Assessment Of The Cardiac System

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Question 1
Free
Multiple Choice

The nurse establishing teaching priorities for a community health program would rank cardiovascular disease as a cause of death as

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A

first.

B

fifth.

C

seventh.

D

tenth.

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Question 2
Free
Multiple Choice

The nurse would explain that angina pain usually differs from the pain of a myocardial infarction (MI) in that angina pain

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A

is accompanied by palpitations.

B

is seldom relieved by rest.

C

lasts less than 15 minutes.

D

radiates to the arm, jaw, or throat.

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Question 3
Free
Multiple Choice

The nurse assessing an American Indian client would assess for other cardiovascular risk factors because the prevalence of heart disease in this group is

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A

no different from other ethnic groups and all should be assessed.

B

the highest of all ethnic groups in America.

C

the second highest of all ethnic groups in America.

D

varies widely between different geographical locations.

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Question 4
Free
Multiple Choice

A client's record contains a notation that the client is orthopneic. Which question by the nurse would obtain the most useful information?

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A

"About how far can you walk before it occurs?"

B

"Does anyone else in your family have this too?"

C

"How many pillows do you need to sleep on?"

D

"When did you first notice this problem?"

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Question 5
Free
Multiple Choice

The nurse would explain to a client who reports being frequently short of breath that the most common form of dyspnea associated with cardiac disorders is

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A

exertional dyspnea.

B

idiopathic dyspnea.

C

orthopnea.

D

paroxysmal nocturnal dyspnea.

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Question 6
Multiple Choice

The nurse performing an admission assessment of a 36-year-old client with cardiac valve disease would know the most relevant fact is that the client has

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A
a childhood history of rheumatic fever.
B
a recent rash on the upper extremities.
C
allergies to shellfish.
D
been a smoker for the last 3 years.
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Question 7
Multiple Choice

The finding during a routine assessment that would most strongly suggest to the nurse the presence of serious heart or lung disease is

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A
blanching of nail beds when compressed.
B
broken vessels in the legs.
C
duskiness of the buccal mucosa.
D
pulse rate greater than 90 beats/min.
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Question 8
Multiple Choice

During the physical examination of a client, the nurse checks the client for neck vein distention. To perform this assessment properly, the client should be positioned

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A
first lying, then sitting, then standing.
B
in a side-lying position with knees flexed.
C
lying supine with head of bed elevated 15-30 degrees.
D
sitting upright with neck flexed slightly forward.
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Question 9
Multiple Choice

The nurse evaluating the head and neck of a client would assess the carotid arteries by

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A
asking the client to bear down and hold the breath while observing the arteries.
B
auscultating the arteries with the diaphragm of the stethoscope.
C
instructing the client to lie down and examining the arteries with oblique lighting.
D
palpating the arteries simultaneously, comparing amplitudes, rates, and rhythms.
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Question 10
Multiple Choice

The nurse palpating the precordium of a 73-year-old client for the point of maximal intensity (PMI) would place the hands

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A
at Erb's point in an elderly client.
B
at the level of the sternal manubrium.
C
at the fifth intercostal space, medial to the midclavicular line.
D
to the left of the angle of Louis.
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Question 11
Multiple Choice

The nurse auscultating heart sounds would recognize that the normal closure of the mitral and tricuspid valves creates the

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A
apical pulse.
B
atrial gallop.
C
S1 heart sound.
D
S2 heart sound.
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Question 12
Multiple Choice

The nurse is attempting to identify the timing of a murmur detected in a client. The additional activity necessary to make this assessment would be

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A
assessment of blood pressure.
B
estimation of the client's fluid status.
C
evaluation of peripheral pulses.
D
identification of S1 and S2.
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Question 13
Multiple Choice

In doing a breath sound assessment on a client who has left ventricular failure, the nurse would anticipates the finding of

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A
audible S3 and S4.
B
crackles in the lung bases.
C
inspiratory wheeze.
D
pericardial friction rub.
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Question 14
Multiple Choice

The nurse would explain to a client that the isoenzyme most useful in the diagnosis of myocardial infarction is

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A
CK-MB.
B
CK-MM
C
myoglobin.
D
troponin
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Question 15
Multiple Choice

A client who had a myocardial infarction has an elevated blood glucose level and is getting insulin. The client asks why this is occurring because the client does not have diabetes. The best answer by the nurse is

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A
"I am not sure, but I will ask the doctor and let you know."
B
"It is an expected side effect of the medications we gave you."
C
"The stress of your heart attack makes blood sugar rise."
D
"You probably are a diabetic and weren't diagnosed until now."
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Question 16
Multiple Choice

The nurse would explain to a client that an electrical representation of the cardiac cycle shows that a normal PR interval is between 0.12 second and

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A
0.15 second.
B
0.16 second.
C
0.18 second.
D
0.20 second.
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Question 17
Multiple Choice

A nurse understands that the basic premise of an ECG is that it shows

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A
altered electrical activity from pathologic changes.
B
damage to the valves inside the heart.
C
the status of the client's coronary arteries.
D
the approximate time since a myocardial infarction occurred.
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Question 18
Multiple Choice

In evaluating a client's ECG tracing, the nurse notes three small squares between the upstroke and downstroke of the QRS wave. The nurse would record the QRS interval as

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A
0.04 second.
B
0.06 second.
C
0.08 second.
D
0.12 second.
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Question 19
Multiple Choice

The nurse would explain to a client that the benefit of a Holter monitor over an ECG is that the Holter monitor

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A
does not require a lengthy hospital stay.
B
is a continuous recording, often for 24 hours.
C
is less expensive than the traditional ECG.
D
provides a two-dimensional view of the coronary arteries.
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Question 20
Multiple Choice

The nurse would explain to a client that an exercise ECG is useful as one means of detecting

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A
cardiac dysrhythmias.
B
coronary artery disease.
C
heart failure.
D
valvular disorders.
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