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WorksheetsCardiovascular 23 24
Total questions: 115
Worksheet time: 1hrs 2mins
The nurse is reinforcing discharge instructions to a patient who has a mitral valve
prolapse. What information should be included?
Begin a home aerobic exercise program.
Perform hourly leg exercises if lying down.
Deep breathe and cough hourly when awake.
You may have a possible need for prophylactic anticoagulants.
The nurse is reinforcing teaching for a patient who has had a mechanical valve
replacement. What should be included regarding safety during warfarin (Coumadin)
therapy?
Wear Medic-Alert identification.
Use a straight razor when shaving.
Keep yearly blood test appointments.
Increase intake of green leafy vegetables.
The nurse is collecting data from a patient who has mitral stenosis. For which
condition should the nurse assess in the patients history?
Meningitis
Scarlet fever
Rheumatic fever
Rheumatoid arthritis
The nurse is reinforcing teaching provided to a patient with aortic stenosis. Which
statement indicates that the patient correctly understands what happens in aortic stenosis?
There is impaired emptying of the left ventricle.
There is impaired emptying of the right ventricle.
There is backflow of blood into the left ventricle.
There is backflow of blood into the right ventricle.
A patient with mitral regurgitation asks what the health problem means. What
should the nurse explain to the patient?
There is impaired emptying of the left atrium.
There is backflow of blood into the left atrium.
There is impaired emptying of the right atrium.
There is backflow of blood into the right atrium.
While collecting data on a patient with aortic stenosis the nurse monitors for signs
of heart failure. What is the nurse monitoring for heart failure as a complication of aortic
stenosis?
Cardiac workload is increased from reduced cardiac output.
Cardiac workload is decreased from reduced cardiac output.
Cardiac workload is increased from increased cardiac output.
Cardiac workload is decreased from increased cardiac output.
A patient with chronic mitral regurgitation states, I am always so tired. Which
factor should the nurse identify as contributing to this patients fatigue?
Coughing
Heart murmur
Pulmonary congestion
Decreased cardiac output
The nurse is contributing to a patients plan of care. During medication
administration, which medication would the nurse understand as being prescribed to treat a
patient with aortic stenosis who has symptoms of heart failure?
Heparin
Bumetanide (Bumex)
Digitalis
Warfarin (Coumadin)
The nurse is caring for a patient who has a valvular problem. The patient states the
doctor is ordering something that measures the pressures in the patients heart. Which
diagnostic test should the nurse anticipate scheduling for the patient?
Echocardiogram
Chest radiograph
Electrocardiogram
Cardiac catheterization
The nurse is contributing to a patients plan of care. Which statement is a desired
outcome for the nursing diagnosis of Deficient Knowledge related to a new medical
diagnosis of mitral valve prolapse?
Exhibits less fatigue during self-care
Clear breathing sounds, no edema or weight gain
States ability to comply with therapeutic regimen
Verbalizes definition of disorder and manifestations
The nurse is providing discharge teaching for a patient with mitral stenosis. What
should the nurse include in this teaching?
The medications you will be taking make your blood thicker, so you are at risk for small
clots to form.
It is important that you increase your fluid intake and take iron supplements so that your
body can make enough blood for your heart to pump around.
Your blood is rushing through your heart so fast that it may not give your heart enough
oxygen and you may have something called angina, or heart pain.
Because of your heart condition, the blood flow through your heart is slower and blood
may tend to pool in certain areas, which might allow tiny clots to form.
The nurse is caring for a patient who has aortic stenosis. During data collection, which of these manifestations should indicate to the nurse that the patient is experiencing
myocardial oxygen deficiency?
Angina
Sacral edema
Jugular vein distention
Pericardial friction rub
The nurse is reinforcing teaching provided to a patient with aortic regurgitation on
how to reduce cardiac workload. Which patient statement indicates that teaching has been
effective?
Lie flat when in bed.
Elevate the legs hourly.
Eat three large meals daily.
Alternate activity with rest.
The nurse is evaluating care provided to a patient with the nursing diagnosis of
activity intolerance because of aortic regurgitation. Which outcome indicates that care has
been effective?
