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