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Cardiomyopathies and Pericarditis

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1. Which type of cardiomyopathy is characterized by a thickened ventricular wall without a clear cause? o A) Dilated cardiomyopathy o B) Hypertrophic cardiomyopathy o C) Restrictive cardiomyopathy o D) Ischemic cardiomyopathy Answer: B Rationale: Hypertrophic cardiomyopathy is characterized b...

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NCLEX-Style Questions

1. Which type of cardiomyopathy is characterized by a thickened ventricular wall
without a clear cause?
o A) Dilated cardiomyopathy
o B) Hypertrophic cardiomyopathy
o C) Restrictive cardiomyopathy
o D) Ischemic cardiomyopathy
Answer: B
Rationale: Hypertrophic cardiomyopathy is characterized by abnormal
thickening of the heart muscle, often leading to obstructed blood flow.
2. A patient presents with symptoms of heart failure and a history of chronic alcohol
use. Which type of cardiomyopathy is most likely?
o A) Hypertrophic
o B) Restrictive
o C) Dilated
o D) Ischemic
Answer: C
Rationale: Chronic alcohol use is a known cause of dilated cardiomyopathy,
which results in decreased contractility of the heart.
3. Which symptom is most commonly associated with pericarditis?
o A) Sudden weight gain
o B) Chest pain
o C) Palpitations
o D) Bradycardia
Answer: B
Rationale: Chest pain is a hallmark symptom of pericarditis, often described as
sharp and worsening with deep inspiration.
4. A patient with cardiomyopathy is at risk for developing which of the following
complications?
o A) Arrhythmias
o B) Diabetes mellitus
o C) Osteoporosis
o D) Hypothyroidism
Answer: A
Rationale: Patients with cardiomyopathy are at increased risk for arrhythmias due
to structural and electrical changes in the heart.
5. Which diagnostic test is most useful in identifying pericardial effusion?
o A) Echocardiogram
o B) Chest X-ray
o C) CT scan
o D) MRI
Answer: A
Rationale: An echocardiogram is the preferred method for assessing pericardial
effusion as it can visualize fluid around the heart.

, 6. In patients with hypertrophic cardiomyopathy, which intervention is often
recommended?
o A) Increased fluid intake
o B) Beta-blockers
o C) ACE inhibitors
o D) Diuretics
Answer: B
Rationale: Beta-blockers are commonly used to manage symptoms of
hypertrophic cardiomyopathy by decreasing heart rate and contractility.
7. Which of the following is a common cause of restrictive cardiomyopathy?
o A) Myocardial infarction
o B) Amyloidosis
o C) Coronary artery disease
o D) Hypertension
Answer: B
Rationale: Amyloidosis is a major cause of restrictive cardiomyopathy, where
abnormal protein deposits affect the heart's ability to fill.
8. A patient with pericarditis is being treated with NSAIDs. What is the primary goal
of this treatment?
o A) Increase blood pressure
o B) Reduce inflammation and pain
o C) Promote diuresis
o D) Increase heart rate
Answer: B
Rationale: NSAIDs are used in pericarditis to alleviate pain and reduce
inflammation of the pericardium.
9. A nurse is educating a patient about lifestyle modifications to manage dilated
cardiomyopathy. Which statement indicates a need for further teaching?
o A) "I will reduce my salt intake."
o B) "I will avoid alcohol."
o C) "I can stop taking my medications once I feel better."
o D) "I should engage in regular, moderate exercise."
Answer: C
Rationale: It is important for patients to continue their medications as prescribed,
even if they feel better, to manage their condition effectively.
10. What finding on an ECG is most characteristic of hypertrophic cardiomyopathy?
o A) ST elevation
o B) T wave inversion
o C) Deep Q waves
o D) Left ventricular hypertrophy
Answer: D
Rationale: ECG findings of left ventricular hypertrophy are common in patients
with hypertrophic cardiomyopathy.

11. Which of the following symptoms would be least expected in a patient with
restrictive cardiomyopathy?

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