1.

A client with peripheral arterial disease complains of leg pain when walking and reports relief when in
rest. The nurse’s correct intervention for the client will include

a. Elevating legs above the heart level when sleeping.

b. Massaging legs 3x a day.

c. Placing patient in semifowlers position knees extended.

d. Applying warm compress 10x a day.

2. Which of the following activities will constitute to primary hypertension?

a. Smoking marijuana 3x a week

b. Drinking alcoholic beverages of 5-6 cans/day

c. Eating canned foods every other day

d. Consuming -3 cups of coffee per day

4. A patient with a history of Hypertension, admitted due to social withdrawal and decrease ADL. Which
to assess first?

a. BP

b. Lifestyle and sleep patterns

c. Level of cognition

d. Social Life

5. Which of the following is appropriate to ask in obtaining the history of a client with mitral valve
stenosis?

a. “Are you taking any long term drug?”

b. “Have you experienced any childhood sickness?”

c. “Do you engage yourself in smoking?”

d. “Are you consuming high fat foods?”

A. Kayexalate

B. Lasix

C. Simvastatin

D. Digoxin

E. Lipitor

7. A patient with pacemaker was assigned to the nurse. When does the nurse need to intervene?

a. “I will remind the airport security for having a pacemaker”

b. “I will avoid sexual intercourse because it might dislodge my pacemaker”

c. “I need to avoid contact sports”

d. “I should come back to my health care provider about 10 years to have a battery change”

8. Which is a correct understanding regarding MI?

a. Weight daily

b. Use salt substitutes

c. Administer Digoxin to prevent cardiac dysrrhytmias

d. Sexual activity can be resumed after the patient can step a flight of stair

9.A nurse reviews the electrolyte results of an assigned client and notes that the potassium level is 6.4
mEq/L. Which of the following would the nurse expect to note on the electrocardiogram as a result of
the laboratory value?

a. Tall peaked T waves

b. Prominent U waves

c. ST depression

d. Inverted T waves

10.A client is diagnosed with varicose veins. A nurse develops a plan of care for the client and includes
which client position/activity in the plan?

A. Bed rest with the affected extremity in a dependent position.

C. Bed rest with the affected extremity kept flat.

D. Bed rest with elevation of the affected extremity.

11.A nurse provides discharge instructions to a postoperative client who is taking warfarin sodium
(Coumadin). Which statement, if made by the client, reflects the need for further teaching?

A. "I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated."

B. "I will be certain to limit my alcohol consumption."

C. "I will take my pills every day at the same time."

D. "I have already called my family to pick up a Medic-Alert bracelet."

12. A client has a serum potassium of 3 mEq/L and is complaining of anorexia. A physician orders a
digoxin level to rule out digoxin toxicity. A nurse checks the results, knowing that which of the following
is the therapeutic serum level (range) for digoxin?

A. 0.5 to 2 ng/mL

B. 1.2 to 2.8 ng/mL

C. 3 ng/mL

D. 3.5 ng/mL

13.A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator
(t-PA). Which of the following is a priority nursing intervention?

A. Have heparin sodium available.

B. Monitor for renal failure.

C. Monitor for signs of bleeding.

D. Monitor psychosocial status.

14. A home health nurse instructs a client about the use of a nitrate patch. The nurse tells the client
which of the following that will prevent client tolerance to nitrates?

A. Do not remove the patches.

B. Have a 12-hour "no nitrate" time.

C. Have a 24-hour "no nitrate" time.

D. Keep nitrates on 24 hours, then off 24 hours.

15. A client is admitted to a medical unit with nausea and bradycardia. The family hands a nurse a small
white envelope labeled "heart pill." The envelope is sent to pharmacy and reveals digoxin (Lanoxin). A
family member states, "That doctor doesn't know how to take care of my family." The most therapeutic
response by the nurse would be
A. "You are concerned your loved one receives the best care."

B. "You're right! I've never seen a doctor put pills in an envelope."

C. "I think you're wrong. That physician has been in practice over 30 years."

D. "Don't worry about this. I'll take care of everything."

16. How many joules is the maximum electricity output that is needed for defibrillation?

a.360joules

b.300joules

c.50 joules

d.200 joules

17. The client becomes pulseless with a monitored rhythm of ventricular tachycardia ff a motor vehicle
accident and a fractured right femur. The nurse should prepare for:

a. Mechanical ventilation and administration of sodium bicarbonate.

b.CPR and Ephinephrine IV push.

c. Atropine IV and intubation with mechanical ventilation.

d. Isoproterenol (Isuprel) followed by CPR.

