Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 27 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A administer sublingual nitroglycerin
B educate the client about his symptoms
C decrease anxiety
D enhance myocardial oxygenation
Question #2
A It is viselike and radiates to the shoulders and arms.
B It subsides after taking nitroglycerin.
C It is relieved by rest and inactivity.
D It is sudden in onset and prolonged in duration.
E It is substernal in location.
Question #3
A “Place the nitroglycerin tablet between cheek and gum.”
B “Only take one nitroglycerin tablet for each episode of angina.”
C “See if rest relieves the chest pain before using the nitroglycerin.”
D “Call 911 if you develop a headache following nitroglycerin use.”
Question #4
A The same type of activity that caused previous angina episodes.
B Coronary artery spasm.
C An unpredictable amount of activity.
D Activities that increase myocardial oxygen demand.
Question #5
A Amlodipine
B Atenolol
C IV nitroglycerin
D IV morphine
Question #6
A Prevention of another cardiac event
B Limit to the effects and progression of atherosclerosis
C Improved quality of life
D Return to work and the lifestyle experienced before the illness
Question #7
A Cardiogenic shock
B Raynaud’s disease
C Coronary artery disease
D Venous occlusive disease
Question #8
A shellfish allergy
B prior intracranial hemorrhage
C use of heparin
D recent consumption of a meal
Question #9
A chest pain of increased frequency, severity, and duration
B chest pain that occurs at rest and usually in the middle of the night
C prolonged chest pain that accompanies exercise
D radiating chest pain that lasts 15 minutes or less
Question #10
A .25 to .75
B 2.0 to 2.5
C 2.5 to 3.0
D .75 to 1.5
Question #11
A “The pain resolved after I ate a sandwich.”
B “The pain lasted about 45 minutes.”
C “The pain occurred while I was mowing the lawn.”
D “The pain got worse when I took a deep breath.”
Question #12
A Widened QRS complex
B Absent Q wave
C Elevated ST segment
D Prolonged PR interval
Question #13
A adenosine
B atropine sulfate
C protamine sulfate
D heparin
Question #14
A decreased white blood cell (WBC) count
B pericardial friction rub
C hypothermia
D decreased erythrocyte sedimentation rate (ESR)
Question #15
A Blood vessels
B Heart
C Uterus
D Bronchi
Question #16
A 3 minutes
B 60 minutes
C 30 minutes
D 15 minutes
Question #17
A High-density lipoprotein (HDL), 80 mg/dL
B Low density lipoprotein (LDL), 160 mg/dL
C Cholesterol, 280 mg/dL
D A ratio of LDL to HDL, 4.5 to 1.0
Question #18
A “I should avoid taking a tub bath until my catheter site heals.”
B “I should expect a low-grade fever and swelling at the site for the next week.”
C “I should expect bruising at the catheter site for up to 3 weeks.”
D “I should avoid prolonged sitting.”
Question #19
A Variant angina
B Stable angina
C Silent ischemia
D Unstable angina
Question #20
A “Client will verbalize an understanding of the need to call the physician if acute pain lasts more than 2 hours.”
B “Client will verbalize an understanding of the need to restrict dietary fat, fiber, and cholesterol.”
C “Client will verbalize the intention to avoid exercise.”
D “Client will verbalize the intention to stop smoking.”
Question #21
A cholesterol plugs in the lumen of veins
B blood clots in the arteries
C fatty deposits in the lumen of arteries
D emboli in the veins
Question #22
A Isosorbide mononitrate
B Metoprolol
C Clopidogrel
D Diltiazem
Question #23
A Creates a positive inotropic effect
B Decreases the sinoatrial node automaticity
C Increases the atrioventricular node conduction
D Increases the heart rate
Question #24
A Protamine sulfate
B Atropine
C Digoxin
D Sodium nitroprusside
Question #25
A Ativan 1 mg orally
B Chest x-ray
C Serum electrolytes
D Nitroglycerin SL
Question #26
A Decreases cholesterol level
B Increases cardiac output
C Decreases resting heart rate
D Decreases platelet aggregation
Question #27
A ST elevation
B Frequent premature atrial contractions (PACs)
C Isolated premature ventricular contractions (PVCs)
D Sinus tachycardia
Question #28
A Inform client of diagnostic tests.
