
ST segment elevation and inverted T wave
- B.
ST segment elevation and peaked T wave
- C.
ST segment depression and abnormal Q wave
- D.
ST segment depression and peaked T wave
- 12.A client has been diagnosed with hypertension. The nurse prioritynursing diagnosis would be
- A.
Ineffective health maintenance
- B.
Impaired Skin Integrity
- C.
Pain
- D.
Deficient Fluid Volume
- 13.Which of the following represents a significant risk immediately aftersurgery for repair of aortic aneurysm?
- A.
Potential alteration in renal perfusion
- B.
Potential electrolyte imbalance
- C.
Potential wound infection
- D.
Potential ineffective coping
- 14.The following are lipid abnormalities. Which of the following is a riskfactor for the development of atherosclerosis and PVD?
- A.
High levels of low density lipid (LDL) cholesterol
- B.
High levels of high density lipid (HDL) cholesterol
- C.
Low concentration triglycerides
- D.
Low levels of LDL cholesterol.
- 15.Patrick who is hospitalized following a myocardial infarction asksthe nurse why he is taking morphine. The nurse explains that morphine:
- A.
Prevents shock and relieves pain
- B.
Decrease anxiety and restlessness
- C.
Helps prevent fibrillation of the heart
- D.
Dilates coronary blood vessels
- 16.Nurse Trisha teaches a client with heart failure to take oralFurosemide in the morning. The reason for this is to help.
- A.
Prevents sleep disturbances during night
- B.
Excrete excessive fluids accumulated at night
- C.
Retard rapid drug absorption
- D.
Prevention of electrolyte imbalance
- 17.Dr. Marquez orders a continuous intravenous nitroglycerin infusion forthe client suffering from myocardial infarction. Which of the following isthe most essential nursing action?
- A.
Obtaining infusion pump for the medication
- B.
Obtaining serum potassium levels daily
- C.
Monitoring blood pressure every 4 hours
- D.
Monitoring urine output frequently
- 18.Nurse Maureen would expect the client with mitral stenosis woulddemonstrate symptoms associated with congestion in the:
- A.
Pulmonary
- B.
Aorta
- C.
Superior vena cava
- D.
Right atrium
- 19.A client who has been diagnosed of hypertension is being taught torestrict intake of sodium. The nurse would know that the teachings areeffective if the client states that…
- A.
I can eat shredded wheat cereal
- B.
I can eat spaghetti on rye bread
- C.
I can eat broiled scallops
- D.
I can eat celery sticks and carrots
- 20.Which of the following should the nurse teach the client about thesigns of digitalis toxicity?
- A.
Visual disturbances such as seeing yellow spots
- B.
Skin rash over the chest and back
- C.
Elevated blood pressure
- D.
Increased appetite
- 21.A client received digoxin (Lanoxin) therapy o treat the irregularbeating of his heart. The nurse knows that the therapy has beeneffective when the client with atrial fibrillation has an ECG tracingshowing:
- A.
A heart rate of 70 beats per minute
- B.
A heart rate of 105 beats per minute
- C.
Mobitz II heart block
- D.
A heart rate of 50 beats per minute
- 22.Cardiomyopathy is a serious disease in which the heart muscleweakens and there is an evident change in the cardiac structure. Thereare three types of cardiomyopathy namely: dilated, hypertonic andrestrictive. When assessing a client with left-sided heart failure, thenurse would observe:
- A.
Air hunger and tachypnea
- B.
Jugular vein distention and neck vein distention
- C.
Pitting edema and pulmonary congestion
- D.
Ascites and orthopnea
- 23.You are providing care for a patient with Arterial Occlusive Disease,and writing a Nursing Care Plan. One of your interventions is to positionthe patient's legs below the level of the heart. From which of thefollowing Nursing Diagnoses is the above intervention MOST LIKELY derivedfrom:
- A.
Altered Tissue Perfusion
- B.
Potential for Altered Respiratory Function
- C.
High risk for pain
- D.
Potential for Activity Intolerance
- 24.An 18 month old with Tetralogy of Fallot has a "tet" spell afterhaving an invasive procedure. To improve the child's cardiac statuswhich of the following interventions should the nurse do initially:
- A.
Place the child in a knee chest position
- B.
Begin chest compressions
- C.
Administer oxygen
- D.
Position with HOB elevated
- 25.A patient has received thromboembolytic therapy following aMyocardial Infarction with Streoptokinase. Which of the following drugsshould the nurse have on hand if the patient develops excessive bleedingor hemorrhage?
- A.
Aminocaproic Acid (Amicar)
- B.
Protamine Sulfate
- C.
Vitamin K
- D.
Heparin
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