18. Discharge teaching for a client with angina includes a complete review of nitroglycerine usage. The
nurse tells the client that sublingual nitroglycerine nitroglycerine can be used after the vial has been
opened for up to:

a. one week

b. one month

c. four months

d. six months

19. What advice should the nurse give a client who takes sublingual nitroglycerin tablet without relief of
pain?

a. Go to the emergency department

b. Take another tablet sublingually

d. Double the strength of the next dose

20. A client is admitted to the hospital with symptoms of left-sided heart failure. The physician prescribes
Digoxin (Lanoxin) 0.125 mg daily and a low-sodium diet. When assessing this client, the nurse should
expect to find which sign or symptom?

a. Tingling sensation in fingers

b. Dyspnea

c. Abdominal distention

d. Engorged neck veins

21. The physician has prescribed nitroglycerin sublingual tablets as needed for a client with angina. The
nurse should tell the client to take the medication:

a. after engaging in strenuous activity

b. every 4 hours to prevent chest pain

c. as soon as he notices signs of chest pain

d. at bedtime to prevent nocturnal angina

22. A client is admitted with sickle cell crisis Upon assessing the client, the nurse would expect to find:

a. Decreased WBC

b. Moist mucus membranes

c. Decreased ESR

d. SOB and pain

23. Which of the ff lab studies should be done periodically if the client taking warfarin sodium
(Coumadin)?

a. Stool specimen for occult blood

b. White blood cell count

c. Blood glucose

d. Erythrocyte count

24 A client comes to the emergency department complaining of chest pain. An electrocardiogram (ECG)
reveals myocardial ischemia and an anterior-wall myocardial infarction(MI). Which ECG characteristic
indicates myocardial injury?

a. Prolonged PR interval

b. Absent Q wave
 c. Elevated ST segment

d. Widened QRS complex

25. Which of the ff is the most accurate and sensitive cardiac enzyme to confirm MI?

a.CK-MB

b.Troponin I and T

c.Myoglobin

d.LDH

26.What Cardiac enzyme is specific to myocardial damage?

a. CK MB

b. Troponin

c. Myoglobin

d. LDH

27. Which of the following actions should the murse take when administering Nitroprusside(Nipride)?

a. Mix the solution in normal saline

b. Administer the drug by IV push

c. Monitor neuro checks and VS every hour

d. Wrap IV bottle and tubing with aluminum foil

28.What is the drug of choice for patients having variant (prinzemetal angina)?

a. calcium channel blockers

b. apresoline

c. atropine sulfate

d. dopamine

29.The nurse should prepare Mr. Filano for which of the following emergency treatments for cardiac
tamponade?

a. Pericardiorrhaphy c. Pericardectomy

b. Periacardiolysis d. Pericardiocentesis
Situation: LANCELOT was admitted to the coronary care unit 1 day ago with an acute myocardial
infarction (MI). His vital signs and heart rhythm stabilized during the night, but this morning the nurse
has found him cold, pale, diaphroretic and confused.

30..LANCELOT blood pressure has fallen to 80/60 mm Hg; pulse is thread at 118 beats/minute; and
respirations are rapid and shallow at 36 breaths/s minute.. Based on these findings, what is the most
probable diagnosis?

a. Cardiogenic shock c. Cardiomyopathy

B.Thromboembolismd. Cardiac tamponade

31.After Lancelot’s condition has been stabilized in the emergency department, he’s admitted to the
coronary care unit with a suspected diagnosis of an acute myocardial infarction. Increased serum levels
of the isoenxyme CK-MB can be detected how soon after the onset of chest pain?

a. 30 minutes to 1 hour c. 4 to 6 hours

b. 2 to 3 hours d. 12 to 18 hours

32.When providing care for Mr. lancelot the nurse should avoid which route when taking a temperature?

a. Oral c. Axillary

b. Rectal d. Tympanic

33.A primary nursing care goal for Lancelotis to recognize the life-threatening complication of a
myocardial infarction (MI). The major cause of death after an MI is:

a. Cardiogenic shock c. Pulmonary embolim

b. Heart failure d. Cardiac arrhythmia

34.Rheumatic fever is commonly associated with a history of infection by which organism?