B Withhold anticoagulant therapy.
C Assess distal pulses.
D Remove hair from skin insertion sites.
Question #29
A Coronary thrombosis
B Arteriosclerosis
C Raynaud’s disease
D Atherosclerosis
Question #30
A CK-MB
B Total creatine kinase
C Troponin
D Myoglobin
Question #31
A ST elevation
B decreasing R to R interval
C an absent P wave
D slowing heart rate
E T-wave inversion
Question #32
A “The total cholesterol level of 252 mg/dL warrants medication treatment alone.”
B “The low-density lipoproteins (LDL) pose a threat to plague formation and can cause a heart attack of stroke.”
C “The triglycerides levels measure good fat, so the higher the level, the less risk you are for a heart attack or stroke.”
D “The higher the high-density lipoproteins (HDL), the more at risk you are for heart damage or a stroke.”
Question #33
A Irrigate the urinary catheter
B Decrease intravenous fluids
C Prepare the client for diaylsis
D Increase intravenous fluids
Question #34
A an old MI.
B an evolving MI.
C a cardiac dysrhythmia.
D variant angina.
Question #35
A Cool, clammy skin and a diaphoretic, pale appearance
B Anxiousness, restlessness, and lightheadedness
C Intermittent nausea and emesis for 3 days
D Chest discomfort not relieved by rest or nitroglycerin
Question #36
A Morphine sulfate (Morphine)
B Nitroglycerin transdermal patch
C Isosorbide mononitrate (Isordil)
D Meperidine hydrochloride (Demerol)
Question #37
A To decrease homocysteine levels
B To dilate coronary arteries
C To decrease workload of the heart
D To prevent angiotensin II conversion
Question #38
A Urine output
B Hourly IV infusion
C Vascular sites for bleeding
D Prothrombin time (PT) or international normalized ratio (INR)
Question #39
A Within 6 hours
B Within 12 hours
C Within 5 to 7 days
D Within 24 to 48 hours
Question #40
A Assess the client’s level of anxiety and provide emotional support.
B Assess the client’s level of pain and administer prescribed analgesics.
C Ensure that the client’s family is kept informed of the client’s status.
D Prepare the client for pulmonary artery catheterization.
Question #41
A cardiac catheterization
B cardiac graft procedure
C balloon angioplasty
D balloon valvuloplasty
Question #42
A “How is your appetite?”
B “Do you have any breathing problems?”
C “Is your skin drier than normal?”
D “What color is your urine?”
Question #43
A If dizziness occurs, adjust the medication.
B Take the medication at the same time each day.
C Don’t suddenly stop taking the medication without calling your health care provider.
D Dress warmly. Blood circulation may be reduced in the extremities.
Question #44
A Gender bias
B Chest pain is typical
C Vague symptoms
D Decreased sensation to pain
Question #45
A Cardiogenic shock
B Raynaud’s disease
C Coronary artery disease
D Venous occlusive disease
Question #46
A low LDL level.
B fasting LDL level
C normal LDL level.
D high LDL level.
Question #47
A Aspirin
B Alteplase
C Clopidogrel
D Protamine sulfate
Question #48
A beta-adrenergic blocker
B diuretic
C nitrate
D calcium-channel blocker
Question #49
A Hypotension
B Abdominal obesity
C Dyslipidemia
D Insulin resistance
Question #50
A Absent Q wave
B Elevated ST segment
C Prolonged PR interval
D Widened QRS complex
Question #51
A potassium level of 6 mEq/L
B serum glucose of 124 mg/dL
C bilateral rales and rhonchi
D weight gain of 6 ounces
Question #52
A Count the respiratory rate for bradypnea.
B Measure urinary output for dehydration.
C Measure the blood pressure for hypertension.
D Check the radial pulse for dysrhythmias.
