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Cardio Post Test
Cardio Post Test
1. A client with no history of cardiovascular disease comes into the ambulatory clinic with flu-like
symptoms. The client suddenly complains of chest pain. Which of the following questions would best
help a nurse to discriminate pain caused by a non-cardiac problem?
D. “Can you rate the pain on a scale of 1-10, with ten (10) being the worst?”
2. A nurse notes 2+ bilateral edema in the lower extremities of a client with myocardial infarction who
was admitted two (2) days ago. The nurse would plan to do which of the following next?
A. Review the intake and output records for the last two (2) days.
3. A 60-year-old male client comes into the emergency department with complaints of crushing chest
pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction.
Immediate admission orders include oxygen by NC at 4L/minute, blood work, chest X-ray, an ECG, and
two (2) mg of morphine given intravenously. The nurse should first:
4. When interpreting an ECG, the nurse would keep in mind which of the following about the P wave?
Select all that apply.
5. 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
6. 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.
7. The most important long-term goal for a client with hypertension would be to:
8. Which of the following symptoms should the nurse teach the client with unstable angina to report
immediately to her physician?
9. 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:
10. It is an initial step in treating a client with angina, the physician prescribes nitroglycerin tablets,
0.3mg given sublingually. This drug’s principal effects are produced by:
11. Which of the following arteries primarily feeds the anterior wall of the heart?
A. Circumflex artery
A. During inspiration
B. During diastolic
C. During expiration
D. During systole
13. murmur is heard at the second left intercostal space along the left sternal border. Which valve is
this?
A. Aortic
B. Mitral
C. Pulmonic
D. Tricuspid
14. Which of the following blood tests is most indicative of cardiac damage?
A. Troponin I
D. Lactate dehydrogenase
15. Which of the following diagnostic tools is most commonly used to determine the location of
myocardial damage?
A. Cardiac catheterization
B. Cardiac enzymes
C. Echocardiogram
D. Electrocardiogram (ECG)
16. Which of the following terms describes the force against which the ventricle must expel blood?
A. Afterload
B. Cardiac output
C. Overload
D. Preload
17. Which of the following terms is used to describe the amount of stretch on the myocardium at the
end of diastole?
A. Afterload
B. Cardiac index
C. Cardiac output
D. Preload
18. A 57-year-old client with a history of asthma is prescribed propranolol (Inderal) to control
hypertension. Before administered propranolol, which of the following actions should the nurse take
first?
19. To evaluate a client’s condition following cardiac catheterization, the nurse will palpate the pulse:
A. In all extremities
20. A client is experiencing tachycardia. The nurse’s understanding of the physiological basis for this
symptom is explained by which of the following statements?
B. The inflammatory process causes the body to demand more oxygen to meet its needs.
C. The heart has to pump faster to meet the demand for oxygen when there is lowered arterial oxygen
tension.
21. Which of the following instructions should be included in the discharge teaching for a patient
discharged with a transdermal nitroglycerin patch?
A. “Apply the patch to a non-hairy, non-fatty area of the upper torso or arms.”
B. “Apply the patch to the same site each day to maintain consistent drug absorption.”
C. “If you get a headache, remove the patch for 4 hours and then reapply.”
D. “If you get chest pain, apply a second patch right next to the first patch.”
22. in order to prevent the development of tolerance, the nurse instructs the patient to:
B. Switch to sublingual nitroglycerin when the patient’s systolic blood pressure elevates to >140 mm Hg.
C. Apply the nitroglycerin patch for 14 hours each and remove for 10 hours at night.
23. When teaching a patient why spironolactone (Aldactone) and furosemide (Lasix) are prescribed
together, the nurse bases teaching on the knowledge that:
A. Moderate doses of two different types of diuretics are more effective than a large dose of one type.
D. Using two drugs increases osmolality of plasma and the glomerular filtration rate.
24. Which of the following actions is the first priority of care for a client exhibiting signs and symptoms
of coronary artery disease?
A. Decrease anxiety.
25. Medical treatment of coronary artery disease includes which of the following procedures?
A. Cardiac catheterization
27. Which of the following complications is indicated by a third heart sound (S3)?
A. Ventricular dilation
B. Systemic hypertension
28. After an anterior wall myocardial infarction, which of the following problems is indicated by
auscultation of crackles in the lungs?
