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Nursing 308 Exam 2 – Accurate Solutions For Every
Question
Save
Terms in this set (180)
Which instruction by the nurse is given D. "You will need to keep a diary of all your activities
to a patient who is about to undergo and symptoms."
Holter monitoring is most
appropriate? A Holter monitor is worn continuously for at least 24
A. "You may remove the monitor only hours while a patient continues with usual activity and
to shower or bathe." keeps a diary of activities and symptoms. The patient
B. "You should connect the monitor should not take a bath or shower while wearing this
whenever you feel symptoms." monitor.
C. "You should refrain from exercising
while wearing this monitor."
D. "You will need to keep a diary of all
your activities and symptoms."
The nurse is admitting a patient who is B. Iodine
scheduled to undergo a cardiac
catheterization. What allergy The physician will usually use an iodine-based
information is most important for the contrast to perform this procedure. Therefore it is
nurse to assess and document before imperative to know whether or not the patient is
this procedure? allergic to iodine or shellfish. Knowledge of allergies
A. Iron to iron, aspirin, or penicillin will be secondary.
B. Iodine
C. Aspirin
D. Penicillin
,The blood pressure of an older adult D. Loss of elasticity in arterial vessels Correct
patient admitted with pneumonia is
160/70 mm Hg. What is an age-related An age-related change that increases the risk of
change that contributes to this systolic hypertension is a loss of elasticity in the
finding? arterial walls. Because of the increasing resistance to
A. Stenosis of the heart valves flow, pressure is increased within the blood vessel,
B. Decreased adrenergic sensitivity and hypertension results. Valvular rigidity of aging
C. Increased parasympathetic activity causes murmurs, and decreased adrenergic
D. Loss of elasticity in arterial vessels sensitivity slows the heart rate. Blood pressure is not
raised. Increased parasympathetic activity would
slow the heart rate.
The nurse is providing care for a A. It is calculated by multiplying the patient's stroke
patient who has decreased cardiac volume by the heart rate.
output related to heart failure. What
should the nurse recognize about Cardiac output is determined by multiplying the
cardiac output? patient's stroke volume by heart rate, thus identifying
A. It is calculated by multiplying the how much blood is pumped by the heart over a 1-
patient's stroke volume by the heart minute period. Electrical activity of the heart and
rate. blood pressure are not direct components of cardiac
B. It is the average amount of blood output.
ejected during one complete cardiac
cycle.
C. It is determined by measuring the
electrical activity of the heart and the
patient's heart rate.
D. It is the patient's average resting
heart rate multiplied by the patient's
mean arterial blood pressure.
,The nurse is performing an B. Turbulent blood flow across a heart valve
assessment for a patient with fatigue
and shortness of breath. Auscultation Turbulent blood flow across the affected valve
of the heart reveals the presence of a results in a murmur. A murmur is not a direct result of
murmur. What is this assessment variances in blood viscosity, conductivity, or friction
finding indicative of? between the heart and myocardium.
A. Increased viscosity of the patient's
blood
B. Turbulent blood flow across a heart
valve
C. Friction between the heart and the
myocardium
D. A deficit in heart conductivity that
impairs normal contractility
While assessing the cardiovascular C. Palpate the radial pulse while auscultating the
status of a patient, the nurse performs apical pulse.
auscultation. Which intervention
should the nurse implement in the To detect a pulse deficit, simultaneously palpate the
assessment during auscultation? radial pulse when auscultating the apical area. The
A. Position the patient supine. diaphragm is more appropriate than the bell when
B. Ask the patient to hold his or her auscultating S1 and S2. A sitting or side-lying position
breath. is most appropriate for cardiac auscultation. It is not
C. Palpate the radial pulse while necessary to ask the patient to hold his or her breath
auscultating the apical pulse. during cardiac auscultation.
D. Use the bell of the stethoscope
when auscultating S1 and S2.
