1
CARDIO POST TEST WITH ACTUAL EXAM
QUESTIONS AND ANSWERS
1. A client with no history of cardiovascular disease comes into the ambulatory
clinic with flu-like symptoms. The client suddenly complains of chest pain. Which
of the following questions would best help a nurse to discriminate pain caused by
a non-cardiac problem?
A. “Have you ever had this pain before?”
B. “Can you describe the pain to me?”
C. “Does the pain get worse when you breathe in?”
D. “Can you rate the pain on a scale of 1-10, with ten (10) being the worst?”
2. A nurse notes 2+ bilateral edema in the lower extremities of a client with
myocardial infarction who was admitted two (2) days ago. The nurse would plan
to do which of the following next?
A. Review the intake and output records for the last two (2) days.
B. Change the time of diuretic administration from morning to evening.
C. Request a sodium restriction of one (1) g/day from the physician.
D. Order daily weight starting the following morning.
3. A 60-year-old male client comes into the emergency department with
complaints of crushing chest pain that radiates to his shoulder and left arm. The
admitting diagnosis is acute myocardial infarction. Immediate admission orders
include oxygen by NC at 4L/minute, blood work, chest X-ray, an ECG, and two (2)
mg of morphine given intravenously. The nurse should first:
,2
A. Administer the morphine.
B. Obtain a 12-lead ECG.
C. Obtain the lab work.
D. Order the chest x-ray.
4. When interpreting an ECG, the nurse would keep in mind which of the
following about the P wave? Select all that apply.
A. Reflects electrical impulse beginning at the SA node.
B. Indicated electrical impulse beginning at the AV node.
C. Reflects atrial muscle depolarization.
D. Identifies ventricular muscle depolarization.
E. Has a duration of normally 0.11 seconds or less.
5. The nurse receives emergency laboratory results for a client with chest pain
and immediately informs the physician. An increased myoglobin level suggests
which of the following?
A. Cancer
B. Hypertension
C. Liver disease
D. Myocardial infarction
6. When teaching a client about propranolol hydrochloride, the nurse should
base the information on the knowledge that propranolol hydrochloride:
A. Blocks beta-adrenergic stimulation and thus causes decreased heart rate,
myocardial contractility, and Conduction.
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B. Increases norepinephrine secretion and thus decreases blood pressure and
heart rate.
C. Is a potent arterial and venous vasodilator that reduces peripheral vascular
resistance and lowers blood pressure.
D. Is an angiotensin-converting enzyme inhibitor that reduces blood pressure by
blocking the conversion of angiotensin I to angiotensin II.
7. The most important long-term goal for a client with hypertension would be to:
A. Learn how to avoid stress.
B. Explore a job change or early retirement.
C. Make a commitment to long-term therapy.
D. Control high blood pressure.
8. Which of the following symptoms should the nurse teach the client with
unstable angina to report immediately to her physician?
A. A change in the pattern of her pain
B. Pain during sex.
C. Pain during an argument with her husband.
D. Pain during or after an activity such as lawn mowing.
9. The physician refers the client with unstable angina for a cardiac
catheterization. The nurse explains to the client that this procedure is being used
in this specific case to:
A. Open and dilate the blocked coronary arteries.
B. Assess the extent of arterial blockage.
C. Bypass obstructed vessels.
CARDIO POST TEST WITH ACTUAL EXAM
QUESTIONS AND ANSWERS
1. A client with no history of cardiovascular disease comes into the ambulatory
clinic with flu-like symptoms. The client suddenly complains of chest pain. Which
of the following questions would best help a nurse to discriminate pain caused by
a non-cardiac problem?
A. “Have you ever had this pain before?”
B. “Can you describe the pain to me?”
C. “Does the pain get worse when you breathe in?”
D. “Can you rate the pain on a scale of 1-10, with ten (10) being the worst?”
2. A nurse notes 2+ bilateral edema in the lower extremities of a client with
myocardial infarction who was admitted two (2) days ago. The nurse would plan
to do which of the following next?
A. Review the intake and output records for the last two (2) days.
B. Change the time of diuretic administration from morning to evening.
C. Request a sodium restriction of one (1) g/day from the physician.
D. Order daily weight starting the following morning.
3. A 60-year-old male client comes into the emergency department with
complaints of crushing chest pain that radiates to his shoulder and left arm. The
admitting diagnosis is acute myocardial infarction. Immediate admission orders
include oxygen by NC at 4L/minute, blood work, chest X-ray, an ECG, and two (2)
mg of morphine given intravenously. The nurse should first:
,2
A. Administer the morphine.
B. Obtain a 12-lead ECG.
C. Obtain the lab work.
D. Order the chest x-ray.
4. When interpreting an ECG, the nurse would keep in mind which of the
following about the P wave? Select all that apply.
A. Reflects electrical impulse beginning at the SA node.
B. Indicated electrical impulse beginning at the AV node.
C. Reflects atrial muscle depolarization.
D. Identifies ventricular muscle depolarization.
E. Has a duration of normally 0.11 seconds or less.
5. The nurse receives emergency laboratory results for a client with chest pain
and immediately informs the physician. An increased myoglobin level suggests
which of the following?
A. Cancer
B. Hypertension
C. Liver disease
D. Myocardial infarction
6. When teaching a client about propranolol hydrochloride, the nurse should
base the information on the knowledge that propranolol hydrochloride:
A. Blocks beta-adrenergic stimulation and thus causes decreased heart rate,
myocardial contractility, and Conduction.
, 3
B. Increases norepinephrine secretion and thus decreases blood pressure and
heart rate.
C. Is a potent arterial and venous vasodilator that reduces peripheral vascular
resistance and lowers blood pressure.
D. Is an angiotensin-converting enzyme inhibitor that reduces blood pressure by
blocking the conversion of angiotensin I to angiotensin II.
7. The most important long-term goal for a client with hypertension would be to:
A. Learn how to avoid stress.
B. Explore a job change or early retirement.
C. Make a commitment to long-term therapy.
D. Control high blood pressure.
8. Which of the following symptoms should the nurse teach the client with
unstable angina to report immediately to her physician?
A. A change in the pattern of her pain
B. Pain during sex.
C. Pain during an argument with her husband.
D. Pain during or after an activity such as lawn mowing.
9. The physician refers the client with unstable angina for a cardiac
catheterization. The nurse explains to the client that this procedure is being used
in this specific case to:
A. Open and dilate the blocked coronary arteries.
B. Assess the extent of arterial blockage.
C. Bypass obstructed vessels.