Question #53
A Accompanied by diaphoresis and dyspnea
B Described as crushing and substernal
C Relieved by rest and nitroglycerin
D Associated with nausea and vomiting
Question #54
A Potassium
B Sodium
C Magnesium
D Calcium
Question #55
A Examine for pain around the shoulder and neck region
B Examine the extremities for skin lesions.
C Examine the client’s mental and emotional status.
D Examine the legs for color, capillary refill time, and tissue integrity.
Question #56
A Gender
B Hyperlipidemia
C Race
D Obesity
E Tobacco use
Question #57
A C-reactive protein (CRP)
B Triglyceride
C High-density lipoprotein (HDL)
D Low-density lipoprotein (LDL)
Question #58
A The client states that sublingual nitroglycerin usually relieves his chest pain.
B The client exhibits a heart rate above 100 beats/minute.
C The client demonstrates ability to tolerate more activity without chest pain.
D The client verbalizes the intention of making all necessary lifestyle changes except for stopping smoking.
Question #59
A “Client verbalizes an understanding of the need to seek emergency help if heart rate increases markedly while at rest.”
B “Client walks 4 miles in 1 hour every day.”
C “Client’s 24-hour dietary recall reveals low intake of fat and cholesterol.”
D “Client performs relaxation exercises three times per day to reduce stress.”
Question #60
A a destroyed part of the heart muscle
B complete closure of an artery
C incomplete blockage of a major coronary artery
D a lack of oxygen in the heart muscle that causes the death of cells
Question #61
A Decrease anticoagulant or antiplatelet therapy.
B Apply manual pressure at the site of the insertion of the sheath.
C Review the results of the latest blood cell count, especially the hemoglobin and hematocrit.
D Notify the health care provider.
Question #62
A decreased white blood cell (WBC) count
B hypothermia
C decreased erythrocyte sedimentation rate (ESR)
D pericardial friction rub
Question #63
A an hourly urine output of 50 to 70 mL
B a serum BUN of 70 mg/dL
C a urine specific gravity reading of 1.021
D a serum creatinine of 1.0 mg/dL
Question #64
A Avoid subcutaneous injections
B Use an electric toothbrush
C Avoid the use of nail clippers
D Avoid continuous BP monitoring
Question #65
A Assess the client’s mental and emotional status.
B Assess the characteristics of chest pain.
C Assess the skin of the client.
D Assess for any kind of drug abuse.
Question #66
A Urinary tract infection (UTI)
B Hyperkalemia
C Atelectasis
D Elevated blood glucose level
Question #67
A Blood glucose concentration
B Mental alertness
C Inadequate tissue perfusion
D Activity intolerance
Question #68
A Gain I.V. access, give sublingual nitroglycerin, and alert the cardiac catheterization team.
B Alert the cardiac catheterization team, administer oxygen, attach a cardiac monitor, and notify the health care provider.
C Complete the client’s registration information, perform an electrocardiogram, gain I.V. access, and take vital signs.
D Administer oxygen, attach a cardiac monitor, take vital signs, and administer sublingual nitroglycerin.
Question #69
A Nausea, vomiting, depression, fatigue, and impotence.
B Sedation, nausea, vomiting, constipation, and respiratory depression.
C Headache, hypotension, dizziness, and flushing.
D Flushing, dizziness, headache, and pedal edema.
Question #70
A diabetes mellitus
B atherosclerosis
C renal failure
D myocardial infarction
Question #71
A Clopidogrel
B Metoprolol
C Diltiazem
D Isosorbide mononitrate
Question #72
A 9 days
B 30 minutes
C 6 to 12 months
D 60 minutes
Question #73
A Normal activities of daily living can be resumed the first day after surgery
B Cleanse the site with disinfectants and dress the wound appropriately
C Monitor the site for bleeding or hematoma.
D Refrain from sexual activity for 1 month
Question #74
A Store the drug in a cool, well-lit place.
B Restrict alcohol intake to two drinks per day.
C Repeat the dose of sublingual nitroglycerin every 15 minutes for three doses.
D Lie down or sit in a chair for 5 to 10 minutes after taking the drug.