Stated maintained bedrest to reduce fatigue
Engaged in desired daily and social activities
Completed activities of daily living with assistance
Reported no longer participates in gardening hobby
The nurse is reviewing care for a group of patients. Which patient with a heart
valve disorder should the nurse identify as being susceptible to developing the complication
of fluid volume excess?
A 27-year-old male on atenolol (Tenormin)
A 68-year-old female on digoxin (Lanoxin)
A 44-year-old male taking amoxicillin (Amoxil)
An 18-year-old female taking warfarin (Coumadin)
During data collection for a patient after cardiac surgery, the nurse notes that
chest tube drainage has increased and is now greater than 200 mL per hour. What should
the nurse do?
Notify registered nurse (RN).
Monitor oxygen saturation.
Recheck vital signs in 30 minutes.
Recheck drainage every 30 minutes.
17. A patient is diagnosed with chronic aortic regurgitation. Which procedure should
the nurse anticipate being prescribed for this patient?
Medication therapy
Valvular annuloplasty
Valvular commissurotomy
Surgical valve replacement
A patient who has aortic stenosis develops severe dyspnea and chest pain. What
should the nurse do now?
Obtain vital signs.
Give nitroglycerin.
Raise the head of the bed.
Encourage the patient to sleep.
The nurse is monitoring a patient with aortic stenosis and notes crackles in the
lungs and a cough. Which complication should the nurse suspect is occurring in this
patient?
Pneumonia
Heart failure
Hypertension
Rheumatic fever
The nurse is contributing to the care plan for a patient with aortic stenosis. Which
outcome supports a favorable response for the nursing diagnosis of activity intolerance?
Verbalizes knowledge of disorder
Clear breathing sounds, no edema or weight gain
Vital signs within normal limits during self-care
States willingness to comply with therapeutic regimen
A patient with mitral stenosis is prescribed a preoperative antibiotic. Which patient
statement indicates an understanding for taking this medication?
To prevent postoperative pneumonia.
To prevent an increase in body temperature.
To prevent a bacterial infection in the heart.
To prevent infection of the surgical incision.
The nurse reinforces teaching provided to a patient with mitral stenosis. Which
patient statement indicates that the teaching has been effective?
The right side of the heart is not pumping effectively.
There is a backflow of blood into the lower left chamber of the heart.
There is a narrowing of the blood vessel that brings blood into the heart.
The top chamber on the left side of the heart doesnt empty all of the way.
The nurse reinforces teaching provided to a patient prescribed an anticoagulant
for atrial fibrillation due to valvular disease. Which statement by the patient indicates that
the teaching has been effective?
I will have monthly blood tests done.
I can take aspirin for my frequent headaches.
I feel fine, so I do not need to wear a Medic-Alert bracelet anymore.
I care for my teeth very well, brushing them with a hard brush and flossing daily.
A patient with aortic stenosis is being treated for heart failure. Which medication
order should the nurse question?
Heparin
Digoxin (Lanoxin)
Bumetanide (Bumex)
Warfarin (Coumadin)
The nurse is collecting data on a patient recovering from a hysterectomy who is
experiencing left calf tenderness. Data include the following: left calf 17.5 inches; right calf
14 inches; left thigh 32 inches; right thigh 28 inches; shiny, warm, and reddened left leg.
Which actions should the nurse recommend for this patients plan of care?
Maintain bedrest.
Encourage ambulation daily.
Place anti-embolism stocking on left leg.
Place anti-embolism stocking on both legs.
The nurse is caring for a patient who develops a fever and reports right calf pain
with a reddened and swollen calf. Which action should the nurse take?
Massage the affected calf.
Place ice on the affected calf.
Place elastic stocking on right leg.
Measure bilateral calf circumference daily.
The nurse is contributing to a patients plan of care. Which positioning should the
nurse recommend for a patient with a left deep vein thrombosis?
Elevate head above level of legs.
Elevate left leg above heart level.
Elevate right leg above heart level.
Elevate both legs above heart level.
The home health nurse is visiting a patient with cardiomyopathy who lives alone
and is prescribed anticoagulant therapy. Which observation indicates that the patient
requires more teaching?
