Font size
WorksheetsCardiovascular System Multiple Choice Questions
Total questions: 76
Worksheet time: 38mins
Which of the following is the primary role of the heart?
Emotional control.
Pumping organ.
Thirst center.
Respiratory center.
Cardiac cells need a source of energy to maintain adequate contractility. Which of the following supplies oxygenated blood to the myocardium?
Carotid artery.
Coronary artery.
Cardiac artery.
Heart artery.
The PMI is located in the:
Left ICS, 5th MCL.
Left MCL, 5th ICS.
Right ICS, 5th MCL.
Right MCL, 5th ICS.
If Digitalis is to be administered, the nurse should check which pulse first?
Carotid.
Apical.
Brachial.
Radial.
CAD is more prevalent among:
Filipino-Hispanic.
African-American.
Pacific Islander.
Asian.
The pericardial space between the parietal and visceral layers holds ______ of pericardial fluid to lubricate the pericardial surface and cushion the heart.
5-20ml
5-20dl/ml
50-100 ml
1-3 ml
This encases and protects the heart from trauma and infection.
pericardial sac
visceral layer
parietal layer
interstitial
Right atrium receives ____________
Deoxygenated blood from the body via the superior vena cava and inferior vena cava.
Oxygenated blood from the body via the superior vena cava and inferior vena cava.
Deoxygenated blood from the body via the pulmonary artery
Oxygenated blood from the body via the pulmonary vein.
Right ventricle receives blood from the right atrium and pump it to the __________ via ____________
lung, pulmonary vein
lung, pulmonary artery
systemic circulation, aorta
systemic circulation, ventricle
Left ventricle receives
oxygenated blood from the lungs via the pulmonary artery
deoxygenated blood from the lungs via the pulmonary artery
oxygenated blood from the lungs via the pulmonary vein
deoxygenated blood from the lungs via the aorta
It is the largest and most muscular chamber.
right ventricle
left ventricle
right atrium
Right ventricle
Which of the following is true about atrioventricular valves?
The tricuspid is located at the left side
The mitral valve is located on the right side of the heart
The atrioventricular valves close at the beginning of ventricular contraction and prevent blood from flowing back in the atria from the ventricle
The valves open when ventricles relax.
It is considered as the main pacemaker that initiates heart beat
AV node
SA node
Purkinji fibers
The SA node generates electrical impulses
60-100 times per minute and is controlled by the sympathetic and parasympathetic nervous system
60-100 times per minute and is controlled by the sympathetic only
60-100 joules and is controlled by the sympathetic and parasympathetic nervous system
60-100 times mmH2O and is controlled by the sympathetic and parasympathetic nervous system
When the primary pacemaker fails the ________ - initiates and sustains the heart rate of __________
AV node, 40 – 60 beats per minute
AV node, 20 – 40 beats per minute
Bundle of his, 40- 60 beats per minute
Purkinji fiber, 40-60 mmHg
Purkinji fibers can act as pacemaker with a rate between__________
20-40 beats per minute
20-40 mmHg
30-40 beats per minute
40- 60 ml H2O
One properties of the heart is its ability to be repetitive and spontaneous. This is:
Excitability
Automaticity
Conductivity
Contractility
Refractoriness
While the ability to transmit impulses is what property of the heart?
Excitability
Automaticity
Conductivity
Contractility
Refractoriness
Its ability to pump blood belongs to what property?
Excitability
Automaticity
Conductivity
Contractility
Refractoriness
Inability of the heart to respond to new stimuli while in contraction is:
Excitability
Automaticity
Conductivity
Contractility
Refractoriness
This test is performed because it signals tissue necrosis
Chest Xray
2D echo
Cardiac biomarkers
Holter monitoring
A cardiac biomarker that rises 1-2 hours after an MI attack is
Myoglobin
Troponin I
Troponin T
CKMB
AST
________ - has a high affinity for myocardial injury and it rises within _______
Troponin I, 3 hours and persists for up to 7-10 days
Troponin T, 3 hours and persists for up to 7-10 days
Troponin I, 3 hours and persists for up to 3- days
Troponin I, 3 hours and persists for up to 10-15 days
________ is a cardiac specific enzyme that arises 4 – 6 hours and peaks at __________.
CK MB, 18 hours
troponin, 7 hours
AST, 8 hours
LDH, 16 hours
Cardiac biomarkers that arises within 24 hours is:
myoglobin
troponin
CK- MB
LDH
AST
What is the initial action for patients with ACS?
