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Med surg exam 1- cardiovascular-200 Questions and Answers
Med surg exam 1- cardiovascular-200 Questions and Answers
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Med surg exam 1- cardiovascular-200Questions and Answers
A. stable angina can be relived by rest and nitro
B.pain with an MI last longer than 30 minutes and an opioid is used to relieve
pain
c. there is no specific activity that can cause an MI
d. the pain of stable angina usually occurs in 15 minutes or less - -A nurse is
admitting a client who has a suspected MI and hx of angina. Which of the
following findings will help the RN distinguish stable angina from MI?
A. stable angina can be relieved with rest and ntroglycerin
B. the pain of an MI resolves in less than 15 min
C. the type of activity that causes an MI can be ID
D. stable angina can occur for longer than 30 min
-C. The Troponin T level will still be evident 10-14 days post MI
A. The CK-MB levels are no longer evident after 3 days
B.Troponin I levels are no longer present after 7-10 days
D. myoglobin levels are no longer present after 24hrs - -A nurse on a cardiac
unit is reviewing the lab findings of a client who has a diagnosis of MI and
reports that his dyspnea began 2 weeks ago. Which cardiac enzyme would
confirm an MI 14 days ago?
A. CK-MB
B.Troponin I
C. Troponin T
D. Myoglobin
-A. Apririn decreases platelet aggregtion that can cause an MI
B. one aspirin per day will not relieve ischemic pain
C. aspirin does not resolve clots
D. other meds can cause head aches, but one aspirin a day is not an
analgesic - -A nurse is caring for a client who asks why they were prescribed
a daily aspirin. What response should the nurse make?
A. "Aspirin reduces the formation of blood clots that could cause a heart
attack"
B. "Aspirin relieves pain due to ischemia"
C. "Aspirin dissolves clots that are forming in for coronary arts"
D. Aspirin relieves headaches that are caused by other meds"
,-D. The client is advised to notify the provider if bradycardia occurs
A. administered orally not SQ
B. does not affect bleeding or clotting time
C.ringing in the ears is not an adverse reaction to this med (dryness is) - -A
nurse is teaching a clinet who has angina about metoprolol. Which of the
following indicates the patient understood the teachings?
A. "I should place this tab under my tongue"
B. "I shoul have my clotting time checked weekly"
C. "I will report any ringing in my ears"
D. "I will call my doctor if my pulse is less than 60"
-C. According to ABC smoking would be first
A. this isimportant but not the top priority
B. this is good but not top priority
D. this is good but not top - -A nurse is presenting a community education
program on recommended lifestyle changes to prevent angina and MI. Which
of the following changes should the nurse recommend by made first?
A. diet modification
B. relaxation
C. smoking cessation
D. taking omega-3 capsules
-B. ABCs
A. not the highest priority
C. not the highest priority
D. not the highest priority - -A nurse is caring for a client who has HF and
reports increased SOB. Which of the following actions should the nurse take
first ?
A. Obtain a Wt
B.Assist the client to high Fowler's position
C. auscultate lung sounds
D. check O2 sat
-A. helps to keep track of fluid loss of gain
E. prevents fluid retention
B. would want to increase K+
C. muscle weakness of Dig is a sign of toxicity
,D. hold is <60 - -A nurse is teaching a client who has HF and new Rx for
furosemide and digoxin. Which of the following information should the nurse
include? (Select all theat apply)
A.weigh daily, first thing each morning
B. decrease intake of K+
C. expect muscle weakness while taking digoxin
D. hold digoxin if HR <70
E. decrease Na intake
-A. expected finding for pulmonary edema
B. expected finding
E. expected finding
C. pt would have decreased UO
D. pink, frothy sputum is expected - -A nurse is completing the admission
assessment of a client who has suspected pulmonary edema. Which of the
following manifestations are expected findings? (selects all that apply)
A. tachypnea
B. persistent cough
C. increased UO
D. Thick, yellow sputum
E. orthopnea
-C. VADs are used to prolong the life of HF pt who do not respond to meds
A. VADs are usually given to pt waiting for transplants
B. VADs are pumps to get blood around the body
D. VADs are contraindicated for pt with chronic lung disease - -A nurse is
talking with a pt who has class I HF and asks about obtaining a ventricular
assist device (VAD). Which of the following statements should the nurse
make?
A. "VADs are only implanted during a heart transplant"
B. "A VAD helps to pace the heart"
C. "VADs are used when HF is not responsive to meds"
D. A VAD is useful for pt who also have chronic lung disease"
-A. provides a visual guide and help the patient plan out the day
B. glasses and cans can vary is size
C. vague
D. does not assist in accurate measurement - -A nurse is providing discharge
teaching for a client who has HF and is on a fluid restriction of 2,000ml/day.
, The client asks how to determine the amount of fluid they allow. Which
statement is an appropriate response by the nurse?
A. "pour the amount of liquid you drink into an empty 2L bottle and keep
track of how much you drink"
B. "each glasss contains 8oz. There are 30ml in an oz, so you can have 8
glasses or cups per day"
C. "this is the same as two quarts, or two pots of coffee"
D. "take sips of water or ice chips so you will not take too much fluid
-B. anticoagulant therapy with warfarin is necessary for a pt following the
placement of a mechanical valve. PT time should be checked
A. activity limitation for 6weeks
C.antibiotic therapy is recommended after dental work
D. should be limiting Na - -A nurse is completing discharge teaching with a
client who has a surgical placement of a mechanical heart valve. Which of
the following statements by the client indicates understanding of the
teaching?
A. "I will be glad to get back to my exercise routine right away"
B. "I will have my prothrombin time checked on a regular bases"
C. "I will talk to my dentist about no longer needing antibiotics before dental
exams"
D. " I will continue to limit my intake of foods containing K+"
-C. neck vein distention is an expected finding with mitral valve insufficiency
A. S3 would be heard, S4 would be expected with atrial stenosis
B. petechiae is an expected finding for a patient with infective endocarditis
D. hepatomegaly not splenomegaly would be expected with leftsided heart
failure - -A nurse is completing the admission physical assessment of a client
who has a mitral valve insufficiency. Which of the following findings should
the nurse expect?
A. S4 heart sounds
B. petechiae
C. neck vein distension
D. splenomegaly
-A. hx of malformations is a risk
C. HTN is a risk
E, murmur indicates turbulent blood flow, usually a due to valve disease
B. not a risk factor
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