Cardiac/Vascular CHA 1 (Exam
2) Questions With Accurate
Answers
"cardiac markers or cardiac enzymes" correct answer Troponin (*most
useful with immediate rise in values)
CK-MB (creatinine kinase in myocardial muscle)
Myoglobin
17. A nurse is caring for a patient with a nonhealing arterial lower leg
ulcer. What action by the nurse is
best?
A. Consult with the wound care nurse.
B. Give pain medication prior to dressing changes.
C. Maintain sterile technique for dressing changes.
D. Prepare the patient for eventual amputation. correct answer A:
A nonhealing wound needs the expertise of the wound care nurse.
Premedicating prior to
painful procedures and maintaining sterile technique are helpful, but if
the wound is not
healing, more needs to be done. The patient may need an amputation,
but other options need
to be tried first.
,5. A nurse assesses a patient who has aortic regurgitation. In which
location in the illustration shown
below would the nurse auscultate to best hear a cardiac murmur
related to aortic regurgitation?
A. Location A
B. Location B
C. Location C
D. Location D correct answer A:
The aortic valve is auscultated in the second intercostal space just to
the right of the sternum.
The pulmonic valve would be heard in location B located in the second
intercostal space just left
of the sternum. The mitral valve would be heard in location D located in
the fifth intercostal
space at the apex of the heart. The tricuspid valve would be heard in
location C located in the
fifth intercostal space at the lower left of the sternal border.
6. A nurse assesses a patient 2 hours after a cardiac angiography via the
left femoral artery. The nurse
,notes that the left pedal pulse is weak. What action would 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 leg.
D. Document the finding as "left pedal pulse of +1/4." correct answer C:
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
would be compared with
the right, and pulses would 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
healthcare provider would be notified. Simply documenting the findings
is inappropriate. The
leg would 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 patient's problem.
, A client with no history of cardiovascular disease suddenly calls the
nurse into the room and states he now has sharp pains in his chest.
Which of the following questions best helps the nurse to discriminate if
the pain is due to a cardiac or non-cardiac problem?
A. Can you rate the pain on a 1-10 scale with 10 being the worst?
B. Have you had this pain before?
C. Does the pain get worse when you breathe in?
D. Can you describe the pain to me? correct answer C
A nurse assess a patient after administering a prescribed beta-blocker.
Which assessment would the
nurse expect to find?
A. Blood pressure increased from 98/42 to 132/60 mm Hg
B. Respiratory rate decreased from 25 to 14 breaths/min
C. Oxygen saturation increased from 88% to 96%
D. Pulse decreased from 100 to 80 bpm correct answer D:
Beta-blockers block the stimulation of beta 1 -adrenergic receptors.
They block the sympathetic
(fight-or-flight) response and decrease the heart rate (HR). The beta-
blocker will decrease HR
2) Questions With Accurate
Answers
"cardiac markers or cardiac enzymes" correct answer Troponin (*most
useful with immediate rise in values)
CK-MB (creatinine kinase in myocardial muscle)
Myoglobin
17. A nurse is caring for a patient with a nonhealing arterial lower leg
ulcer. What action by the nurse is
best?
A. Consult with the wound care nurse.
B. Give pain medication prior to dressing changes.
C. Maintain sterile technique for dressing changes.
D. Prepare the patient for eventual amputation. correct answer A:
A nonhealing wound needs the expertise of the wound care nurse.
Premedicating prior to
painful procedures and maintaining sterile technique are helpful, but if
the wound is not
healing, more needs to be done. The patient may need an amputation,
but other options need
to be tried first.
,5. A nurse assesses a patient who has aortic regurgitation. In which
location in the illustration shown
below would the nurse auscultate to best hear a cardiac murmur
related to aortic regurgitation?
A. Location A
B. Location B
C. Location C
D. Location D correct answer A:
The aortic valve is auscultated in the second intercostal space just to
the right of the sternum.
The pulmonic valve would be heard in location B located in the second
intercostal space just left
of the sternum. The mitral valve would be heard in location D located in
the fifth intercostal
space at the apex of the heart. The tricuspid valve would be heard in
location C located in the
fifth intercostal space at the lower left of the sternal border.
6. A nurse assesses a patient 2 hours after a cardiac angiography via the
left femoral artery. The nurse
,notes that the left pedal pulse is weak. What action would 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 leg.
D. Document the finding as "left pedal pulse of +1/4." correct answer C:
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
would be compared with
the right, and pulses would 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
healthcare provider would be notified. Simply documenting the findings
is inappropriate. The
leg would 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 patient's problem.
, A client with no history of cardiovascular disease suddenly calls the
nurse into the room and states he now has sharp pains in his chest.
Which of the following questions best helps the nurse to discriminate if
the pain is due to a cardiac or non-cardiac problem?
A. Can you rate the pain on a 1-10 scale with 10 being the worst?
B. Have you had this pain before?
C. Does the pain get worse when you breathe in?
D. Can you describe the pain to me? correct answer C
A nurse assess a patient after administering a prescribed beta-blocker.
Which assessment would the
nurse expect to find?
A. Blood pressure increased from 98/42 to 132/60 mm Hg
B. Respiratory rate decreased from 25 to 14 breaths/min
C. Oxygen saturation increased from 88% to 96%
D. Pulse decreased from 100 to 80 bpm correct answer D:
Beta-blockers block the stimulation of beta 1 -adrenergic receptors.
They block the sympathetic
(fight-or-flight) response and decrease the heart rate (HR). The beta-
blocker will decrease HR