ECG
Oxygenation
obtain cardiac biomarkers
MRI
The top priority mngt for a patient with ACS is
ECG
Oxygenation
obtain cardiac biomarkers
MRI
Morphine SO4
It indicates ventricular relaxation. This is:
P wave
PR interval
QRS complex
ST segment
T wave
The ECG indicates STEMI, this means that:
A. A 100 % obstruction occurs
B. An 80% obstruction
C. No obstruction
D. No damage
The lipid profile measures
serum cholesterol
triglyceride
lipoprotein levels
all of the above
A modified form of low density lipoprotein means
An increase atherosclerotic plaques and increases clots
A decrease atherosclerotic plaques and decreases clots
No problem since it is low
An increase plaques and decrease clots
Which of the following places the client at high risk for heart disease?
CRP > 3 mg/ L
CRP < 1 mg/L
CRP > 2 mg/dl
CRP < 5 mg/L
Which of the following appears abnormal on an ECG when ischemia and injury occurs in the myocardium?
QRS interval.
P wave.
ST segment.
PR interval.
An increase in the creatine kinase-MB isoenzyme (CK-MB) can be caused by:
Cerebral injury.
Intramuscular injection.
Myocardial necrosis.
Skeletal muscle damage.
Which of the following is elevated after an hour of myocardial tissue necrosis?
Myoglobin.
Troponin.
CK-MB
AST
This is done to determine anatomical changes such as size, silhouette, and position of the heart.
Chest XRAY
Holter monitoring
ECG
Cardiac Catheterization
Which of the following is a correct statement?
Aldosterone promotes sodium excretion.
Aldosterone promotes potassium excretion.
Aldosterone prevents potassium excretion.
Aldosterone prevents potassium elimination.
Which of the following is not a principle in daily weight monitoring?
Same type of clothing.
Same nurse.
Same time of each day.
Same weighing scale.
A non invasive test where the client wears a monitor and an electrocardiographic tracing is recorded continuously over a period of 24 hours.
2D echo
Holter monitoring
Stress test monitoring
Cardiac Catheterization
A patient will undergo a cardiac catheterization. Which of the following pre procedure intervention is needed?
Ensure that informed consent has been obtained by the MD.
Foods are allowed because these does not interfere with the procedure
Client’s height and weight need not to be documented
Inform the patient that a general anesthesia will be administered
The WHO reveals that the NUMBER ONE cause of death from chronic diseases worldwide, using the 2020 estimate, is _______.
Tuberculosis
Diabetes Mellitus
Ischemic Heart Disease
Pneumonia
In the Philippines, which is the TOP Killer according to the Department of Health (2009 data)?
Asthma
Cancer
Tuberculosis
Cardiovascular Diseases
Which of the following dovetails the characteristics of hypoxemia?
Low oxygen in the tissues.
Low oxygen in the blood.
Hardening of the arteries
Buildup of fats, cholesterol in the artery walls
The most important action of Digitalis derivatives on the heart of a client with CHF is to:
Re-establish normal heart rhythm
Increase ventricular contractility.
Decrease AV node refractory period
What ECG changes would the nurse anticipate a client who is in chronic renal failure to demonstrate on assessment, given a potassium level of 6.5mEq/L?
Tall T waves.
Flattened T waves
U-wave.
ST-segment elevation
Clopidogrel (Plavix) is ordered by the physician for the patient who had myocardial infarction. The nurse is aware that she should frequently check for which of the following as a side effect of this drug?
