Cardiac

Question 1. The nurse suspects pericarditis in a client who reports chest pain. Which type of sound is heard on auscultation?
1. Click
2. Friction rub
3. Gallop
4. Turbulent flow

Friction Rub

Question 2. The primary health-care provider is treating a client with atherosclerosis. The client is at the risk of developing carotid artery disease. Which noninvasive test does the primary health-care provider most likely order to evaluate atherosclero

Carotid duplex ultrasonography

Question 3. Which conditions are considered nonmodifiable risk factors for coronary artery disease (CAD)? Select all that apply.
1. Diabetes mellitus type I
2. Diabetes mellitus type II
3. Age above 65 years
4. Obesity
5. Family history of CAD

Diabetes Mellitus Type 1
Age above 65 years
Family History of CAD

Question 4. Which is true regarding atherosclerosis?
1. Its lesions accumulate only in the medium-size arteries.
2. It is a generic term describing the thickening or hardening of the arterial wall.
3. It is a disease in which high-density lipoprotein part

It is a slow, complex disease that typically starts in childhood and progresses as people age.

Question 5. Which action does the nurse perform for persistent hypotension after a client undergoes carotid stenting?
1. The nurse should assess urine output.
2. The nurse should lower the head of the bed to administer crystalloid IV fluid.
3. The nurse s

The nurse should lower the head of the bed to administer crystalloid IV fluid.

Question 6. Which antihypertensive medication should be given with food to reduce the incidences of orthostatic hypotension?
1. Cholestyramine
2. Niaspan
3. Ezetimibe
4. Carvedilol

Carvedilol

Question 7. Which nursing intervention performed by the nurse when caring for a client with coronary artery disease helps in dilating the coronary arteries?
1. Administering aspirin as ordered
2. Administering nitroglycerine as ordered
3. Administering ca

Administering nitroglycerine as ordered

Question 8. Which diagnostic test notes the plethysmographic tracings that detect changes in the volume of blood flowing through a limb?
1. Ankle brachial index
2. Pulse-volume recordings
3. Treadmill test
4. Arteriography

Pulse-volume recordings

Question 9. The blood pressure in a client diagnosed with cardiac failure is 130/80 mm Hg. What is the mean arterial pressure (MAP) in the client? Record your answer, rounded to two decimal points.

96.66

Question 10. Which parameter in a client is a nonmodifiable risk factor?
1. Age
2. Obesity
3. Hypertension
4. Hyperlipidemia

Age

Question 11. The nurse is performing an assessment on a client who had severe blood loss during a surgical procedure. Which assessment finding indicates a decrease in fluid volume?
1. Increased pulse rate
2. Increased blood pressure
3. Presence of periphe

Increased Pulse Rate

Question 12. A woman who is undergoing chemotherapy for breast cancer is at risk of deep-vein thrombosis (DVT). Which diagnosis test is recommended to confirm (DVT)?
1. Radiography
2. D-dimer test
3. Treadmill test
4. Plethysmography

D-dimer test

Question 13. An RN is teaching nursing students about valvular diseases. Which example of a valvular disease given by a nursing student indicates a need for further teaching?
1. Prolapse
2. Regurgitation
3. Pericarditis
4. Stenosis

Pericarditits

Question 14. Which pharmacological agent can be administered to a client as an alternate method for increasing the heart rate if he or she is unable to take the exercise stress test?
1. Metoprolol
2. Rosuvastatin
3. Ezetimibe
4. Dobutamine

Dobutamine

Question 15. Which tests are used to assess the renal system? Select all that apply.
1. Urinalysis
2. Potassium
3. Serum sodium
4. Creatinine
5. Serum blood urea nitrogen (BUN)

Urinalysis
Creatinine
BUN

Question 16. The nurse is assessing the blood pressure of four clients. Which client is treated on priority?
1. Client A has a blood pressure of 120/80 mm Hg
2. Client B has a blood pressure of 130/86 mm Hg
3.Client C has a blood pressure of 140/95 mm Hg

Client D

Question 17. Which is a risk factor of deep-vein thrombosis?
1. Diabetes
2. Pregnancy
3. Dyslipidemia
4. Limb ischemia

Pregnancy

Question 18. An RN is teaching nursing students about spironolactone as a treatment for clients with heart failure. Which dietary instruction for a client mentioned by a nursing student indicates a need for further teaching?
1. "Avoid alcohol intake."
2.

Increase the intake of potassium-containing foods.

Question 19. A client who is on treatment for atherosclerosis reports flank pain. The nurse suspects that the client may be at risk for developing aneurysm. Which class of drugs have most likely been prescribed by the primary health-care provider? Select

Statins
Tetracyclines

Question 20. Which nursing intervention should a nurse take when caring for a client before heart catheterization?
1. Obtain an electrocardiogram (EKG) test.
2. Delay administering diabetic medications.
3. Restrict the client from performing any activity.

Delay administering diabetic medications.

Question 21. Which is a nonmodifiable risk factor for cardiac disease?
1. History of diabetes
2. Body mass index above 30
3. Increasing age of the client
4. History of smoking 5 cigarettes/day

Increasing Age of client

Question 22. Which disorder acts synergistically with other risk factors in the development of atherosclerosis?
1. Hypertension
2. Carotid artery disease
3. Coronary artery disease
4. Abdominal aortic aneurysm

Hypertension

Question 23. Which diagnostic test is considered the gold standard for assessing the size and location of an abdominal or thoracic aneurysm?
1. Abdominal ultrasound
2. Computed tomography (CT)
3. Magnetic resonance imaging (MRI)
4. Transthoracic echocardi

Computed Tomography (CT)

Question 24. Which surgery is performed to remove the plaque that causes occlusion in the arteries?
1. Carotid endarterectomy
2. Rotational atherectomy
3. Laser-assisted angioplasty
4. Percutaneous transluminal angioplasty

Carotid Endarterectomy

Question 25. Which condition occurs when a circulating clot moves through the heart to the lungs, blocking an artery supplying blood to the lungs?
1. Aortic aneurysm
2. Virchow's triad
3. Deep venous thrombosis (DVT)
4. Pulmonary embolism

PE