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Cardiac Questions for Nursing

Total questions: 15

Worksheet time: 2hrs 55mins

Name
Class
Date
1.
 A nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but over 100. The nurse determines that the client is experiencing:
a)
Normal sinus rhythm 
b)
Sinus bradycardia
c)
Sick sinus syndrome
d)
First-degree heart block
2.
What part of the intrinsic conduction system starts the heart beat?
a)
 The atrioventricular node
b)
The Bundle of His
c)
The Perkinje fibers
d)
The sinoatrial node
3.
A client has developed atrial fibrillation, which a ventricular rate of 150 beats per minute. A nurse assesses the client for:
a)
Hypertension and headache
b)
Nausea and vomiting
c)
Hypotension and dizziness
d)
Flat neck veins
4.
A surgeon opens the thoracic cavity and finds a membrane covering the mediastinum.  This membrane is called the
a)
 Visceral pericardium
b)
Parietal pericardium
c)
Visceral peritoneum
d)
Parietal peritoneum
5.
A client is having frequent premature ventricular contractions. A nurse would place priority on assessment of which of the following items?
a)
Sensation of palpitations
b)
Blood pressure and peripheral perfusion
c)
Causative factors such as caffeine
d)
Precipitating factors such as infection
6.
Why is the mitral valve different from the other three valves of the heart?
a)
It only has one flap
b)
it has two flaps
c)
it has three flaps
7.
The adaptations of a client with complete heart block would most likely include:
a)
Nausea and vertigo
b)
Flushing and slurred speech
c)
Cephalalgia and blurred vision
d)
 Syncope and slow ventricular rate
8.
The correct pathway that an erythrocyte would travel during systemic circulation is
a)
Arteriole--aorta--vein--venule--capill
b)
Capill--venule--vein--artery--aorta
c)
Aorta--arteriole--capill--venule--vein
d)
 Venule--vein--capill--arteriole--aorta
9.
When ventricular fibrillation occurs in a CCU, the first person reaching the client should:
a)
Administer oxygen
b)
Defibrillate the client
c)
Initiate CPR
d)
Administer sodium bicarbonate intravenously
10.
The vessel layer that is fibrous and responsible for support is the
a)
Tunica intima
b)
Tunica externa
c)
 Tunica media
11.
A nurse is caring for a client with unstable ventricular tachycardia. The nurse instructs the client to do which of the following, if prescribed, during an episode of ventricular tachycardia?
a)
Breathe deeply, regularly, and easily.
b)
Inhale deeply and cough forcefully every 1 to 3 seconds.
c)
Lie down flat in bed
d)
Remove any metal jewelry
12.
The softer "dupp" sound of the heart is from
a)
The closing of the atrioventricular valve
b)
The closing of the semilunar valve
c)
 The opening of the semilunar valve
13.
A nurse is viewing the cardiac monitor in a client’s room and notes that the client has just gone into ventricular tachycardia. The client is awake and alert and has good skin color. The nurse would prepare to do which of the following?
a)
Immediately defibrillate
b)
Prepare for pacemaker insertion
c)
Administer amiodarone (Cordarone) intravenously
d)
Administer epinephrine (Adrenaline) intravenously
14.
You can check the pulse in your neck using the
a)
Brachial artery 
b)
Jugular vein
c)
Carotid Artery
d)
Popliteal vein
15.
A client with a bundle branch block is on a cardiac monitor. The nurse should expect to observe:
a)
Sagging ST segments
b)
Absence of P wave configurations
c)
Inverted T waves following each QRS complex
d)
Widening of QRS complexes to 0.12 second or greater.