CARDIOVASCULAR TEST BANK 2024 QUESTIONS WITH COMPLETED ANSWERS ALREADY PASSED!! (2025)

Exam (elaborations)

Preview 4 out of 71 pages

• Uploaded on March 6, 2025
• Number of pages 71
• Written in 2024/2025
• Type Exam (elaborations)
• Contains Questions & answers

Subjects

• cardiovascular test bank 2024 questions

Written for

• Institution Cardiovascular nurse certification
• Course Cardiovascular nurse certification

Content preview

CARDIOVASCULAR TEST BANK 2024 QUESTIONS
WITH COMPLETED ANSWERS ALREADY PASSED!!
"A nurse assesses a client after administering a prescribed beta blocker. Which assessment
should the nurse expect to find?

a. Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg

b. Respiratory rate decreased from 25 breaths/min to 14 breaths/min

c. Oxygen saturation increased from 88% to 96%

d. Pulse decreased from 100 beats/min to 80 beats/min - CORRECT ANSWER ANS: D

Beta blockers block the stimulation of beta1-adrenergic receptors. They block the sympathetic
(fight-or-flight) response and decrease the heart rate (HR). The beta blocker will decrease HR
and blood pressure, increasing ventricular filling time. It usually does not have effects on beta2-
adrenergic receptor sites. Cardiac output will drop because of decreased HR."

"A nurse assesses an older adult client who has multiple chronic diseases. The clients heart rate
is 48 beats/min. Which action should the nurse take first?

a. Document the finding in the chart.

b. Initiate external pacing.

c. Assess the clients medications.

d. Administer 1 mg of atropine. - CORRECT ANSWER ANS: C

Pacemaker cells in the conduction system decrease in number as a person ages, resulting in
bradycardia. The nurse should check the medication reconciliation for medications that might
cause such a drop in heart rate, then should inform the health care provider. Documentation is
important, but it is not the priority action. The heart rate is not low enough for atropine or an
external pacemaker to be needed."

"An emergency room nurse obtains the health history of a client. Which statement by the client
should alert the nurse to the occurrence of heart failure?
Page 1 of 71

,a. I get short of breath when I climb stairs.

b. I see halos floating around my head.

c. I have trouble remembering things.

d. I have lost weight over the past month. - CORRECT ANSWER ANS: A

Dyspnea on exertion is an early manifestation of heart failure and is associated with an activity
such as stair climbing. The other findings are not specific to early occurrence of heart failure."

"A nurse assesses an older adult client who is experiencing a myocardial infarction. Which
clinical manifestation should the nurse expect?

a. Excruciating pain on inspiration

b. Left lateral chest wall pain

c. Disorientation and confusion

d. Numbness and tingling of the arm - CORRECT ANSWER ANS: C

In older adults, disorientation or confusion may be the major manifestation of myocardial
infarction caused by poor cardiac output. Pain manifestations and numbness and tingling of the
arm could also be related to the myocardial infarction. However, the nurse should be more
concerned about the new onset of disorientation or confusion caused by decreased perfusion."

"A nurse assesses a client 2 hours after a cardiac angiography via the left femoral artery. The
nurse notes that the left pedal pulse is weak. Which action should the nurse take?

a. Elevate the leg and apply a sandbag to the entrance site.

b. Increase the flow rate of intravenous fluids.

c. Assess the color and temperature of the left leg.

d. Document the finding as left pedal pulse of +1/4. - CORRECT ANSWER ANS: C

Page 2 of 71

,Loss of a pulse distal to an angiography entry site is serious, indicating a possible arterial
obstruction. The pulse may be faint because of edema. The left pulse should be compared with
the right, and pulses should be compared with previous assessments, especially before the
procedure. Assessing color (pale, cyanosis) and temperature (cool, cold) will identify a decrease
in circulation. Once all peripheral and vascular assessment data are acquired, the primary
health care provider should be notified. Simply documenting the findings is inappropriate. The
leg should be positioned below the level of the heart or dangling to increase blood flow to the
distal portion of the leg. Increasing intravenous fluids will not address the clients problem."

"A nurse assesses a client who is scheduled for a cardiac catheterization. Which assessment
should the nurse complete prior to this procedure?

a. Clients level of anxiety

b. Ability to turn self in bed

c. Cardiac rhythm and heart rate

d. Allergies to iodine-based agents - CORRECT ANSWER ANS: D

Before the procedure, the nurse should ascertain whether the client has an allergy to iodine-
containing preparations, such as seafood or local anesthetics. The contrast medium used during
the procedure is iodine based. This allergy can cause a life-threatening reaction, so it is a high
priority. Second, it is important for the nurse to assess anxiety, mobility, and baseline cardiac
status."

"A nurse cares for a client who is prescribed magnetic resonance imaging (MRI) of the heart.
The clients health history includes a previous myocardial infarction and pacemaker
implantation. Which action should the nurse take?

a. Schedule an electrocardiogram just before the MRI.

b. Notify the health care provider before scheduling the MRI.

c. Call the physician and request a laboratory draw for cardiac enzymes.

d. Instruct the client to increase fluid intake the day before the MRI. - CORRECT ANSWER
ANS: B

Page 3 of 71

, The magnetic fields of the MRI can deactivate the pacemaker. The nurse should call the health
care provider and report that the client has a pacemaker so the provider can order other
diagnostic tests. The client does not need an electrocardiogram, cardiac enzymes, or increased
fluids."

"A nurse assesses a client who is recovering from a myocardial infarction. The clients pulmonary
artery pressure reading is 25/12 mm Hg. Which action should the nurse take first?

a. Compare the results with previous pulmonary artery pressure readings.

b. Increase the intravenous fluid rate because these readings are low.

c. Immediately notify the health care provider of the elevated pressures.

d. Document the finding in the clients chart as the only action. - CORRECT ANSWER ANS: A

Normal pulmonary artery pressures range from 15 to 26 mm Hg for systolic and from 5 to 15
mm Hg for diastolic. Although this clients readings are within normal limits, the nurse needs to
assess any trends that may indicate a need for medical treatment to prevent complications.
There is no need to increase intravenous fluids or notify the provider."

"A nurse teaches a client with diabetes mellitus and a body mass index of 42 who is at high risk
for coronary artery disease. Which statement related to nutrition should the nurse include in
this clients teaching?

a. The best way to lose weight is a high-protein, low-carbohydrate diet.

b. You should balance weight loss with consuming necessary nutrients.

c. A nutritionist will provide you with information about your new diet.

d. If you exercise more frequently, you wont need to change your diet. - CORRECT ANSWER
ANS: B

Clients at risk for cardiovascular diseases should follow the American Heart Association
guidelines to combat obesity and improve cardiac health. The nurse should encourage the
client to eat vegetables, fruits, unrefined whole-grain products, and fat-free dairy products
while losing weight. High-protein food items are often high in fat and calories. Although the
nutritionist can assist with client education, the nurse should include nutrition education and

Page 4 of 71