The patient is wearing elastic stockings and slippers.
The patient has a straight razor on the bathroom sink.
The patient has a soft-bristle toothbrush in the bathroom.
The patient has a bottle of acetaminophen on the counter.
A patient with acute pericarditis has a nursing diagnosis of Pain related to the
inflammatory process. What nursing action should the nurse recommend?
Restrict fluids to 500 mL per day.
Teach the patient to take shallow, rapid breaths.
Provide anti-inflammatory medication as ordered.
Have the patient cough and deep breathe hourly while awake.
A healthy postoperative patient who has been on bedrest for 3 days suddenly
develops dyspnea, tachypnea, restlessness, and chest pain. The patient says, I feel as if
something is going to happen to me. What should the nurse do?
Perform a bilateral Homans test.
Give a narcotic for pain as ordered.
Ensure physician is notified immediately.
Reassure the patient that everything is fine.
The nurse is reviewing the prothrombin time (PT) value for a patient prescribed
warfarin (Coumadin). The laboratorys prothrombin time range is 9 to 11 seconds. What
would be the therapeutic time for the patient?
12.5 seconds
17 seconds
26 seconds
30 seconds
A patient with a history of mitral valve replacement surgery is instructed to take
prophylactic antibiotics before a scheduled root canal. Which patient statement indicates to
the nurse that teaching has been effective?
I know I need to call my doctor if I notice a dry cough.
If I notice any ankle edema, I should lower my salt intake.
If I develop a fever in the next week or so, I need to call my doctor right away.
Endocarditis causes rapid weight gain so I need to weigh myself every day for a full
The nurse is collecting data from a patient 3 days after a motor vehicle crash in
which the patient hit the steering wheel. The data reveal symptoms of pericarditis. Which
finding indicates the presence of pericarditis?
Pain on expiration
Pericardial friction rub
Jugular vein distention
Crackles in lung bases
The nurse is caring for a patient with pericarditis. Which type of medication should
the nurse expect to be prescribed for the patient?
Beta blocker
Antihypertensive
Anti-inflammatory
Calcium channel blocker
patient with a deep vein thrombosis receiving a heparin infusion and warfarin
(Coumadin) therapy develops bleeding gums. What action should the nurse take?
Notify the registered nurse.
Offer the patient a saline mouth rinse.
Turn off the heparin infusion immediately.
Tell the patient to gargle with mouthwash.
The nurse is reinforcing teaching provided to a patient with thrombophlebitis.
Which diagnostic test should the nurse explain is used to confirm thrombophlebitis?
Chest radiograph
Intravenous pyelogram
Duplex venous scanning
Arterial Doppler ultrasonography
The nurse is collecting data from a patient. Which approach should the nurse use
to determine the presence of a Homans sign?
Observing the calf and thigh color bilaterally
Listening with a Doppler to posterior bilateral tibial pulses
Measuring the patients calf and thigh circumference bilaterally
Dorsiflexing the patients foot sharply and asking if calf pain occurs
The nurse is caring for a patient with a deep vein thrombosis who is receiving
intravenous heparin. The nurse should monitor which of these laboratory tests specifically
for the effects of the heparin?
PT
PTT
Platelets
Bleeding time
The nurse is reinforcing teaching provided to a patient with strep throat. Which
statement indicates that the patient understands the complication that can occur 2 to 3
weeks after this health problem?
Pericarditis.
Rheumatic fever.
Cardiomyopathy.
Rheumatic heart disease
A patient is diagnosed with cardiomyopathy. What should the nurse identify as a
potential risk for this patient?
Angina
Pericarditis
Heart failure
Myocardial infarction
The nurse is monitoring a patient with pericarditis. What health problem is this
patient at risk for developing?
Emboli begin to form.
Pericardial sac fluid increases.
Cardiac workload increases by 15%.
cardiac output decreases more than 10%.
A patient who is taking digoxin (Lanoxin) is diagnosed with myocarditis. For which
effect should the nurse monitor the patient?
Increased inflammation
Decreased inflammation
Increased risk of toxicity
Decreased risk of toxicity
A postoperative patient suddenly develops dyspnea, tachypnea, restlessness, and
chest pain. Which complication should the nurse suspect is occurring in this patient?