Headache
Easy fatigue
Gum bleeding
Myalgia on exertion
The nurse must observe for signs of hyperkalemia when administering:
Sulfasalazine (Azulfidine)
Naloxone (Narcan)
Amiloride (Midamor)
Hydrochlorothiazide (HydroDIURIL)
48. The post anesthesia unit nurse reports the client receives intrathecal morphine intraoperatively for postoperative pain control. Because the client has received this medication, the client’s initial 24-hour postoperative care should include:
Frequent respiratory rate and sedation monitoring
Hourly blood glucose checks
Continuous cardiac telemetry
Strict fluid intake and output measurement
A patient has been taking Telmisartan (Micardis). When the patient asks for the action of this drug, the nurse is correct if she says that:
It inhibits calcium influx to cells
It blocks angiotensin receptors
It prevents conversion of angiotensin 1 to angiotensin 2
It produces direct peripheral vasodilation
The nurse should question an order of Metoprolol (Lopressor) when it prescribed for a client with:
Hypertension
Angina pectoris
Sinus bradycardia
Myocardial infarction
When cardiovascular disease is concern, reduction of saturated fats in the diet may be desired and substitutes of polyunsaturated fat may be recommended. When teaching about this diet, the nurse should instruct the client to avoid:
Fish
Corn oil
Salmon
Margarine
Part of a nurse’s responsibility is to provide information to the patient before discharge. Which of the following should not be omitted in the discharge instructions of the nurse?
Increase oral fluid intake with depletion of roughage in the diet.
Strict compliance with the treatment regimen should be observed.
Narcotic should be stored in a capped dark glass container and should be carried by the patient whenever possible. The drug can be used as a prophylaxis for angina attacks.
Encourage strenuous exercises daily and finish all activities in the morning to have full rest in the afternoon.
The nurse is teaching a client how to take nitroglycerin to treat angina pectoris. The client verbalizes an understanding of the need to take up three sublingual nitroglycerin (Nitrostat) tablets at 5-minute intervals, if necessary, and to notify the physician immediately if chest pain doesn’t subside within 15 minutes. The nurse knows that nitroglycerin may cause:
Nausea, vomiting, depression, fatigue, and impotence
Sedation, nausea, vomiting, constipation, and respiratory depression.
Headache, hypotension, dizziness and flushing
Flushing, dizziness, headache, and pedal edema.
The nurse in the coronary unit should observe for one of the more common complications of myocardial infarction, which is:
Hypokalemia
Anaphylactic shock
Cardiac dysrhythmia
Hepatic enlargement
Monitoring vital signs during and after MI attack is very important task for the nurse to do in order to detect the most common cause of death in MI patients which is dysrhythmia. The nurse is knowledgeable about this information if she checks for the presence of:
Paradoxical chest movement
Cheyne- Stokes respiration
Premature ventricular contractions
Charcot’s triad-
Three days after an eventful recovery from an acute myocardial infarction a client is to be moved out of the cardiac unit. The most important nursing function should be to:
Provide a sense of security for the client
Inform the family of the anticipated move
Select a room adjacent to the cardiac unit
Give the prescribed sedative before the move
After being medicated for anxiety, a client who has heart failure says to the nurse, “I guess you are too busy to stay with me.” The nurse’s best response in this circumstance would be:
I have to see other clients.
The medication will help you rest soon.
You will feel better; I will adjust your oxygen mask.