A patient presents to the emergency B. Troponin
department with reports of chest pain
for 3 hours. What component of his Troponin is the biomarker of choice in the diagnosis
blood work is most clearly indicative of MI, with sensitivity and specificity that exceed
of a myocardial infarction (MI)? those of CK-MB and myoglobin. CRP levels are not
A. CK-MB used to diagnose acute MI.
B. Troponin
C. Myoglobin
D. C-reactive protein
, The patient informs the nurse that he B. "The LAD supplies blood to the left side of the
does not understand how there can heart and part of the right ventricle."
be a blockage in the left anterior
descending artery (LAD), but there is The best response is explaining that the lower
damage to the right ventricle. What is portion of the right ventricle receives blood flow
the best response by the nurse? from the left anterior descending artery as well as
A. "The one vessel curves around from the right coronary artery during diastole.
the left side to the right ventricle."
B. "The LAD supplies blood to the left
side of the heart and part of the right
ventricle."
C. "The right ventricle is supplied
during systole primarily by the right
coronary artery."
D. "It is actually on your right side of
the heart, but we call it the left
anterior descending vessel."
When looking at the C. Depolarization from atrioventricular (AV) node
electrocardiogram (ECG) of the throughout ventricles
patient, the nurse knows that the QRS
complex recorded on the ECG The QRS recorded on the ECG represents
represents which part of the heart's depolarization from the AV node throughout the
beat? ventricles. The P wave represents depolarization of
A. Depolarization of the atria the atria. The T wave represents repolarization of the
B. Repolarization of the ventricles ventricles. The interval between the PR and QRS
C. Depolarization from atrioventricular represents the length of time it takes for the impulse
(AV) node throughout ventricles to travel from the atria to the ventricles.
D. The length of time it takes for the
impulse to travel from the atria to the
ventricles
In palpating the patient's pedal pulses, A. Atherosclerosis
the nurse determines the pulses are
absent. What factor could contribute Atherosclerosis can cause an absent peripheral
to this result? pulse. The feet would also be cool and may be
A. Atherosclerosis discolored. Hyperthyroidism causes a bounding
B. Hyperthyroidism pulse. Arteriovenous fistula gives a thrill or vibration
C. Arteriovenous fistula to the vessel, although this would not be in the foot.
D. Cardiac dysrhythmias Cardiac dysrhythmias cause an irregular pulse
rhythm.
Nursing 308 Exam 2 – Accurate Solutions For Every
Question
Save
Terms in this set (180)
Which instruction by the nurse is given D. "You will need to keep a diary of all your activities
to a patient who is about to undergo and symptoms."
Holter monitoring is most
appropriate? A Holter monitor is worn continuously for at least 24
A. "You may remove the monitor only hours while a patient continues with usual activity and
to shower or bathe." keeps a diary of activities and symptoms. The patient
B. "You should connect the monitor should not take a bath or shower while wearing this
whenever you feel symptoms." monitor.
C. "You should refrain from exercising
while wearing this monitor."
D. "You will need to keep a diary of all
your activities and symptoms."
The nurse is admitting a patient who is B. Iodine
scheduled to undergo a cardiac
catheterization. What allergy The physician will usually use an iodine-based
information is most important for the contrast to perform this procedure. Therefore it is
nurse to assess and document before imperative to know whether or not the patient is
this procedure? allergic to iodine or shellfish. Knowledge of allergies
A. Iron to iron, aspirin, or penicillin will be secondary.
B. Iodine
C. Aspirin
D. Penicillin
,The blood pressure of an older adult D. Loss of elasticity in arterial vessels Correct
patient admitted with pneumonia is
160/70 mm Hg. What is an age-related An age-related change that increases the risk of
change that contributes to this systolic hypertension is a loss of elasticity in the
finding? arterial walls. Because of the increasing resistance to
A. Stenosis of the heart valves flow, pressure is increased within the blood vessel,
B. Decreased adrenergic sensitivity and hypertension results. Valvular rigidity of aging
C. Increased parasympathetic activity causes murmurs, and decreased adrenergic
D. Loss of elasticity in arterial vessels sensitivity slows the heart rate. Blood pressure is not
raised. Increased parasympathetic activity would
slow the heart rate.
