Cardiovascular System | Coronary Artery Disease & Hypertension NCLEX Quiz 4

10 Questions | Total Attempts: 2324

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Cardiovascular System Quizzes & Trivia

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 
    When administered a thrombolytic drug to the client experiencing an MI. the nurse explains to him that the purpose of this drug is to:
    • A. 

      Help keep him well hydrated

    • B. 

      Dissolve clots he may have

    • C. 

      Prevent kidney failure

    • D. 

      Treat potential cardiac arrhythmias.

  • 2. 
    When interpreting an ECG. the nurse would keep in mind which of the following about the P wave? Select all that apply.
    • A. 

      Reflects electrical impulse beginning at the SA node

    • B. 

      Indicated electrical impulse beginning at the AV node

    • C. 

      Reflects atrial muscle depolarization

    • D. 

      Identifies ventricular muscle depolarization

    • E. 

      Has a duration of normally 0.11 seconds or less.

  • 3. 
    A client has driven himself to the ER. He is 50 years old. has a history of hypertension. and informs the nurse that his father died of a heart attack at 60 years of age. The client is presently complaining of indigestion. The nurse connects him to an ECG monitor and begins administering oxygen at 2 L/minute per NC. The nurse’s next action would be to:
    • A. 

      Call for the doctor

    • B. 

      Start an intravenous line

    • C. 

      Obtain a portable chest radiograph

    • D. 

      Draw blood for laboratory studies

  • 4. 
    The nurse receives emergency laboratory results for a client with chest pain and immediately informs the physician. An increased myoglobin level suggests which of the following?
    • A. 

      Cancer

    • B. 

      Hypertension

    • C. 

      Liver disease

    • D. 

      Myocardial infarction

  • 5. 
    When teaching a client about propranolol hydrochloride. the nurse should base the information on the knowledge that propranolol hydrochloride:
    • A. 

      Blocks beta-adrenergic stimulation and thus causes decreased heart rate. myocardial contractility. and conduction.

    • B. 

      Increases norepinephrine secretion and thus decreases blood pressure and heart rate.

    • C. 

      Is a potent arterial and venous vasodilator that reduces peripheral vascular resistance and lowers blood pressure.

    • D. 

      Is an angiotensin-converting enzyme inhibitor that reduces blood pressure by blocking the conversion of angiotensin I to angiotensin II.

  • 6. 
    The most important long-term goal for a client with hypertension would be to:
    • A. 

      Learn how to avoid stress

    • B. 

      Explore a job change or early retirement

    • C. 

      Make a commitment to long-term therapy

    • D. 

      Control high blood pressure

  • 7. 
    Hypertension is known as the silent killer. This phrase is associated with the fact that hypertension often goes undetected until symptoms of other system failures occur. This may occur in the form of:
    • A. 

      Cerebrovascular accident

    • B. 

      Liver disease

    • C. 

      Myocardial infarction

    • D. 

      Pulmonary disease

  • 8. 
    During the previous few months. a 56-year-old woman felt brief twinges of chest pain while working in her garden and has had frequent episodes of indigestion. She comes to the hospital after experiencing severe anterior chest pain while raking leaves. Her evaluation confirms a diagnosis of stable angina pectoris. After stabilization and treatment. the client is discharged from the hospital. At her follow-up appointment. she is discouraged because she is experiencing pain with increasing frequency. She states that she is visiting an invalid friend twice a week and now cannot walk up the second flight of steps to the friend’s apartment without pain. Which of the following measures that the nurse could suggest would most likely help the client deal with this problem?
    • A. 

      Visit her friend earlier in the day.

    • B. 

      Rest for at least an hour before climbing the stairs.

    • C. 

      Take a nitroglycerin tablet before climbing the stairs.

    • D. 

      Lie down once she reaches the friend’s apartment.

  • 9. 
    Which of the following symptoms should the nurse teach the client with unstable angina to report immediately to her physician?
    • A. 

      A change in the pattern of her pain

    • B. 

      Pain during sex

    • C. 

      Pain during an argument with her husband

    • D. 

      Pain during or after an activity such as lawn mowing

  • 10. 
    The physician refers the client with unstable angina for a cardiac catheterization. The nurse explains to the client that this procedure is being used in this specific case to:
    • A. 

      Open and dilate the blocked coronary arteries

    • B. 

      Assess the extent of arterial blockage

    • C. 

      Bypass obstructed vessels

    • D. 

      Assess the functional adequacy of the valves and heart muscle.

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