Cardiovascular System | Myocardial Infarction And Heart Failure NCLEX Quiz 16
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.
- 1.Which of the following terms describes the force against which the ventricle must expel blood?
- A.
Afterload
- B.
Cardiac output
- C.
Overload
- D.
Preload
- 2.Acute pulmonary edema caused by heart failure is usually a result of damage to which of the following areas of the heart?
- A.
Left atrium
- B.
Right atrium
- C.
Left ventricle
- D.
Right ventricle
- 3.An 18-year-old client who recently had an URI is admitted with suspected rheumatic fever. Which assessment findings confirm this diagnosis?
- A.
Erythema marginatum. subcutaneous nodules. and fever
- B.
Tachycardia. finger clubbing. and a load S3
- C.
Dyspnea. cough. and palpitations
- D.
Dyspnea. fatigue. and syncope
- 4.A client admitted with angina complains of severe chest pain and suddenly becomes unresponsive. After establishing unresponsiveness. which of the following actions should the nurse take first?
- A.
Activate the resuscitation team
- B.
Open the client’s airway
- C.
Check for breathing
- D.
Check for signs of circulation
- 5.A 55-year-old client is admitted with an acute inferior-wall myocardial infarction. During the admission interview. he says he stopped taking his metoprolol (Lopressor) 5 days ago because he was feeling better. Which of the following nursing diagnoses takes priority for this client?
- A.
Anxiety
- B.
Ineffective tissue perfusion; cardiopulmonary
- C.
Acute pain
- D.
Ineffective therapeutic regimen management
- 6.A client comes into the E.R. with acute shortness of breath and a cough that produces pink. frothy sputum. Admission assessment reveals crackles and wheezes. a BP of 85/46. a HR of 122 BPM. and a respiratory rate of 38 breaths/minute. The client’s medical history included DM. HTN. and heart failure. Which of the following disorders should the nurse suspect?
- A.
Pulmonary edema
- B.
Pneumothorax
- C.
Cardiac tamponade
- D.
Pulmonary embolus
- 7.The nurse coming on duty receives the report from the nurse going off duty. Which of the following clients should the on-duty nurse assess first?
- A.
The 58-year-old client who was admitted 2 days ago with heart failure. BP of 126/76. and a respiratory rate of 21 breaths a minute.
- B.
The 88-year-old client with end-stage right-sided heart failure. BP of 78/50. and a DNR order.
- C.
The 62-year-old client who was admitted one day ago with thrombophlebitis and receiving IV heparin.
- D.
A 76-year-old client who was admitted 1 hour ago with new-onset atrial fibrillation and is receiving IV diltiazem (Cardizem).
- 8.When developing a teaching plan for a client with endocarditis. which of the following points is most essential for the nurse to include?
- A.
“Report fever. anorexia. and night sweats to the physician.”
- B.
“Take prophylactic antibiotics after dental work and invasive procedures.”
- C.
“Include potassium rich foods in your diet.”
- D.
“Monitor your pulse regularly.”
- 9.A nurse is conducting a health history with a client with a primary diagnosis of heart failure. Which of the following disorders reported by the client is unlikely to play a role in exacerbating the heart failure?
- A.
Recent URI
- B.
Nutritional anemia
- C.
Peptic ulcer disease
- D.
A-Fib
- 10.A nurse is preparing for the admission of a client with heart failure who is being sent directly to the hospital from the physician’s office. The nurse would plan on having which of the following medications readily available for use?
- A.
Diltiazem (Cardizem)
- B.
Digoxin (Lanoxin)
- C.
Propranolol (Inderal)
- D.
Metoprolol (Lopressor)
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