a. Haemophilus influenza

b. Group A streptococcus

c. Pneumococcus

d. Staphylococcus aureus

35. After a series of laboratory test. It was determined that the client has MI. which of the following
nursing management will the nurse anticipate to give? SATA

a. ASA

b. Demerol

c. Morphine

d. Nitroglycerine
e. Amiodarone hydrochloride

f. Oxygen via nasal cannula @ 2-5L/min

36. Which of the following statements is incorrect about pacemakers?

a. It is an electronic device that provides electrical stimuli to the heart

b. One of the problem that can occur is rhythmic diaphragmatic/chest wall twitching or hiccupping
cause by myocardial wall perforation

c. Pulse generator is external and surgically implanted in the subcutaneous pocket below the
clavicle

d. It can be powered by lithium battery with an average life span of 10 years, nuclear battery with
an average life span of 20 years or longer, or designed to be charged externally

37. Which of the following conditions will increase the risk of having a large abdominal aortic
aneurysm rupture?

a. High Blood Pressure

b. Hyperglycemia

c. Dehydration

d. Anemia

39..Mr. yi shun shin severe left-sided heart failure will lead to a decreased in the total amount ejected
per minute. This quantity is known as:

a. Stroke volume c. Cardiac output

b. Ejection d. Heart rate

40.The doctor prescribes dopamine (Intropin) to improve Mr. Harking’shemodynamic status. The nurse
knows that this drug is prescribes to:

a. Decrease the oxygen demand of the heart

b. Increase cardiac output and stroke volume

c. Decrease the heart’s workload

d.Decrease the circulating blood volume

41. . What should you expect if the pacemaker is experiencing a battery failure?

a. Dizziness and lightheadedness

b. Leg cramps

c. Nausea and vomiting

d. Headache and blurred vision

a. It is done to revert cardiac arrest

b. The electrical shock is applied during the R-wave

c. It involves unsynchronized application of electrical shock to the heart

d.It is done on the T-wave.

Situation 1-Mr. Pedro 58-year-old is admitted for a suspected heart failure. He has shortness of breath,
mild chest pain, tachypnea and presence of crackles on the bases of both lungs. Your head nurse (HN)
instructed you to prepare nitroglycerin to be administered by Intravenous route. You validated from your
head nurse why such medication is going to be given to patient Pedro.

43. The HN as part of her teaching function provided you this APPROPRIATE response. This is to

A. "Reduce after load"

B. Increase preload"

C. "Increase after load"

D. "Reduce preload"

SITUATION 11: NANA is a student nurse who have been suspected to have a mitral valve prolapse (MVP)
during the annual physical examination of students enrolled in x university. She was referred to a
cardiologist for further work-up. You are assigned to take care of her.

45.As a nurse, which of the following do you expect to be manifested by Nana as an early sign of Mitral
valve prolapse during your physical assessment? A .

a. Diastolic click of the valve leaflet as a result of the ballooning of the right atrium.

b. Diastolic click of the valve leaflet as a result of the ballooning of the left atrium.

c. Systolic click of the valve leaflet as a result of the ballooning of the left atrium.

d. Systolic click of the valve leaflet as a result of the ballooning of the right atrium.

46.The BEST approach in assessing the EARLY sign of MITRAL valve prolapse in through .

a. percussion b. palpation c. inspection d.

47.When an individual is suffering from MVP like Rowena you should emphasize to her to AVOID the
following EXCEPT .

a. Smoking b. alcoholic beverages c. caffeine

d. light exercises
48 The nurse just received the change-of-shift report on four patients with hypertension. Which
patient should the nurse assess first?

a. 52-year-old with BP of 212/90 & claudication

b. 43-year-old with a BP of 190/102 & chest pain

c. 50-year-old with a BP of 210/110 & crea of 1.5 mg/dL

d. 48-year-old with a BP of 200/98 whose urine shows microalbuminuria

49. The nurse is reviewing the laboratory tests for a patient who has recently been diagnosed with
hypertension. Which result is most important to communicate to the health care provider?

a. Serum creatinine of 2.6 mg/dL

b. Serum potassium of 3.8 mEq/L

c. Serum hemoglobin of 14.7 g/dL

d. Blood glucose level of 98 mg/dL

50. Which nursing action should the nurse take first in order to assist a patient with newly diagnosed
stage 1 hypertension in making needed dietary changes?

a. Have the patient record dietary intake for 3 days.

b. Give the patient a detailed list of low-sodium foods.

c. Teach the patient about foods that are high in sodium.

d. Help the patient make an appointment with a dietitian.