Pulmonary edema
Respiratory arrest
Pulmonary embolus
Myocardial infarction
The nurse is preparing to administer warfarin (Coumadin) to a patient. Which
laboratory value should the nurse review before administering this medication?
Bleeding time
Fibrinogen level
Partial thromboplastin time
INR
The nurse is contributing to a patients plan of care for a patient who has an
elevated INR. Which nursing diagnosis should the nurse recommend receive priority in the
patients care plan?
Acute Pain
Risk for Injury
Risk for Infection
Ineffective Breathing Pattern
The nurse caring for patients on the cardiac unit reviews the standards related to
deep vein thrombosis prophylaxis. Which approach should the nurse recognize as being the
most effective to prevent the development of deep vein thrombosis?
Using bilateral thigh-high stockings throughout hospitalization
Using low molecular weight heparin given subcutaneously daily
Using bilateral leg compression devices while the patient is in bed
Using a combination of pharmacological and compression interventions
A patient recovering from cardiac surgery complains of discomfort when turning
and moving in bed. What should the nurse encourage the patient perform when making position changes?
Hold the breath
Splint with a pillow
Bend the knees to the chest
Lift the head off of the bed
The nurse is reviewing the medical histories for a group of patients. Which
patients should receive prophylactic antibiotics to prevent infective endocarditis (IE)?
(Select all that apply.)
A 68-year-old with a history of atrial fibrillation scheduled for a root canal
A 55-year-old with a history of angina scheduled for arthroscopic knee surgery
A 76-year-old with a history of cardiac valve repair scheduled for a colonoscopy
A 71-year-old with a history of infective endocarditis scheduled for a tooth extraction
A 69-year-old with a history of congenital heart disease who is having an abscess drained
A patient is being admitted to the intensive care unit after cardiac surgery. Which
nursing actions should the nurse include in this patients plan of care? (Select all that apply.)
Note any patient shivering.
Assess breath sounds every shift.
Assist in head-to-toe data collection.
Connect the patient to a cardiac monitor.
Palpate chest and neck for signs of crepitus.
A patient is scheduled for cardiac surgery for placement of a mechanical valve.
Which patient statement indicates correct understanding of characteristics of mechanical
valves used for cardiac valve replacement? (Select all that apply.)
They are durable.
They require donors.
They create turbulent blood flow.
They can be placed during balloon angioplasty.
They do not require lifelong anticoagulant therapy.
The nurse has been caring for a patient experiencing a reduction in cardiac
output. Which findings indicate that interventions are effective, and the patient is
improving? (Select all that apply.)
Less shivering
Clear lung sounds
Pulse oximeter reading 96%
Urine output greater than 30 mL/hour
Temperature 98.6F (37C), respirations 16/min, blood pressure 110/75 mm Hg, pulse 75
beats/min)
A patient with obstructive hypertrophic cardiomyopathy is being released from the
hospital and is to continue treatment with atenolol (Tenormin) and disopyramide (Norpace)
at home. Which information should be included in the patients teaching plan? (Select all that apply.)
Eat small meals.
Drink fluids to remain hydrated.
Plan activities in small amounts.
Have one alcoholic drink per day.
Participate in sports, such as tennis.
A patient is admitted for treatment of aortic stenosis. What findings should the
nurse expect when collecting data from this patient? (Select all that apply.)
Chest pain
Orthopnea
Heart murmur
Dyspnea on exertion
Oxygen saturation 80%
The nurse identifies the diagnosis of decreased cardiac output for a patient with a
cardiac valve disorder. Which interventions should the nurse include in this patients plan of
care? (Select all that apply.)
Provide oxygen as prescribed.
Maintain fluid restriction of 1000 mL.
Elevate the head of the bed 45 degrees.
Encourage frequent periods of bedrest.
Assess vital signs and oxygen saturation.
A patient recovering from valve replacement surgery has a low cardiac output.
Which laboratory tests should the nurse identify as a possible cause for this patients
problem? (Select all that apply.)
