Show:
CAD/MI
Heart Failure
Dysrhythmias/Code Management
Valve Diseases/Cardiac Testing and Surgeries
Cardiac Infections/Cardiomyopathy
100
Which condition most commonly results in CAD? A. Atherosclerosis B. Diabetes mellitus C. Myocardial infarction (MI) D. Renal failure
What is A. Atherosclerosis
100
Which symptom is most commonly associated with L-sided heart failure? A. Crackles B. Arrhythmias C. Hepatic engorgement D. Hypotension
What is A. crackles
100
Based on the prevalence and risk factors for Afib, which patient group is at highest risk for AF? A. Older adults B. Diabetics C. Substances abusers D. Pediatric cardiology patients
What is A. older adults
100
Medical treatment of CAD includes which procedure? A. Cardiac catheterization B. Coronary artery bypass surgery C. Oral medication administration D. Percutaneous transluminal coronary angioplasty
What is C. Oral medication administration
100
The client is diagnosed with acute pericarditis. Which S/S warrants immediate attention by the nurse? A. Muffled heart sounds B. Nondistended jugular veins C. Bounding peripheral pulses D. Pericardial friction rub
What is A. muffled heart sounds
200
Which action is the first priority of care for a client exhibiting S/S of CAD? A. Decrease anxiety B. Enhance myocardial oxygenation C. Administer sublingual nitroglycerin D. Educate the client about his symptoms
What is B. Enhance myocardial oxygenation
200
A pt. is prescribed diuretics for treatment of heart failure. Because of this therapy, the nurse pays particular attention to which lab test result? A. Peak and trough of meds B. Serum potassium C. Serum sodium D. PT and PTT
What is B. serum potassium
200
The nurse is caring for a pt. with CAD. The pt. reports palpitations and chest discomfort and the nurse notes a tachydysrhythmia on the ECG monitor. What does the nurse do next? A. Analyze the ECG strip B. Notify the health care provider C. Give supplemental oxygen D. Administer a narcotic analgesic
What is C. give supplemental oxygen
200
The client has just received a mechanical valve replacement. Which behavior by the client indicates a need for more teaching? A. The client takes prophylactic antibiotics B. The client uses a soft-bristle toothbrush C. The client takes an enteric-coated aspirin daily D. The client alternates rest with activity
What is C. the client takes an enteric-coated aspirin daily
200
A pt. has received a heart transplant for dilated cardiomyopathy. Because the pt. has a high risk for cardiac tamponade, of which S/S does the nurse immediately notify the HCP? A. Crackles and wheezes of the lungs B. Pulsus paradoxus and muffled heart sounds C. Hepatomegaly and ascites D. Dependent edema and fluid retention
What is B. pulsus paradoxus and muffled heart sounds
300
The nurse is administering a calcium channel blocker to the client diagnosed with a MI. Which assessment data would cause the nurse to question administering this med? A. Apical pulse is 64 B. Calcium level is elevated C. Telemetry shows occasional PVCs D. Blood pressure is 90/62
What is D. blood pressure is 90/62
300
Which of the following drug classes should be administered to a client with heart failure to maximize cardiac performance by increasing ventricular contractility? A. Beta-adrenergic blockers B. Calcium channel blockers C. Diuretics D. Inotropic agents
What is D. Inotropic agents
300
Client's ECG shows ST elevation in leads V2,V3, and V4. Which artery is most likely to be occluded? A. Circumflex artery B. Internal mammary artery C. L anterior descending artery D. R coronary artery
What is C. L anterior descending artery
300
What is the most common problem for the patient with valvular heart disease? A. Reduced cardiac output B. Difficulty coping C. Shortness of breath D. Altered body image
What is A. reduced cardiac output
300
In which type of cardiomyopathy does cardiac output remain normal? A. Dilated B. Hypertrophic obstructive C. Obliterative D. Restrictive
What is B. hypertrophic obstructive
400
The client who has had a MI is admitted to the telemetry unit from intensive care. Which referral would be most appropriate for the client? A. Social worker B. Physical therapy C. Cardiac rehabilitation D. Occupational therapy
What is C. Cardiac rehab
400
The nurse is assessing a pt with R-sided heart failure. Which assessment findings does the nurse expect to see in this pt.? Select all that apply A. Dependent edema B. Weight loss C. Polyuria at night D. Hypotension E. Hepatomegaly F. Angina
What is A, C, E
400
Which intervention should the nurse implement when defibrillating a client who is in ventricular fibrillation? A. Defibrillate the client at 50, 100, and 200 joules B. Do not remove the oxygen source during defibrillation C. Place petroleum jelly on the defibrillator pads D. Shout "all clear" prior to defibrillating the client
What is D. shout "all clear" prior to defibrillating the client
400
Long-term anticoagulant therapy for a pt. with valvular heart disease and chronic Afib includes which drug? A. Heparin sodium B. Warfarin sodium (Coumadin) C. Diltiazem (Cardizem) D. Enoxaparin (Lovenox)
What is B. warfarin sodium (coumadin)
400
If medical treatment for cardiomyopathy fails, the nurse should prepare the client for which of the following procedures? A. Cardiac catheterization B. Coronary artery bypass graft (CABG) C. Heart transplantation D. Intra-aortic balloon pump (IABP)
What is C. heart transplantation
500
The nurse is caring for a client diagnosed with a MI who is experiencing chest pain. Which interventions should the nurse implement? Select all that apply A. Administer morphine IM B. Administer an aspirin orally C. Apply oxygen via a nasal cannula D. Place the client in a supine position E. Administer nitroglycerin subcutaneously
What is B,C
500
The nurse is teaching a pt. with heart failure about S/S that suggest a return or worsening of heart failure. What does the nurse include in the teaching? Select all that apply A. Rapid weight loss of 3 lbs in a week B. Increase in exercise tolerance lasting 2-3 days C. Cold symptoms (cough) lasting more than 3-5 days D. Excessive awakening at night to urinate E. Development of dyspnea or angina at rest or worsening angina F. Increased swelling in the feet, ankles, or hands
What is C, D, E, F
500
The client is in Vfib. Which interventions should the nurse implement? Select all that apply A. Start CPR B. Prepare to administer the antidysrhythmic adenosine IVP C. Prepare to defibrillate the client D. Bring the crash cart to the bedside E. Prepare to administer the antidysrhythmic amiodarone IVP
What is A, C, D, E
500
The healthcare provider recommends to a pt. that diagnostic testing be performed to assess for valvular heart disease. The nurse teaches the pt. about which test that is commonly used for this purpose?
What is Echocardiography
500
A pt. had an emergency pericardiocentesis for cardiac tamponade. Which nursing interventions are included in the postprocedural care for this pt? Select all that apply A. Closely monitor for the recurrence of tamponade B. Be prepared to provide adequate fluid volumes to increase cardiac output C. Be prepared to assist in emergency sternotomy if tamponade recurs D. Administer diuretics to decrease fluid volumes around the heart E. Send the pericardial effusion specimen to laboratory for culture
What is A, B, C, E