A 51-year-old male is at the health clinic for an annual physical exam. After walking from the car to the clinic, he developed substernal pain. He also reported discomfort in his left shoulder and his jaw, lasting 2 to 3 minutes and then subsiding with rest. He indicates that this has occurred frequently over the past few months with similar exertion. The nurse suspects he is most likely experiencing:

| November 30, 2016

QUESTION 1

A 51-year-old male is at the health clinic for an annual physical exam. After walking from the car to the clinic, he developed substernal pain. He also reported discomfort in his left shoulder and his jaw, lasting 2 to 3 minutes and then subsiding with rest. He indicates that this has occurred frequently over the past few months with similar exertion. The nurse suspects he is most likely experiencing:
a. Stable angina
b. Unstable angina
c. Prinzmetal angina
d. Myocardial infarction (MI)

1 points
QUESTION 2

An 82-year-old female was admitted to the hospital with confusion and severe hypotension. Her body’s compensatory mechanisms are increased heart rate, vasoconstriction, and movement of large volumes of interstitial fluid to the vascular compartment. What kind of shock does the nurse suspect the patient is experiencing?
a. Anaphylactic
b. Hypovolemic
c. Neurogenic
d. Septic

1 points
QUESTION 3

Most cases of combined systolic and diastolic hypertension have no known cause and are documented on the chart as _____ hypertension.
a. Primary
b. Secondary
c. Congenital
d. Acquired

1 points
QUESTION 4

A 65-year-old male presents for a routine checkup. A blood pressure check reveals a systolic pressure of 160 mm Hg and a diastolic pressure of 70 mm Hg. Which of the following is the most likely cause of this type of pressure elevation?
a. Vasospasm
b. Rigidity of the aorta
c. Decreased sodium intake
d. Lung disease

1 points
QUESTION 5

A 65-year-old female presents to the emergency department reporting difficulty swallowing and shortness of breath. A CT scan would most likely reveal an aneurysm in the:
a. Cerebral vessels
b. Renal arteries
c. Inferior vena cava
d. Thoracic aorta

1 points
QUESTION 6

A 30-year-old Caucasian female was recently diagnosed with primary hypertension. She reports that she eats fairly well, usually having red meat and potatoes daily. She also reports that her father has hypertension as well. A nurse determines which of the following risk factors is most likely associated with this diagnosis?
a. Race
b. Diet
c. Age
d. Genes

1 points
QUESTION 7

While planning care for a patient with superior vena cava syndrome (SVCS), which principle should the nurse remember? SVCS is a progressive _____ of the superior vena cava (SVC) that leads to venous distention of the upper extremities and head.
a. Inflammation
b. Occlusion
c. Distention
d. Sclerosis

1 points
QUESTION 8

A 65-year-old male is transported to the ER for chest pain. An electrocardiogram reveals a prolonged QRS interval. What is the nurse monitoring when the nurse observes the QRS complex on the electrocardiogram? The QRS complex reflects:
a. Ventricular activity
b. Pulmonary artery closure
c. Mitral valve opening
d. Aortic valve closing

1 points
QUESTION 9

A 32-year-old female presents with lower leg pain, with swelling and redness. While obtaining the patient’s history, which finding could have caused her condition?
a. Venous thrombus
b. Heart valve damage
c. Bacterial infection
d. Atherosclerosis

1 points
QUESTION 10

A 50-year-old male visits the cardiologist for an EKG. Results indicate that he has no PR interval and a variable QRS rate with rhythm irregularity. Which of the following is the most likely diagnosis to be recorded on the chart?
a. Atrial tachycardia
b. Atrial fibrillation
c. Sinus dysrhythmia
d. Idioventricular rhythm

1 points
QUESTION 11

A 70-year-old female is in the hospital for pelvic fracture. She develops pulmonary thromboembolism. The nurse realizes this embolus is composed of:
a. Fat
b. Air
c. Tissue fragment
d. Blood clot

1 points
QUESTION 12

When a nurse checks the patient for orthostatic hypotension, what did the nurse have the patient do?
a. Physical exertion
b. Eat
c. Stand up
d. Lie down

1 points
QUESTION 13

When a patient has a massive pulmonary embolism (PE), what complications will the nurse monitor for?
a. Damage to the lung microcapillaries
b. Chronic obstructive pulmonary disease (COPD)
c. Disseminated intravascular coagulation (DIC)
d. Shock and death

1 points
QUESTION 14

A 50-year-old male is diagnosed with orthostatic hypotension. Which of the following symptoms would he most likely experience?
a. Headache and blurred vision
b. Nausea and vomiting
c. Chest pain and palpitations
d. Syncope and fainting

1 points
QUESTION 15

A 60-year-old male undergoes surgery for a bone fracture. Which of the following nursing measures would be most effective for preventing pulmonary embolism (PE) in this patient?
a. Ensure that patient uses supplemental oxygen.
b. Prevent deep vein thrombosis formation.
c. Check hematocrit and hemoglobin levels frequently during the postoperative period.
d. Promote aggressive fluid intake.