Low serum sodium level
Low serum calcium level
Low serum magnesium level
Elevated serum glucose level
Elevated serum potassium level
The nurse suspects that a patient recovering from valve replacement surgery is
experiencing an infection. Which findings did the nurse use to come to this conclusion?
(Select all that apply.)
Cloudy urine
Lung crackles
Incisional pain
Elevated temperature
Yellow-green sputum
The nurse is reinforcing teaching for managing the pain of peripheral arterial
disease. Which patient statement indicates correct understanding of discharge instructions?
I will lie down frequently.
I will use a reclining chair.
I will sit with my legs down.
I will do knee flexion exercises.
A patient is brought to the emergency room by a daughter who reports that the
patient has had multiple episodes of chest pain in the past few days and has refused to
seek care. The patient states, I feel fine and the pain has only lasted for brief periods. The
nurse recognizes that the patient is most likely using which coping technique?
Anger
Denial
Projection
Regression
The nurse is providing discharge instructions to a patient with brown, leathery,
edematous ankles and increased pain when sitting. Which patient statement indicates that
teaching has been effective?
I should elevate my legs on pillows.
I should keep my legs lower than my heart.
Elastic bandages should be wrapped from the knee down.
I should increase my intake of red meat and dairy products.
A patient with peripheral venous disease (PVD) is sitting in a chair and has
edematous and purple feet. What action should the nurse to take?
Notify the physician.
Cover the patient with a blanket.
Place the patients legs on a tall footstool.
Have the patient lie in bed with pillow under knees.
The nurse has reinforced teaching about symptoms of an MI and the importance of
seeking medical treatment promptly to a patient who has angina. What should the nurse
explain as a common reason prompt treatment is not sought?
Lack of insurance
Denial of symptoms
Lack of transportation
Not aware of symptoms
The nurse reviews the importance of seeking medical treatment with a patient at
risk for an MI. Which patient statement indicates that teaching has been effective?
Angina is prevented.
Risk factors are decreased.
Less heart muscle is damaged.
Coronary artery disease is cured.
The nurse is contributing to the teaching plan for a patient who is taking
nitroglycerin. Which action should be included if chest pain occurs?
Take 2 tablets every 3 hours for four doses until pain is relieved.
Take 3 tablets every 3 minutes for four doses until pain is relieved.
Take 1 tablet every 5 minutes for three doses until pain is relieved.
Take 2 tablets every 2 minutes for three doses until pain is relieved.
A patient who is apprehensive, gray, cold, and clammy reports pain that is as if an
elephant is standing on my chest. The nurse should recognize that these manifestations indicate which health problem?
Heartburn
Pericarditis
An anginal attack
Acute MI
The nurse is helping prepare a teaching plan to modify risk factors for a patient
with coronary artery disease. Which risk factor should the nurse include in this patients
teaching plan?
Age and gender
Gender and ethnicity
Heredity and ethnicity
Smoking and high fat intake
A patient who develops chest pain that radiates down the left arm has all of these
measures prescribed. Which one should the nurse do first?
Repeat vital signs.
apply oxygen at 2 L/min.
Administer nitroglycerin SL.
Obtain an electrocardiogram (ECG).
A patient has chronic peripheral arterial disease. During neurovascular checks, the
nurse finds an absent left pedal pulse and a cyanotic leg. What should the nurse do?
Notify the registered nurse (RN) immediately.
Massage the patients left foot.
Reassess the pulse in 30 minutes.
Encourage patient to flex the leg 10 times.
A patient is recovering from a cardiac catheterization that was completed through
the right femoral site. Which information is most essential for the nurse to collect
immediately after the procedure?
Left pedal pulse
Right pedal pulse
Left brachial pulse
Right brachial pulse
The nurse receives a telephone call from a relative who was diagnosed with
angina last year. The relative reports taking 5 nitroglycerin (NTG) tablets but still has chest
pain. What would be the best advice for the nurse to give this relative?
Take two more NTG tablets and lie down.
I will call an ambulance and report your chest pain.
Drive yourself to the emergency department immediately.
Have someone drive you to the emergency department now.
The nurse is caring for a patient recovering from an MI. In which position should
the nurse place the patient to decrease preload and the hearts workload?
