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Q 1/63
Score 0
As a result of blockage in the pulmonary artery, blood would first back up into the:
30
pulmonary veins.
right ventricle.
left ventricle.
aorta.
Q 2/63
Score 0
Which chamber of the heart generates the highest pressure?
120
Left ventricle
Left atrium
Left atrium
Right atrium
63 questions
Q.
As a result of blockage in the pulmonary artery, blood would first back up into the:
1
30 sec
Q.
Which chamber of the heart generates the highest pressure?
2
120 sec
Q.
A 20-year-old underwent an echocardiogram to assess chest pain. Results revealed a congenital defect in the papillary muscles. Which of the following would the nurse expect to occur?
3
120 sec
Q.
Which structures would not receive an electrical impulse when the patient is experiencing a left bundle branch block?
4
120 sec
Q.
The cardiac electrical impulse normally begins spontaneously in the sinoatrial (SA) node because it:
5
120 sec
Q.
Depolarization of a cardiac muscle cell occurs as the result of:
6
120 sec
Q.
What is the nurse monitoring when observing the QRS complex on the electrocardiogram?
7
120 sec
Q.
The PR interval viewed on a normal electrocardiogram represents:
8
120 sec
Q.
What represents the sum of all ventricular muscle cell depolarization?
9
120 sec
Q.
A 28-year-old with seizure disorder has a vagus nerve stimulator implanted to help control seizure activity. Which result will the nurse expect to occur?
10
120 sec
Q.
Muscle contractions occur when there is a decreased:
11
120 sec
Q.
A nurse is discussing the pressure generated at the end of diastole. Which term is the nurse describing?
12
120 sec
Q.
As stated by the Frank-Starling law, there is a direct relationship between the _____ of the blood in the heart at the end of diastole and the _____ of contraction during the next systole.
13
120 sec
Q.
Within a normal physiologic range, an increase in left ventricular end-diastolic volume would lead the nurse to monitor for:
14
120 sec
Q.
A nurse observes a cardiologist multiplying the heart rate by stroke volume. What is the cardiologist measuring?
15
120 sec
Q.
Blood flow is affected by: (select all that apply)
a. blood viscosity.
b. blood vessel diameter.
c. blood pressure.
d. blood vessel length.
e. blood composition.
16
120 sec
Q.
A nurse is evaluating stroke volume. Which of the following factors affect stroke volume? (select all that apply)
a. Preload
b. Peripheral vascular resistance
c. Afterload
d. Ejection fraction
17
120 sec
Q.
When the pediatrician cardiologist discusses total anomalous pulmonary venous connection, which of the following statements BEST describes this condition?
18
120 sec
Q.
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:
19
120 sec
Q.
When a staff member asks where venous blood from the coronary circulation drains into, what is the best response by the nurse? The:
20
120 sec
Q.
While viewing the electrocardiogram, the nurse recalls the _____ conducts action potentials down the atrioventricular septum.
21
120 sec
Q.
A 54-year-old male is diagnosed with left bundle branch block. Which of the following structures would not receive an electrical impulse?
22
120 sec
Q.
Which information by the nurse indicates a good understanding of depolarization? Depolarization of a cardiac muscle cell occurs as the result of:
23
120 sec
Q.
_____ is the process by which an action potential in the plasma membrane of a myocardial cell triggers the events that directly cause contraction of the myocardial cells.
24
120 sec
Q.
Which principle should the nurse remember when planning nursing care for a patient with heart problems? As stated by the Frank-Starling law, there is a direct relationship between the _____ of the blood in the heart at the end of diastole and the _____ of contraction during the next systole.
25
120 sec
Q.
Important mechanisms for maintaining venous return to the right atrium include (elect all that apply):
a. Cardiac output
b. Atrioventricular (AV) valves
c. Skeletal muscle contraction
d. Blood volume
e. Vascular tone
26
120 sec
Q.
The nurse is measuring cardiac output in a resting patient. the normal baseline for cardiac output in this patient is _____ L/min.
27
120 sec
Q.
A nurse is assessing the heart rate. The nurse obtains a normal heart rate. The average heart rate in a healthy adult is _____ beats per minute.
28
120 sec
Q.
In the lungs, which shift occurs?
29
120 sec
Q.
Abnormal thickening and hardening of the vessel walls.
- Can cause the patient to develop thrombi (clots in the vessels)
30
120 sec
Q.