1 points
QUESTION 16

A 50-year-old female presents with a low heart rate and low blood pressure. She is given an intravenous (IV) infusion of fluids. The increase in atrial distension results in:
a. Renal retention of fluids
b. Depressed myocardial contractility
c. Release of acetylcholine
d. Increased heart rate

1 points
QUESTION 17

A 54-year-old male is diagnosed with left bundle branch block. Which of the following structures would not receive an electrical impulse?
a. Atrioventricular (AV) node
b. Sinoatrial (SA) node
c. Bundle of His
d. The left ventricle

1 points
QUESTION 18

What term should the nurse document for a detached blood clot?
a. Thrombus
b. Atherosclerosis
c. Thromboembolus
d. Infarction

1 points
QUESTION 19

Which organ should the nurse monitor closely since it is often the first to fail in patients with multiple organ dysfunction syndrome (MODS)?
a. Liver
b. Heart
c. Lungs
d. Pancreas

1 points
QUESTION 20

Which condition should cause the nurse to assess for high-output failure in a patient?
a. Increase in thiamine
b. Hypothyroidism
c. Hypovolemia
d. Severe anemia

1 points
QUESTION 21

Which of the following findings in the patient with Raynaud disease would indicate a need for further teaching?
a. The patient eats bananas twice a day.
b. The patient smokes cigarettes.
c. The patient wears mittens outside.
d. The patient takes calcium channel blockers.

1 points
QUESTION 22

A 5-year-old female is found to have hypertension during three separate visits to her primary care provider. The nurse would expect tests to suggest that the hypertension is secondary to:
a. Renal disease
b. Brain tumor
c. Hypocalcemia
d. Hyponatremia

1 points
QUESTION 23

A 50-year-old female received trauma to the chest that caused severe impairment of the primary pacemaker cells of the heart. Which of the following areas received the greatest damage?
a. Atrioventricular (AV) node
b. Sinoatrial (SA) node
c. Bundle of His
d. Ventricles

1 points
QUESTION 24

A 28-year-old female presents with severe chest pain and shortness of breath. She is diagnosed with pulmonary embolism, which most likely originated from the:
a. Left ventricle
b. Systemic arteries
c. Deep veins of the leg
d. Superficial veins of the arm

1 points
QUESTION 25

A 68-year-old female is experiencing left heart failure. Physical exam reveals elevated blood pressure. The nurse understands this is most likely caused by:
a. Sympathetic nervous system compensation for decreased cardiac output
b. Stress hormones promoting increased cardiac contractility
c. Cardiotoxic effects of catecholamines and angiotensin
d. Diastolic dysfunction

1 points
QUESTION 26

A 62-year-old male presents to his primary care provider reporting chest pain at rest and with exertion. He does not have a history of coronary artery disease and reports that the pain often occurs at night. He is most likely experiencing which type of angina?
a. Unstable
b. Stable
c. Prinzmetal
d. Silent

1 points
QUESTION 27

A 65-year-old male is diagnosed with chronic pulmonary disease and elevated pulmonary vascular resistance. Which of the following heart failures should the nurse assess for in this patient?
a. Right heart failure
b. Left heart failure
c. Low-output failure
d. High-output failure

1 points
QUESTION 28

A 52-year-old male is diagnosed with primary hypertension. He has no other health problems. Present treatment would cause the nurse to anticipate administering which drug to the patient?
a. A beta-adrenergic agonist
b. An alpha-adrenergic agonist
c. A diuretic
d. A calcium channel agonist

1 points
QUESTION 29

A 59-year-old female is diagnosed with left ventricular failure. If a decrease in kidney perfusion occurs, the nurse knows this would ultimately cause:
a. Decreased left ventricular preload
b. Increased pulmonary capillary permeability
c. Increased systemic vascular resistance
d. Decreased cardiac oxygen demand

1 points
QUESTION 30

A 60-year-old male presents to his primary care provider reporting chest pain. He is diagnosed with atherosclerosis. This disease is caused by:
a. Arterial wall thinning and weakening
b. Abnormally dilated arteries and veins
c. Abnormal thickening and hardening of vessel walls
d. Autonomic nervous system imbalances

1 points

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