Prone
Supine
Sims position
Semi-Fowlers position
The nurse is caring for a patient suspected of having an MI. What laboratory tests
should the nurse review to determine if this patient did experience an MI?
Troponin I and myoglobin
Bleeding time and total cholesterol
Urinalysis and complete blood count
Alkaline phosphatase and prothrombin time
The nurse is reinforcing the importance of leg exercises with a patient who is
prescribed bedrest. Which patient statement indicates that teaching has been effective?
Prepare for ambulation.
Promote urinary and intestinal elimination.
Prevent thrombophlebitis and blood clot formation.
Decrease the likelihood of pressure ulcer formation.
A patient with varicose veins asks how the condition develops. Which response by
the nurse is best?
Swelling of the vein is caused by bacteria.
Veins spasm and twist when they get damaged.
They are caused by poor function of the valves in your veins.
Veins become blocked by plaque from high-fat diets over time.
The nurse is assisting with admission of a patient experiencing symptoms of an
acute MI. Which activity would be the highest priority for this patient?
Relieve pain.
Note emotions.
Limit fluid intake.
Support the family.
A patient who develops chest pain says the pain is a 9 on a scale of 0 to 10.
Which action should the nurse take?
Notify the RN.
Apply telemetry.
Administer aspirin.
Listen to breathing sounds.
A patient reports acute pain and numbness in the left leg. The nurse notes the left
leg is pale and cooler than the right leg. What should the nurse do?
Notify the RN.
Elevate the left leg.
Administer pain medication.
Apply an extra blanket to the left leg.
The nurse is assisting with the care of a patient with an MI. Which specialized diet
should the nurse expect to be prescribed for this patient?
Soft diet
Full liquid
Edentulous diet
Clear liquid diet
A patient recovering from an MI asks for information about the types of meat that
can be eaten. What should the nurse respond to the patient?
Eat small amounts of any type of meat.
Eat only vegetables; you do not need to eat meat.
Eat lean red meat to help increase your iron levels.
Eat chicken and fish, keeping red meats to a minimum.
The nurse is reinforcing instructions provided to a patient to prevent the
development of varicose veins. Which patient statement indicates that teaching has been
Sit with legs crossed.
Wear support stockings.
Stand for long periods of time.
Sleep with the head of the bed elevated.
The nurse is teaching a patient about an upcoming cardiac catheterization and
coronary arteriogram. What information should the nurse include in this teaching?
You will be able to hear your heart beating.
You will see a lot of equipment in the room.
You will feel a heavy sensation throughout your body.
You will not feel anything because you will be anesthetized.
A patient being treated for an acute MI reports severe chest pressure, as if
someone is standing on my chest. What should the nurse do first?
Obtain vital signs.
Notify the physician.
Administer nitroglycerin.
Order an electrocardiogram.
The nurse is assisting with the care of a patient who is receiving an intravenous
infusion with potassium. The nurse realizes that fluids containing potassium are
administered slowly and cautiously to prevent which health problem?
Cardiac arrest
Fluid overload
Allergic reaction
Metabolic acidosis
The nurse is reinforcing teaching provided to a patient to decrease the risk of
atherosclerosis. Which patient statement indicates that teaching on how to reduce
triglycerides with lifestyle changes and prescribed medication was effective?
Eat a low-protein diet, limit activity, and take niacin.
Limit activity, eat a high-protein diet, and take aspirin.
Eat a high-fat diet, avoid smoking, and take daily furosemide (Lasix).
Perform daily exercise, eat a low-fat diet, and take gemfibrozil (Lopid).
The nurse is collecting data on a patient with an aortic aneurysm. Which
manifestation should the nurse expect to find?
Paralysis
Back pain
Chest pain
Ankle edema
The nurse is reinforcing teaching provided to a patient with Raynauds disease.
Which measure should the nurse include to prevent an attack?
Get plenty of outdoor exercise all year.
Keep affected body areas covered at all times.
Avoid stimulation that causes vasoconstriction.
Take vasopressors to prevent exacerbation of symptoms.
The nurse is reinforcing teaching provided to a patient with an aneurysm. Which patient statement indicates correct understanding of a dissecting aneurysm?
