MS CARDIOLOGY-POST TEST (SET A)
(Prepared by: Prof. Dan Hamoy)
Situation: Hypertension is one of the most prevalent diseases in the Philippines. A number of
people died of complications of stroke.
1. Mr. Ivan was rushed to the hospital due to chest pain and headache. Upon assessment, the
vital signs are the following BP: 145/110 HR: 79 bpm RR: 18. Which of the following is true:
A. BP is above recommended level and is classified as Stage 1 HPN
B. HR is near above recommended level and needs attention
C. RR is at high risk of elevation from normal
D. Patient is at stage 2 HPN
2. Mr. Ivan upon arriving in the ER has facial flushing and complaining of dizziness. Which of the
following is the priority action of the nurse?
A. Assess vital sign to ascertain hypertension
B. Give oxygen to increase tissue perfusion
C. Place the patient in semi fowler’s position
D. Notify the physician and give prescribed meds to lower the BP
3. Which if the following is the least contributing factor for hypertension?
A. Age B. Smoking C. Diabetes Mellitus D. Renal Failure
4. A patient asked the nurse about essential hypertension. Which of the following statement is
correct?
A. A patient has hypertension due to C. A patient has primary hypertension
smoking D. A patient has secondary hypertension
B. A patient develop hypertension due to
DM
5. Which of the following needs correction?
A. A patient tells the nurse that he might have primary hypertension because the cause is
unknown
B. A nurse tells the patient that he has essential hypertension due to obesity
C. A doctor informs the patient the DM will lead to non-essential hypertension
D. An increase in Thyroid gland function will lead to secondary hypertension
6. A patient is taking captopril for his hypertension. After 3 days, the patient complains of dry
cough that can’t be relieve. Which of the following is an appropriate action of the nurse?
A. Place the patient in semi-fowler’s position to relieve dyspnea
B. Give bronchodilators as ordered
C. Notify the physician
D. Continue monitoring the patient
7. Which of the following statement if made by the nurse needs correction?
A. Before giving Metoprolol, nurse must get the HR first
B. When a patient is taking Captopril, watch out for signs of Orthostatic hypotension
C. Increase potassium intake of a patient taking diuretics such as Aldactone
D. Advice the patient to rise gradually after taking Calcium channel blockers
8. Which of the following is true regarding HPN, except?
A. When the patient is manifesting oliguria, RAAS will be activated
B. Angiotensin 2 will stimulate release of aldosterone
C. Aldosterone is used to increase sodium reabsorption
D. When patient has elevated BP, ARBS can be used to lower the BP
9. A patient with HPN manifested dyspnea. Which of the following drug is contraindicated?
A. Beta Blockers B. Ace inhibitors C. Diuretics D. Vasodilators
, 10. Which of the following is considered the main cause of HPN?
A. Atherosclerosis B. Smoking C Elderly D. Diabetes mellitus
11. A patient with Angina Pectoris plans to go on a mountain climbing with his friends. Which of
the following drugs is expected to be taken by the patient before climbing?
A. Salbutamol B. Morphine C. Nitrates D. Beta Blockers
12. Patient is taking Beta blockers and asked the nurse regarding the drug. Which of the following
statement is correct if made by the nurse?
A. Monitor your lower extremities for presence of edema
B. Check your I and O every 8 hours
C. Increase intake of potassium
D. Instruct the patient to go to the bathroom after taking the drug to urinate
13. Which of the following is the cardinal sign of Angina Pectoris
A. Crushing chest pain radiating to the right
B. Crushing chest pain radiating to the left
C. Clinching of the fist in the upper left chest
D. Palpating the chest using a closed fist
14. Which of the following statements needs correction?
A. A patient with stable angina can anticipate the occurrence of chest pain
B. A patient with silent angina will manifest elevated ST segment in the ECG
C. A patient with pre-infarction Angina needs close monitoring
D. A patient with nocturnal angina will manifest chest pain commonly at night time
15. This drug is given and will result to the prevention of vasoconstriction, except?
A. Captopril B. Propranolol C. Nicardipine D. Nitrates
16. Which of the following statement is correct when made by the patient?
A. I need not worry about my respiratory function due to the Beta Blockers prescribed by the
physician
B. If my BP is below normal, I can take Nicardipine as long as I will continue monitoring my BP
after
C. I need to change position slowly to prevent dizziness after taking anti-
hypertensive drugs
D. I need to restrict potassium intake when taking Lasix
17. A patient with Angina is admitted in the hospital for almost a month. He calls the attention of
the nurse due to severe chest pain. Which of the following is the initial action of the nurse?
A. Notify the physician and watch out for signs of Myocardial Infarction
B. Give 1 tablet of Nitrates via oral
C. Assess vital signs such as BP, HR, RR
18. 3 Nitrates have been given to the patient admitted in the ward and the client still complains of
severe chest pain. Which of the following intervention should the nurse do first?
A. Notify the physician
B. Admit the patient in the emergency room to be checked by the physician
C. Instruct the patient to wait for the drug to take effect
D. Administer Morphine sulfate
19. The patient asked the nurse how to use the nitroglycerine patch. Which of the following is the
best response of the nurse?
A. Place the patch in the afternoon C. Place the patch early morning
B. Remove the patch when eating or
walking
20. How many hours is the maximum allowable transdermal patch in the body?
A. 10 hours B. 12 hours C. 14 hours D. 18 hours
21. A patient with Nitroglycerine patch in placed complains to the nurse the he is having a chest
pain. Which action of the nurse needs correction?