I have to go now
Despite initiation of therapy for endocarditis, a nursing client continues to be apprehensive and restless. Nursing action should include:
Teaching all the importance of rest
Administering antibiotics as ordered
Encouraging the expression of concerns
Explaining that everything will be all right
After being scheduled for a stress test, a client is obviously anxious. The most effective way for the nurse to help the client at this point would be to:
Administer a prescribed analgesic
Encourage the client to express feelings
Explain the procedure and postoperative course
Reassure the client that many people cope with this problem
A client with hemiplegia is staring blankly at the wall and complains of feeling like half a person. Initially, nursing care for this client should be directed at:
Distracting the client from self pity
Including the client in all decisions
Helping the client explore personal feelings
Preventing the client from developing contractures
The physician orders 3 units of whole blood for a client in hypovolemic shock after gastrointestinal hemorrhage. When administering blood, the nurse first verifies the type and cross-match to prevent administering a mismatched blood that can lead to:
Febrile, non-hemolytic complication
Anaphylactic reaction
Hemolytic reaction
Afebrile reaction
The nurse is planning care for a client after a tracheostomy. One of the client’s goals is to overcome verbal communication impairment. Which of the following interventions should the nurse include in the plan of care?
Make an effort to read the client’s lips to foster communication.
Encourage the client’s communication attempts by allowing him time to select or write words
Answer questions for the client to reduce his frustration
Avoid using a tracheostomy plug because it blocks the airway.
Before attempting to obtain a peripheral blood culture, the nurse uses povidone-iodine (Betadine) on the skin to:
Make the skin supple
Avoid drying the skin with alcohol
Eliminate surface bacteria that would contaminate the culture
Provide a cooling agent to diminish the feeling from the puncture wound
In order to produce ATP, which primary elements are needed?
Glucose and oxygen.
Glucose and carbon dioxide.
Glucose and nitrogen.
Oxygen and carbon dioxide.
In the case of anaerobic metabolism, the end product is:
Carbonic acid.
Lactic acid.
Nitric acid.
Muriatic acid.
66. Pericarditis is the inflammation of the: ________
pericardium
myocardium
endocardium
epicardium
A. Innermost layer of the heart. – endocardium B. Protective covering of the lungs. – pleura C. Thin and fibrous sac that encases the heart D. Muscular layer of the heart - myocardium
Innermost layer of the heart. – endocardium
Protective covering of the lungs. – pleura
Thin and fibrous sac that encases the heart
Muscular layer of the heart - myocardium
All of the following are the risk factors for the development of pericarditis except:
Cancer metastasis
Rheumatic endocarditis
Advancing age
Opening of the pericardium during cardiac surgery
The most prominent symptom of pericarditis is:
Generalized pruritus
Chest pain that may be felt also in the neck
Presence of murmur – for valvular disorders
Inability to breathe when in sitting position – sitting eases breathing
The nurse knows that the best position to decrease the chest pain associated with pericarditis is:
Supine
Flat on abdomen
Standing with feet apart
Sitting or leaning forward
One of the most dreaded complications of pericarditis is:
Pleural effusion –
Cardiac tamponade
Esophageal varices –
Hypovolemic shock
A client who is obtunded has a blood pressure of 80/35 after a blood transfusion. In an effort to support renal perfusion, the nurse administers dopamine (Intropin) at 2 micrograms/kg/min as ordered. The most relevant outcome indicating effectiveness of the medication for this client is:
A. A decrease in blood pressure
B. An increase in urinary output
C. A decrease in core temperature
D. An increase in level of consciousness
A client with a partial occlusion of the left common carotid artery is to be discharged while still receiving Coumadin. When discussing the adverse effect of Coumadin, the nurse should tell the client to consult the physician if:
A. Blood appears in the urine
B. Swelling of the ankles increases
C. The ability of the concentrate diminishes
The nurse should be aware that the medication most frequently used to relieve anxiety and apprehension in the client with pulmonary edema is:
Oxygen
Digitalis
Diuretic
Morphine sulfate
Lidocaine is considered to be an emergency drug because it can terminate arrhythmias. But careful monitoring of its most common side effect is still essential because it can cause:
Nephrotoxicity
Hepatotoxicity
Neurotoxicity
Ototoxicity
While the pacemaker catheter is being inserted, the client heart rate drops to 38. The drug that nurse should expect the physician to orders is:
Dopamine
Metoprolol
Atropine
Lidocaine