An outpouching of one side of the arterial wall.
A communication between an artery and a vein.
A separation of the inner layer of the arterial wall.
An enlargement of the entire circumference of the artery.
The nurse is collecting data on a patient with varicose veins. What should the
nurse document as a subjective finding of varicosities?
Ankle edema
Purple lesions
Aching of legs
Palpable nodules
The nurse is contributing to the plan of care for a patient with varicose veins.
Which position should be encouraged to reduce the patients pain?
Lie prone.
Cross legs.
Elevate legs.
Keep legs dependent.
The nurse is reinforcing teaching provided to a patient with coronary artery
disease. Which risk factor for an MI should be included in this patients teaching plan?
Age
Stress
Gender
Ethnicity
The nurse is caring for a patient with an abdominal aortic aneurysm. Which
statement indicates that the patient understands this condition?
A blood clot in a vein.
An incompetent valve in a large vein.
An outpouching in the wall of an artery.
A deposit of plaque in the wall of an artery.
The nurse is collecting data from a patient experiencing an MI. Which finding
should the nurse expect?
Flushed face
Extreme thirst
A moist cough
Profuse diaphoresis
A patient with a history of angina has several medications prescribed. Which
medication should the nurse administer when the patient reports chest pain?
Nitropaste
Aspirin PO
Digoxin PO
Nitroglycerin SL
The nurse is collecting data from a patient who has chronic venous insufficiency of
the lower extremities. Which finding should the nurse expect?
Leathery, brown skin
Diminished pedal pulse
Absence of pedal pulses
Pallor in the extremities
A patient being treated for cardiogenic shock has an order for captopril (Capoten).
Vital signs are blood pressure 120/70 mm Hg, pulse 85 beats/min, and respirations 16
breaths/min. What action should the nurse take regarding this medication?
Administer the dose.
Give the medication 1 hour later.
Hold the medication and notify the physician.
Ambulate the patient until blood pressure increases.
The nurse is contributing to the teaching plan of a patient who is prescribed
niacin. What specific recommendation should be included in the teaching plan?
Take with meals or milk to avoid gastrointestinal upset.
Take aspirin 30 minutes before niacin to reduce flushing.
Increase intake of fruits and vegetables to reduce constipation.
Take 30 minutes before morning and evening meals to avoid gastrointestinal upset.
The nurse is caring for a patient who is being prepared for coronary atherectomy.
Which order should the nurse expect to administer?
Diuretic
Beta blocker
An antiplatelet
Calcium channel blocker
The nurse is caring for a patient who has long-standing asthma and stable angina.
Which medication can the nurse safely provide to the patient?
Pindolol (Visken)
Nadolol (Corgard)
Atenolol (Tenormin)
Propranolol (Inderal)
The physician prescribes nitroglycerin for a patient with anterior MI. The patients
vital signs are apical pulse 52 beats/min and blood pressure 80/60 mm Hg. What action
should the nurse take?
Administer the drug as ordered.
Report the vital signs to the RN.
Recheck vital signs in 30 minutes.
Give medication at half the prescribed dose.
The nurse is reinforcing teaching provided to a patient with Buergers disease on
the most important modifiable risk factor. Which risk factor should the patient state that
indicates teaching has been effective?
Diet
Smoking
Sedentary lifestyle
Exposure to cold temperature
The nurse is reinforcing teaching provided to a patient who has been prescribed a
new medication. For which medication should the patient be instructed there is the
possibility of developing a cough when taking the drug?
Statin
Beta blocker
Calcium channel blocker
Angiotensin-converting enzyme inhibitor
A patient with low back pain is returning from an abdominal computed
tomography (CT) scan that revealed an aortic aneurysm. For which finding should the nurse
immediately intervene?
Patient reports sudden severe flank pain.
Patient BP goes from 144/78 mm Hg to 152/80 mm Hg.
Patient reports a sense of abdominal fullness after eating.
Patient informs the nurse of a family history of hypertension.
A patient scheduled for a carotid endarterectomy asks what is going to happen in
the procedure. What should the nurse explain to the patient?
