NURS 7110 - Quiz - Module 4

Heart failure is considered to be a primary problem with the:
A) heart
B) vessels
C) circulating volume
D) cardio-electrophysiology

A. Heart?

Which vessel circulates deoxygenated blood?
A) aorta
B) pulmonary artery
C) femoral artery
D) carotid artery

B. Pulmonary Artery

Which drug is a cardio-selective beta blocker?
A) Propranolol
B) Metoprolol
C) Labetalol
D) All of the above

B. Metoprolol

During a primary assessment, all of the following would be assessed except:
A) temperature
B) cardiac rate
C) LOTARP a pain assessment
D) oral edema

C) LOTARP a pain assessment

Which drug and its correlated effect are false?
A) Metoprolol primarily affects heart rate.
B) Digoxin decreases the strength of cardiac contraction.
C) Nitroglycerin lowers blood pressure
D) Captopril works on kidneys to alter afterload.

B) Digoxin decreases the strength of cardiac contraction.

Which receptors are sensory receptors located in the aortic arch and carotid arteries and monitor volume?
A) alpha receptors
B) beta-1 receptors
C) chemoreceptors
D) baroreceptors

D. Baroreceptors

The primary effect of congestive heart failure on cardiac output is:
A) decreased preload.
B) increased contractility.
C) decreased contractility.
D) increased preload.

C) decreased contractility.

A non-productive cough is most often associated with which of the following cardiac medications?
A) calcium channel blockers
B) beta blockers
C) ACE inhibitors
D) loop diuretics

C) ACE inhibitors

What is the value of normal cardiac output for an average adult?
A) 2 liters per minute
B) 5 liters per minute
C) 10 liters per minute
D) depends on too many other factors

B. 5L/min

How is preload affected if we give a bolus of 2 liters of NS?
A) increases preload
B) decreases preload
C) no effect

A) increases preload

Frank-Starling's law is applicable to preload because:
A) optimal preload generates optimal contraction
B) less volume makes the heart muscle contract harder.
C) preload does not relate to Frank-Starling's law.
D) the rate of a patient's heart will decrea

A) optimal preload generates optimal contraction

The coronary arteries fill with blood:
A) during systole.
B) during diastole.
C) all the time.
D) during a cardiac contraction.

B) during diastole.

Which would increase preload?
A) Nitroglycerin
B) Lasix
C) Morphine
D) Normal saline

D) Normal saline

Nitroglycerin is not a drug of choice to treat:
A) angina.
B) heart failure.
C) hypotension.
D) myocardial infarction.

C) hypotension.

Which drug is contraindicated for the corresponding problem?
A) Carvedilol to a patient with a history of asthma
B) Nitroglycerin to a patient who has taken Viagra one week ago
C) Aspirin to a patient with chest pain
D) Warfarin for atrial fibrillation

A) Carvedilol to a patient with a history of asthma

Which chamber of the heart has the thickest wall lining?
A) right atrium
B) left atrium
C) Right ventricle
D) left ventricle

D) left ventricle

How is afterload affected in a hypertensive patient?
A) afterload increases
B) Afterload decreases
C) no effect

A) afterload increases

What impact does a heart rate of 160 have on total cardiac output?
A) decreases it
B) increases it
C) no effect

A) decreases it

A failure of the tricuspid valve to close may cause all of the following except for:
A) A murmur may be auscultated over the heart
B) A back flow of fluid into the right atrium
C) Crackles may be auscultated over lung fields
D) Right sided heart failure (

C) Crackles may be auscultated over lung fields

Which of the following statements about diastolic heart failure is true?
A) The heart is unable to pump appropriately.
B) The heart compensates for decreased cardiac output by decreasing contractility.
C) Represents a problem with filling.
D) Causes a dec

C) Represents a problem with filling.

Which of the following does not directly impact contractility?
A) Calcium carbonate
B) 1 unit of PRBCs
C) Verapamil
D) Diltiazem

B) 1 unit of PRBCs

How do beta blockers primarily affect the heart?
A) increase rate
B) decrease rate
C) increases preload
D) increase myocardial oxygen consumption (MVO2)

B) decrease rate

Which parameter does not change during a patient's stay in the Emergency Department?
A) CTAS score
B) Level of urgency
C) vital signs
D) ABCs

A) CTAS score

After 7 days of nausea, vomiting and diarrhoea, what is the primary cardiac implication for stroke volume?
A) preload
B) afterload
C) contractility
D) all of the above

A. Preload

What is cardiac output?
A) the volume of blood ejected by the heart each minute
B) the rate of the heart each minute
C) The volume of oxygen carried to the heart each minute
D) the total volume of blood that circulates around the body

A) the volume of blood ejected by the heart each minute

Patients with decreased cardiac output may state:
A) "I have had excess energy lately."
B) "I have had to go to the washroom more frequently."
C) "I feel like my heart is racing."
D) "I have had a rash for three days.

C) "I feel like my heart is racing.

Which of the following directly impacts preload?
A) hypertension
B) increased blood viscosity
C) 1 liter bolus
D) 5 mg of Metoprolol

C) 1 liter bolus

After being admitted to hospital for acute coronary syndrome (ACS), what medications might be given?
1. Aspirin 325 mg po daily
2. Metoprolol 12.5 mg po daily
3. Nitroglycerin 2 sprays q2hrly
4. Enoxaparin 1mg/kg sc daily
A) 1 ,2 and 3
B) 2, 3 and 4
C) 1,

C) 1, 2 and 4

Which of the following is not a "red flag" for heart failure?
A) relief in breathing when lying flat
B) ankle edema
C) coarse crackles when auscultating lungs
D) changes in voltage on certain leads of an ECG

A) relief in breathing when lying flat

Stimulation of alpha receptors increases cardiac output by:
A) decrease SA node firing
B) increasing contractility.
C) vasoconstricting blood vessels.
D) bronchodilation.

C) vasoconstricting blood vessels.

Which of the following is not a "red flag" in a patient's cardiac assessment?
A) cool, clammy skin
B) tachycardia
C) shortness of breath
D) hypoglycemia

D) hypoglycemia

During sympathetic nervous system stimulation all of the following occur except:
A) epinephrine binds to the alpha receptors causing vasoconstriction.
B) norepinephrine binds to beta-1 receptors in the heart to increase heart rate and contractility.
C) ca

C) cardiac output is decreased.

Which of the following does not affect cardiac output?
A) the strength of the cardiac muscle
B) arterial oxygen content
C) the amount of circulating volume
D) blood pressure

B) arterial oxygen content

Which of the following statements about systolic heart failure is true?
A) The cardiac muscle is smaller.
B) It is the least common type of heart disease.
C) Represents a problem with the pump.
D) Causes an increase in contractility.

C) Represents a problem with the pump.