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Cardiovascular
Cardiovascular
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1
What is a risk factors of A-fib?
Hypotension
Diabetes
Asthma
Anorexia
2
What is not a symptom of Left heart failure?
Cyanosis
JVD
SOB
Crackles in the lungs
3
Non pharmacological interventions for a pt newly diagnosed with hypertension includes everything except
Continue Smoking
Limit sodium containing beverages
Exercise
Lose weight
4
A patient teaching plan should focus on which preventable risk factors for atherosclerosis? (Select all that apply.)
Age
Obesity
Hyperlipidemia
Smoking
5
Patient is in denial of MI, what is therapeutic communication from the nurse?
"Please tell me what you think is causing the chest pain?"
"I will call the chaplain"
"You're going to die"
"Sorry"
6
Which statement by a patient with hypertension about his medication regimen indicates the need for further teaching?
“One of my medications, Lasix, will make me urinate a lot.”
“I will take my BP medication only if my blood pressure is up.”
“I am able to take my daily BP meds at the same time.”
“I will call my doctor if I am dizzy and short of breath.”
7
Thrills are:
Palpated
Percussed
Auscultated
Inspected
8
Arteries bring________ and __________from the heart to tissues
Deoxygenated blood and electrolytes
Red blood cells and waste products
Oxygenated blood and nutrients
Deoxygenated blood and nutrients
9
Which of the following increases the risk for DVT: (select all that apply)
Drinking excess dark soda
Smoking
Prolonged immobility
Birth Control pills
10
What causes the S1 sound?
Opening of the Aortic and Pulmonic valve
Closure of the Aortic and Pulmonic valve
Closure of the mitral and tricuspid valve
Opening of the mitral and tricuspid valve
11
Risk factors for varicose veins include all of the following except:
family history
pregnancy
active lifestyle
obesity
12
A patient has a pacemaker with the rate set at 70. The patient's HR is 54. What is the first action nurse should take?
Call HCP immediately
Give atropine
This is normal
Check potassium level
13
Which of the following patients should be the nurse assess first?
The patient with indigestion and decreased CK levels
The patient with indigestion and increased troponin levels
The patient admitted 2 days ago with a BNP of 75 pg/mL
The patient admitted 2 days ago with increased LDLs and C-reactive protein
14
The nurse should intervene immediately if patient with DVT is noted to:
Begin having nausea and diarrhea
Have pain and tenderness in right thigh
Experience new shortness of breath and a decrease in O2 sat
Have redness and warmth in lower calf of right leg
15
Altered levels of sodium, potassium, magnesium, and calcium may result in what condition?
Shortness of breath
Fluid retention
Dysrhythmias
Fluid loss
16
What is not a symptom of Right heart failure?
Oliguria
Weight gain
Ascites
Cyanosis
17
Teaching for a patient with history of Afib should include avoiding the following: (Select all that apply):
Smoking
Dehydration
Heavy alcohol use
Excessive sleep
18
Which laboratory value is most important to report for a patient on a Heparin drip for a Deep Vein Thrombosis:
A normal aPTT
An increased hematocrit
An increased platelet count
A normal INR
19
Nursing interventions for a patient with PAD include:
Allow patient to hang legs over bed
Elevate legs
Bed rest
Assist with a walk for 15min
20
Hypertension is more common in males, until after age 55
False
True
21
What laboratory values are significant indicators of acute heart injury?
Increased CK and myoglobin
Increased CK-MB and troponin
Decreased BNP and platelets
Increased CK with low levels of CK-MB
22
Risk factors for Hypertension include all the following: (Select all that apply)
African Americans
Diabetes
Smoking
Eating Spinach
23
The nurse includes which information in the teaching plan about the management of warfarin? (Select all that apply.)
Using a hard toothbrush for effective plaque removal
Using an electric razor when shaving
Avoiding kale, spinach, collard greens, broccoli, okra, cabbage
Checking urine for blood
24
Risks for DVT include:
Reduced mobility
Dehydration
Coumadin
Venous stasis
25
Vibration felt during palpation of an artery indicates turbulent blood flow and should be documented as:
A bruit
A thrust
A thrill
A heave
26
The teaching for patient going home on Coumadin include all the following interventions: (Select all that apply)
Watch for bleeding and bruising
Do not forcefully blow nose
Use straight razor
Eat diet with consistent vitamin K
27
What assessment would the nurse identify as a hallmark finding of left-sided heart failure?
Bradacardia
Crackles
Edema
Ascites
28
The nurse informs the patient that which of the following can be symptoms of Atrial Fib? (Select all that apply.)
