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ACS / Interventional Cardiology

Total questions: 20

Worksheet time: 40mins

Name
Class
Date
1.

Name 6 non-modifiable & modifiable factors the nurse would instruct the patient about concerning atherosclerosis (3 factors each).

(a)  

2.

A patient is scheduled for an angiogram. The nurse should explain to the patient that the angiogram will confirm the diagnosis of occlusive arterial disease by

a)

Showing the location of the obstruction and the collateral circulation

b)

Scanning the affected extremity and identifying the areas of volume changes

c)

Using ultrasound to estimate the velocity changes in the blood vessels

d)

Determining how long the client can walk

3.

Which of the following explains the influence of aging on the development of peripheral vascular disease?

a)

Decreased resistance

b)

Decreased viscosity

c)

Increased resistance

d)

Increase Viscosity

4.

The nurse is caring for a patient with a venous thrombosis of the left lower extremity. To prevent further tissue damage, it is important for the nurse to observe for which of the following?

a)

Blood pressure and heart rate changes

b)

Gradual or acute loss of sensory and motor function

c)

Metabolic acidosis

d)

Swelling in the left lower extremity

5.

The nurse is taking a health history of a new patient. The patient reports experiencing pain in his left lower leg and foot when walking. This pain is relieved with rest. The nurse notes that the left lower leg is slightly edematous and is hairless. When planning this patient's subsequent care, the nurse should most likely address what health problem?

a)

Coronary artery disease (CAD)

b)

Intermittent claudication

c)

Arterial embolus

d)

Raynaud's disease

6.

A client is admitted to the emergency room with suspected acute anterior myocardial (left ventricular) infarction. The client is severely short of breath and presents with a new systolic murmur. Based on this assessment finding, which complication of MI would the nurse suspect?

a)

Cardiogenic Shock

b)

Papillary Muscle Rupture

c)

Cardiac Tamponade

d)

Pericarditis

7.

A client with coronary artery disease (CAD), is prescribed a beta blocker to manage their disease.  The nurse explains to the client that the primary purpose of using beta-adrenergic blockers in the management of CAD is to

a)

Prevent angiotensin II conversion

b)

Dilate coronary arteries

c)

Decrease homocysteine levels

d)

Decrease workload of the heart

8.

A client in the emergency department complains of squeezing substernal pain that radiates to the left shoulder and jaw. He also complains of nausea, diaphoresis, and shortness of breath. What should the nurse do?

a)

Administer oxygen, attach a cardiac monitor, take vital signs, and administer sublingual nitroglycerin.

b)

Complete the client's registration information, perform an electrocardiogram, gain I.V. access, and take vital signs.

c)

Gain I.V. access, give sublingual nitroglycerin, and alert the cardiac catheterization team.

d)

Alert the cardiac catheterization team, administer oxygen, attach a cardiac monitor, and notify the physician.

9.

The healthcare provider prescribes a beta blocker for a client who has had a myocardial infarction. The nurse should hold the medication and discuss the order with the healthcare provider if the client has

a)

Ventricular dysrhythmias

b)

A blood pressure of 100/80 mm Hg

c)

A heart rate of 62 bpm

d)

Bibasilar crackles in lung bases

10.

 Nadolol (Corgard) is prescribed for a patient with chronic stable angina and left ventricular dysfunction. To determine whether the drug is effective, the nurse will monitor for

a)

Decreased blood pressure and heart rate

b)

Fewer complaints of having cold hands and feet

c)

Improvement in the strength of the distal pulses

d)

The ability to do daily activities without chest pain

11.

A client who has recently started taking rosuvastatin (Crestor) and niacin (vitamin B3) reports all the following symptoms to the nurse. Which is most important to communicate to the health care provider?

a)

Dizziness when changing positions quickly

b)

Skin flushing after taking the medication

c)

Generalized muscle aches and pains

d)

Nausea when taking the drugs before eating

12.

Amlodipine is prescribed for a client with newly diagnosed Prinzmetal's (variant) angina. When teaching the client, the nurse will include the information that amlodipine will

a)

Help prevent clotting in the coronary arteries

b)

Reduce the "fight or flight response"

c)

Increase the force of myocardial contraction

d)

Decrease spasms of coronary arteries

13.

The nurse providing care for a patient post PTCA knows to monitor the patient closely. For what complications should the nurse monitor the patient? Select all that apply.

a)

Retroperitoneal bleeding

b)

Arterial occlusion

c)

Venous insufficiency

d)

Abrupt closure of the coronary artery

e)

Bleeding at the insertion site

14.

A client had a percutaneous transluminal coronary angioplasty (PTCA). What medication will the nurse administer to prevent thrombus formation in the stent?

a)

Diltiazem

b)

Isosorbide mononitrate

c)

Clopidogrel

d)

Metoprolol

15.

The nurse is preparing to discharge a patient who had recovered uneventfully from a percutaneous coronary intervention (PCI). The most important instruction that the nurse should include in the instructions is

a)

Resume regular medications as ordered

b)

Report immediately any change in color or temperature of the extremity

c)

Restrict heavy lifting >10 lbs. for one week

d)

Stop smoking and resume a low-fat, low cholesterol diet

16.

The patient is returning from a cardiac catheterization. The femoral artery approach was used for the procedure. The patient sneezes upon return. The nurse's priority intervention is to

a)

Measure vital signs

b)

Assess for urticaria

c)

Palpate pedal pulses

d)

Check the insertion site

17.

A nurse assesses a client who has just returned to a telemetry unit after having a coronary angiogram using the left femoral artery approach. The client's baseline blood pressure (BP) during the procedure was 132/74 mm Hg and the cardiac rhythm was a normal sinus throughout. Which assessment finding should indicate to the nurse that the client may be experiencing a complication?

a)

BP 144/78 mm Hg

b)

Pedal pulses palpable at +1

c)

Left groin soft with 1 cm ecchymotic area

d)

Apical pulse 132 beats per minute (bpm) with an irregular rhythm

18.

The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, "I always get a rash when I eat shellfish." Which of the following is the priority nursing action?

a)

Notify the provider of the client's allergy

b)

Attach a wristband indicating the client's allergy

c)

Ask the client if any other foods cause such a reaction

d)

Notify the dietary department of the client's allergy

19.

A patient is scheduled for a cardiac catheterization. The nurse should do which pre-procedure tasks? (Select all that apply)

a)

Insert a urinary drainage catheter

b)

Verify that written consent has been obtained

c)

Withhold food and oral fluids before the procedure

d)

Check for iodine sensitivity

e)

Administer all prescribed oral medications

20.

Which cardiac lab is an accurate/best indicator of myocardial injury?

a)

Troponin (TNI/TNT)

b)

Total CPK

c)

Lactate

d)

Myoglobin w/ Troponin

e)

BNP