Thickening and hardening caused by accumulation of lipid-laden macrophages in the arterial wall.
31
120 sec
Q.
When a patient is diagnosed with coronary artery disease, the nurse assesses for myocardial:
32
120 sec
Q.
Most cases of combined systolic and diastolic hypertension have no known cause and are documented on the chart as _____ hypertension.
33
120 sec
Q.
When a nurse checks the patient for orthostatic hypotension, what activity did the nurse have the patient engage in?
34
120 sec
Q.
A patient is diagnosed with orthostatic hypotension. Which of the following symptoms would most likely be reported?
35
120 sec
Q.
What term should the nurse use to document a detached blood clot?
36
120 sec
Q.
A patient is diagnosed with coronary artery disease. Which of the following modifiable risk factors would the nurse suggest the patient change?
37
120 sec
Q.
A patient presents to a primary care provider reporting chest pain and is diagnosed with atherosclerosis. This disease is caused by:
38
120 sec
Q.
Foam cells in a fatty streak are:
39
120 sec
Q.
The most common cause of myocardial ischemia is:
40
120 sec
Q.
A 51-year-old male presents with recurrent chest pain on exertion and is diagnosed with angina pectoris. The pain occurs when:
41
120 sec
Q.
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 2-3 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:
42
120 sec
Q.
A 56-year-old presents to his primary care provider for a checkup. Physical exam reveals edema, hepatomegaly, and muffled heart sounds. Which of the following is of greatest concern to the nurse?
43
120 sec
Q.
Which characteristic changes should the nurse keep in mind while caring for a patient with left heart failure? As left heart failure progresses:
44
120 sec
Q.
A patient was admitted to the intensive care unit with a diagnosis of acute myocardial infarction (MI) and is being treated for shock. The primary cause of shock is most likely:
45
120 sec
Q.
A 73-year-old has increased pulmonary pressure resulting in right heart failure. A potential cause for the right heart to fail is:
46
120 sec
Q.
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?
47
120 sec
Q.
Neurogenic shock can be caused by any factor that inhibits the:
48
120 sec
Q.
A 15-year-old male who is allergic to peanuts eats a peanut butter cup. He then goes into anaphylactic shock. Which assessment findings will the nurse assess for?
49
120 sec
Q.
The onset of anaphylactic shock is usually:
50
120 sec
Q.
A nurse recalls acute orthostatic hypotension can be caused by: (select all that apply)
a. prolonged immobility.
b. drug action.
c. starvation.
d. volume depletion.
e. exercise.
51
120 sec
Q.
Cardiac cells can withstand ischemic conditions for _____ minutes before irreversible cell injury occurs.
52
120 sec
Q.
A 15-year-old is diagnosed with restrictive lung disease caused by fibrosis. Which pulmonary function test finding is expected?
53
120 sec
Q.
The most common cause of pulmonary edema is:
54
120 sec
Q.
Which assessment findings will the nurse observe in a patient diagnosed with severe pulmonary edema?
55
120 sec
Q.
A 42-year-old presents with dyspnea; rapid, shallow breathing; inspiratory crackles; decreased lung compliance; and hypoxemia. Tests reveal a fulminant form of respiratory failure characterized by acute lung inflammation and diffuse alveolocapillary injury. What is the most likely diagnosis supported by the patient’s condition?
56
120 sec
Q.
Asthma is thought to be caused by:
57
120 sec
Q.
A 20-year history of smoking causes airways to be obstructed as a result of:
58
120 sec
Q.
A 70-year-old hospitalized for a pelvic fracture develops a pulmonary embolism. The nurse realizes this embolus is most commonly composed of:
59
120 sec
Q.
A 50-year-old male is diagnosed with pulmonary embolism (PE). Which of the following symptoms most likely occurred before treatment is initiated?
60
120 sec
Q.
A 50-year-old is diagnosed with lung cancer. The health history includes a 30-year history of smoking, exposure to air pollution, asbestos, and radiation. What had the greatest impact on the development of his cancer?
61
120 sec
Q.
Which assessment finding would be expected in pulmonary embolism (PE)? (select all that apply)
a. Chest pain
b. Tachycardia
c. Tachypnea
d. Fever
e. Hemoptysis
62
120 sec
Q.
Which is a characteristic of idiopathic pulmonary arterial hypertension (IPAH)? (select all that apply)
a. Male gender
b. Fatigue
c. Dyspnea
d. Jugular vein distention
e. Weight gain