Procedures are constantly changing, so I dont know what might be planned.
The procedure usually involves removing plaque from the lining of the carotid artery.
An endarterectomy is usually done on major vessels of the heart to prevent the need for
bypass surgery.
Typically a catheter is passed through a large vessel in your groin and threaded up into
your heart to allow the injection of dye.
A patient with chest pain is a candidate for thrombolytic therapy. How soon
should this medication be provided to the patient?
30 minutes
120 minutes
180 minutes
240 minutes
A patient reports that chest pain started at 2 pm. The nurse realizes that for
thrombolytic treatment to be most effective in dissolving a blood clot, it should be given by:
8 pm
9 pm
12 midnight
2 am
The nurse is concerned that a patient is at risk for MI because of the latest total
cholesterol level. Which level did the nurse use to cause this concern?
120 mg/dL
138 mg/dL
174 mg/dL
221 mg/dL
During a home visit, the nurse is reinforcing teaching provided about nitroglycerin
therapy. Which patient statement about the supply indicates that teaching has been
effective?
I need to replace my supply of nitroglycerin every 2 months.
I need to replace my supply of nitroglycerin every 4 months.
I need to replace my supply of nitroglycerin every 6 months.
I need to replace my supply of nitroglycerin every 10 months.
A male patient is prescribed a long-acting nitroglycerin medication for stable
angina. Which medication should the nurse remind the patient to avoid while taking the
nitroglycerin?
Sildenafil (Viagra)
Warfarin (Coumadin)
Penicillin (Pen-V-K)
Hydrochlorothiazide (HCTZ)
A patient is recovering from stent placement in an occluded coronary artery.
Which medication should the nurse expect to be prescribed for this patient?
Antiplatelet
Beta blocker
ACE-Inhibitor
Calcium channel blocker
The nurse is contributing to the plan of care for a patient experiencing chest pain
for 7 hours. The laboratory tests reveal elevated troponin I and myoglobin levels. What
action should the nurse take when caring for this patient? (Select all that apply.)
Elevate head of bed.
Encourage ambulation
Provide rest in bed or chair.
Offer regular diet with hot tea.
Provide bedpan for elimination.
The nurse is participating in the preparation of a seminar on coronary heart
disease for a group of community members. What should modifiable risk factors for
atherosclerosis should the nurse include in this presentation? (Select all that apply.)
Hypertension
Diabetes mellitus
Familial hyperlipidemia
Increased serum iron levels
Increased homocysteine levels
The nurse is caring for a patient with a cardiac history. Which actions should the
nurse take when administering diltiazem (Cardizem)? (Select all that apply.)
Monitor for constipation.
Monitor liver and renal functions during therapy.
Notify physician if heart rate is less than 50 beats per minute.
Obtain apical pulse and blood pressure before giving medication.
Notify physician if blood pressure is less than 90 mm Hg systolic.
The nurse is contributing to a patients teaching plan. What should be included
when teaching a patient about the use of nitroglycerin? (Select all that apply.)
Take tablet every morning.
Place tablet under the tongue.
Rise slowly after taking tablet.
Sit or lie down when taking tablet.
Take before activity known to cause angina.
The nurse is preparing to apply a nitroglycerin patch to a patient with stable
angina. What actions should the nurse take when providing this medication? (Select all that
apply.)
Apply the new patch before breakfast.
Wear gloves when applying the patch.
Encourage rest for 1 hour after applying the new patch.
Remove the previous patch before applying a new one.
Apply the new patch 30 minutes before removing the old one.
58. The spouse of a patient experiencing an acute MI does not understand why the
patient is receiving morphine sulfate for pain. What should the nurse explain to the patient
and spouse? (Select all that apply.)
Decreases anxiety
Opens bronchioles
Relieves chest pain
Decreases preload and afterload
Reduces myocardial oxygen needs
The nurse determines that a patient recovering from an acute MI is experiencing
activity intolerance. What findings did the nurse use to come to this conclusion? (Select all
that apply.)
Dizziness
Extreme diaphoresis
Nausea and vomiting
Heart rate 140 beats per minute
35 mm Hg increase in systolic blood pressure