A. Give another Nitroglycerin patch and place it in a non hairy area near the heart
B. Notify the physician and give Nitroglycerin tablet via SL
C. Position the patient in upright position
D. Check vital signs
(Prepared by: Prof. Dan Hamoy)
Situation: Hypertension is one of the most prevalent diseases in the Philippines. A number of
people died of complications of stroke.
1. Mr. Ivan was rushed to the hospital due to chest pain and headache. Upon assessment, the
vital signs are the following BP: 145/110 HR: 79 bpm RR: 18. Which of the following is true:
A. BP is above recommended level and is classified as Stage 1 HPN
B. HR is near above recommended level and needs attention
C. RR is at high risk of elevation from normal
D. Patient is at stage 2 HPN
2. Mr. Ivan upon arriving in the ER has facial flushing and complaining of dizziness. Which of the
following is the priority action of the nurse?
A. Assess vital sign to ascertain hypertension
B. Give oxygen to increase tissue perfusion
C. Place the patient in semi fowler’s position
D. Notify the physician and give prescribed meds to lower the BP
3. Which if the following is the least contributing factor for hypertension?
A. Age B. Smoking C. Diabetes Mellitus D. Renal Failure
4. A patient asked the nurse about essential hypertension. Which of the following statement is
correct?
A. A patient has hypertension due to C. A patient has primary hypertension
smoking D. A patient has secondary hypertension
B. A patient develop hypertension due to
DM
5. Which of the following needs correction?
A. A patient tells the nurse that he might have primary hypertension because the cause is
unknown
B. A nurse tells the patient that he has essential hypertension due to obesity
C. A doctor informs the patient the DM will lead to non-essential hypertension
D. An increase in Thyroid gland function will lead to secondary hypertension
6. A patient is taking captopril for his hypertension. After 3 days, the patient complains of dry
cough that can’t be relieve. Which of the following is an appropriate action of the nurse?
A. Place the patient in semi-fowler’s position to relieve dyspnea
B. Give bronchodilators as ordered
C. Notify the physician
D. Continue monitoring the patient
7. Which of the following statement if made by the nurse needs correction?
A. Before giving Metoprolol, nurse must get the HR first
B. When a patient is taking Captopril, watch out for signs of Orthostatic hypotension
C. Increase potassium intake of a patient taking diuretics such as Aldactone
D. Advice the patient to rise gradually after taking Calcium channel blockers
8. Which of the following is true regarding HPN, except?
A. When the patient is manifesting oliguria, RAAS will be activated
B. Angiotensin 2 will stimulate release of aldosterone
C. Aldosterone is used to increase sodium reabsorption
D. When patient has elevated BP, ARBS can be used to lower the BP
9. A patient with HPN manifested dyspnea. Which of the following drug is contraindicated?
A. Beta Blockers B. Ace inhibitors C. Diuretics D. Vasodilators
, 10. Which of the following is considered the main cause of HPN?
A. Atherosclerosis B. Smoking C Elderly D. Diabetes mellitus
11. A patient with Angina Pectoris plans to go on a mountain climbing with his friends. Which of
the following drugs is expected to be taken by the patient before climbing?
A. Salbutamol B. Morphine C. Nitrates D. Beta Blockers
12. Patient is taking Beta blockers and asked the nurse regarding the drug. Which of the following
statement is correct if made by the nurse?
A. Monitor your lower extremities for presence of edema
B. Check your I and O every 8 hours
C. Increase intake of potassium
D. Instruct the patient to go to the bathroom after taking the drug to urinate
13. Which of the following is the cardinal sign of Angina Pectoris
A. Crushing chest pain radiating to the right
B. Crushing chest pain radiating to the left
C. Clinching of the fist in the upper left chest
D. Palpating the chest using a closed fist
14. Which of the following statements needs correction?
A. A patient with stable angina can anticipate the occurrence of chest pain
B. A patient with silent angina will manifest elevated ST segment in the ECG
C. A patient with pre-infarction Angina needs close monitoring
D. A patient with nocturnal angina will manifest chest pain commonly at night time
15. This drug is given and will result to the prevention of vasoconstriction, except?
A. Captopril B. Propranolol C. Nicardipine D. Nitrates
16. Which of the following statement is correct when made by the patient?
A. I need not worry about my respiratory function due to the Beta Blockers prescribed by the
physician
B. If my BP is below normal, I can take Nicardipine as long as I will continue monitoring my BP
after
C. I need to change position slowly to prevent dizziness after taking anti-
hypertensive drugs
D. I need to restrict potassium intake when taking Lasix
17. A patient with Angina is admitted in the hospital for almost a month. He calls the attention of
the nurse due to severe chest pain. Which of the following is the initial action of the nurse?
A. Notify the physician and watch out for signs of Myocardial Infarction
B. Give 1 tablet of Nitrates via oral
C. Assess vital signs such as BP, HR, RR
18. 3 Nitrates have been given to the patient admitted in the ward and the client still complains of
severe chest pain. Which of the following intervention should the nurse do first?
A. Notify the physician
B. Admit the patient in the emergency room to be checked by the physician
C. Instruct the patient to wait for the drug to take effect
D. Administer Morphine sulfate
19. The patient asked the nurse how to use the nitroglycerine patch. Which of the following is the
best response of the nurse?
A. Place the patch in the afternoon C. Place the patch early morning
B. Remove the patch when eating or
walking
20. How many hours is the maximum allowable transdermal patch in the body?
A. 10 hours B. 12 hours C. 14 hours D. 18 hours
21. A patient with Nitroglycerine patch in placed complains to the nurse the he is having a chest
pain. Which action of the nurse needs correction?
A. Give another Nitroglycerin patch and place it in a non hairy area near the heart
B. Notify the physician and give Nitroglycerin tablet via SL
C. Position the patient in upright position
D. Check vital signs