29. Which of the following conditions is most closely associated with weight gain, nausea, and a
decrease in urine output?
A. Angina pectoris
B. Cardiomyopathy
30. Which of the following types of angina is most closely related with an impending MI?
A. Angina decubitus
C. Nocturnal angina
D. Unstable angina
a. ST elevation
b. Pathologic Q wave
c. T wave is tall
d. ST depression
32. 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)
33. The nurse is teaching a client with a history of atherosclerosis. To decrease the risk of
atherosclerosis, the nurse should encourage the client to:
34. The nurse teaching the client about behavioral changes, which can affect development of
atherosclerosis, should discuss which of the following as a non-modifiable risk factor for atherosclerosis?
A. cigarette smoking
B. hyperlipidemia
C. female over 55 years of age
D. sedentary lifestyle
35. The following are lipid abnormalities. Which of the following is a risk factor for the development of
atherosclerosis and PVD?
36. Patient Isabel was admitted in the CCU with chef complaint of chest pain, to rule out a myocardial
infarction (MI). Which cardiac enzyme test is most specific of an MI?
A. TROP I
B. MYOGLOBIN
C. CPK
D. CK-MB
37. The client has ST segment depression on his 12-lead ECG. The nurse determines that this would
indicate the following:
A. necrosis
B. injury
C. ischemia
D. nothing significant
38. Nurse Len is administering sublingual nitrglycerin (Nitrostat) to the newly admitted client.
Immediately afterward, the client may experience:
B. Nervousness or paresthesia.
39. In evaluating the effect of nitroglycerin, Nurse Arthur should know that it reduces preload and
relieves angina by:
40. A 48 year old woman presents to the hospital complaining of chest pain, tachycardia and dyspnea.
On exam, heart sounds are muffled. Which of the following assessment findings would support a
diagnosis of cardiac tamponade?
A. A deviated trachea
41. A client with congestive heart failure has digoxin (Lanoxin) ordered everyday. Prior to giving the
medication, the nurse checks the digoxin level which is therapeutic and ausculates an apical pulse. The
apical pulse is 63 bpm for 1 full minute. The nurse should:
B. Give the half dose now, wait an hour and give the other half
42. A client is receiving captopril (Capoten) for heart failure. The nurse should notify the physician that
the medication therapy is ineffective if an assessment reveals:
A. A skin rash.
B. Peripheral edema.
C. A dry cough.
D. Postural hypotension.
43. Toxicity from which of the following medications may cause a client to see a green-yellow halo
around lights?
A. Digoxin
B. Furosemide
C. Lithium
D. Captopril
44. IV heparin therapy is ordered for a client. While implementing this order, a nurse ensures that
which of the following medications is available in the nursing unit?
A. Vitamin K
B. Aminocaproic acid
C. Potassium chloride
D. Protamine sulfate
45. The nurse administered a thrombolytic drug to the client experiencing an MI, the nurse explains to
him that the purpose of this drug is to:
46. Sublingual nitroglycerin tablets begin to work within 1 to 2 minutes. How should the nurse instruct
the client to use the drug when chest pain occurs?
A. Take one (1) tablet every two (2) to five (5) minutes until the pain stops.
B. Take one (1) tablet and rest for ten (10) minutes. Call the physician if pain persists after ten (10)
minutes.
C. Take one (1) tablet, then an additional tablet every 5 minutes for a total of three (3) tablets. Call the
physician if pain persists after three (3) tablets.
D. Take one (1) tablet. If pain persists after five (5) minutes, take two (2) tablets. If pain persists five (5)
minutes later, call the physician.
47. One hour after administering IV furosemide (Lasix) to a client with heart failure, a short burst of
ventricular tachycardia appears on the cardiac monitor. Which of the following electrolyte imbalances
should the nurse suspect?
A. Hypocalcemia
B. Hypermagnesemia
C. Hypokalemia
D. Hypernatremia
48. The nurse assessing a patient with a deep venous thrombosis (DVT) becomes concerned when the
patient demonstrates which sign or symptom
a. Hematuria
c. Hematemesis
d. Hemoptysis
49. A nurse is monitoring a client with acute pericarditis for signs of cardiac tamponade. Which
assessment finding would indicate the presence of this complication?
50. Nurse Ron is caring for a male client taking an anticoagulant. The nurse should teach the client to:
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