The nurse is providing care for a A. It is calculated by multiplying the patient's stroke
patient who has decreased cardiac volume by the heart rate.
output related to heart failure. What
should the nurse recognize about Cardiac output is determined by multiplying the
cardiac output? patient's stroke volume by heart rate, thus identifying
A. It is calculated by multiplying the how much blood is pumped by the heart over a 1-
patient's stroke volume by the heart minute period. Electrical activity of the heart and
rate. blood pressure are not direct components of cardiac
B. It is the average amount of blood output.
ejected during one complete cardiac
cycle.
C. It is determined by measuring the
electrical activity of the heart and the
patient's heart rate.
D. It is the patient's average resting
heart rate multiplied by the patient's
mean arterial blood pressure.
,The nurse is performing an B. Turbulent blood flow across a heart valve
assessment for a patient with fatigue
and shortness of breath. Auscultation Turbulent blood flow across the affected valve
of the heart reveals the presence of a results in a murmur. A murmur is not a direct result of
murmur. What is this assessment variances in blood viscosity, conductivity, or friction
finding indicative of? between the heart and myocardium.
A. Increased viscosity of the patient's
blood
B. Turbulent blood flow across a heart
valve
C. Friction between the heart and the
myocardium
D. A deficit in heart conductivity that
impairs normal contractility
While assessing the cardiovascular C. Palpate the radial pulse while auscultating the
status of a patient, the nurse performs apical pulse.
auscultation. Which intervention
should the nurse implement in the To detect a pulse deficit, simultaneously palpate the
assessment during auscultation? radial pulse when auscultating the apical area. The
A. Position the patient supine. diaphragm is more appropriate than the bell when
B. Ask the patient to hold his or her auscultating S1 and S2. A sitting or side-lying position
breath. is most appropriate for cardiac auscultation. It is not
C. Palpate the radial pulse while necessary to ask the patient to hold his or her breath
auscultating the apical pulse. during cardiac auscultation.
D. Use the bell of the stethoscope
when auscultating S1 and S2.
A patient presents to the emergency B. Troponin
department with reports of chest pain
for 3 hours. What component of his Troponin is the biomarker of choice in the diagnosis
blood work is most clearly indicative of MI, with sensitivity and specificity that exceed
of a myocardial infarction (MI)? those of CK-MB and myoglobin. CRP levels are not
A. CK-MB used to diagnose acute MI.
B. Troponin
C. Myoglobin
D. C-reactive protein
, The patient informs the nurse that he B. "The LAD supplies blood to the left side of the
does not understand how there can heart and part of the right ventricle."
be a blockage in the left anterior
descending artery (LAD), but there is The best response is explaining that the lower
damage to the right ventricle. What is portion of the right ventricle receives blood flow
the best response by the nurse? from the left anterior descending artery as well as
A. "The one vessel curves around from the right coronary artery during diastole.
the left side to the right ventricle."
B. "The LAD supplies blood to the left
side of the heart and part of the right
ventricle."
C. "The right ventricle is supplied
during systole primarily by the right
coronary artery."
D. "It is actually on your right side of
the heart, but we call it the left
anterior descending vessel."
When looking at the C. Depolarization from atrioventricular (AV) node
electrocardiogram (ECG) of the throughout ventricles
patient, the nurse knows that the QRS
complex recorded on the ECG The QRS recorded on the ECG represents
represents which part of the heart's depolarization from the AV node throughout the
beat? ventricles. The P wave represents depolarization of
A. Depolarization of the atria the atria. The T wave represents repolarization of the
B. Repolarization of the ventricles ventricles. The interval between the PR and QRS
C. Depolarization from atrioventricular represents the length of time it takes for the impulse
(AV) node throughout ventricles to travel from the atria to the ventricles.
D. The length of time it takes for the
impulse to travel from the atria to the
ventricles
In palpating the patient's pedal pulses, A. Atherosclerosis
the nurse determines the pulses are
absent. What factor could contribute Atherosclerosis can cause an absent peripheral
to this result? pulse. The feet would also be cool and may be
A. Atherosclerosis discolored. Hyperthyroidism causes a bounding
B. Hyperthyroidism pulse. Arteriovenous fistula gives a thrill or vibration
C. Arteriovenous fistula to the vessel, although this would not be in the foot.
D. Cardiac dysrhythmias Cardiac dysrhythmias cause an irregular pulse
rhythm.