Shortness of breath
Hypotension
Weight loss
Sweating
29
The nurse should consider which patients at greatest risk for developing hypertension? (Select all that apply)
A 60-year-old Caucasian male with a history of cocaine use
A 78-year-old African American male with chronic renal insufficiency
A 35-year-old Asian female with a familial history of DM type 1
A 40-year-old Latino obese smoker
30
Perfusion at the tissue level is done through the abundant network of:
Arterioles
Capillaries
Arteries
Venules
31
Lab value to monitor closely for a patient getting Lasix
Calcium
Magnesium
Potassium
Sodium
32
Which of the following patients a nurse should consider the greatest risk for developing heart disease?
A 50-year-old female smoker with a familyhistory of heart disease
A 40-year-old female who drinks two glassesof wine every day
A 60-year-old obese male smoker with a familyhistory of heart disease
A 70-year-old male smoker with a long-standinghistory of hypertension
33
Veins take ________ and __________from the tissues to the heart
Oxygenated blood and nutrients
Deoxygenated blood and electrolytes
Red blood cells and waste products
Deoxygenated blood and waste
34
Blood pressure is controlled by the following factors:
Vascular resistance, blood volume
Systolic pressure, diastolic pressure
Vasodilation, diastolic pressure
RASS, blood viscosity
35
Procedure for the patient at risk for stroke because of the potential blood clots in the right atrium is:
Coronary angiography
Nuclear stress test
Chest X-Ray
Transesophageal echocardiogram
36
A pacemaker is inserted in patients with symptomatic bradycardia that does not resolve by other means.
True
False
37
What causes the S2 sound?
Opening of the mitral and tricuspid valve
Closure of the Aortic and Pulmonic valve
Opening of the Aortic and Pulmonic valve
Closure of the mitral and tricuspid valve
38
What is the most important question to ask before a pt goes for a cardiac cath?
Sulfa allergy
Allergy to eggs
Allergies to iodine
Allergy to saline
39
Which of the following is a subjective finding for the cardiovascular system in a patient:
No edema of extremities noted
Apical heart rate 70 beats per minute
Apical impulse palpated at 5 intercostal space on left
Takes digoxin and lasix daily
40
A recently diagnosed pt with CAD should eat red meat every day
True
False
41
Altered levels of sodium, potassium, and calcium may result in what condition?
Fluid overload
Dysrhythmias
Fluid retention
Shortness of breath
42
Which of the following patients should the nurse see immediately?
BP of 155/92 c/o of left sided weakness, facial droop, and slurred speech
BP of 200/95 no symptoms but family history of stroke
BP of 158/95 with elevated BUN and creatinine complaining of nocturia
BP of 162/75, c/o vision impairment in the left eye for last 2 months
43
Which of the orders for a patient with Peripheral Artiery Disease in the right lower extremity requires clarification?
Keep affected extremity elevated
Begin Lisinopril 10 mg PO daily
Begin Plavix 75 mg PO daily
Encourage light exercise as tolerated
44
A patient has been admitted to the hospital for a PE. What is the priority nursing intervention?
Insert an IV line
Check oxygen saturation
Begin heparin drip as ordered
Determine patient allergies
45
What symptoms for a patient taking Digoxin indicate possible dig toxicity? (select all that apply)
constipation
anorexia and nausea
headache
Bradacardia
46
Bruits are:
Auscultated
Inspected
Palpated
Percussed
47
Plan of care for a patient whose BP readings are consistently 130/85 mm Hg include:
Modifications of diet and exercise
A stress test
Initiation of diuretics
Echocardiogram
48
What assessment can provide valuable information about the diagnosis for patients with dizziness and lightheadedness?
Vital signs
Orthostatic blood pressure reading
Pulse ox
Pain
49
Priority teaching needs for patient with hypertension include which of the following? (Select all that apply.)
Slow posture changes
DASH diet
Smoking cessation
Anticoagulation therapy
50
Nursing interventions post cardiac cath includes everything except
neurogenic assessment
Check distal pulses
ambulation 15 min after procedure to prevent DVT
Extremity kept straight
51
Which statement by the patient about the need for antihypertensive medication indicates the need for further teaching?
“I’m worried about a stroke if my BP is not controlled.”
“Can my kidneys fail if I don’t control my BP?”
“My BP is only slightly elevated, so I am ok.”
“I guess I need to take this medication even if I feel OK.”
52
What is the lab value to determine if the patient has heart failure?
BNP
CNP
WBC
BMP
53
The nurse understands that a pacer is necessary for which of the following rhythms in a patient with symptoms?
Sinus rhythm with PACs
Atrial fibrillation (AF)
Sinus tachycardia
Bradycardia