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1. The primary cause of sudden cardiac death is usually due to:
A. cardiomyopathy
B. heart failure
C. ventricular dysrhythmia
D. myocardial infarction - Correct Answer: C. ventricular
dysrhythmia
2. The pathologic changes that occur in the development of coronary
atherosclerotic lesions include:
A. a decrease in the number of smooth muscle cells.
B. chronic vasoconstriction, leading to calcium buildup
C. damage to endothelial cells by oxidized lipids, inflammatory
response, and formation of plaques.
D. obstruction of a coronary vessel with death o tissue distal to the
blockage - Correct Answer: C. damage to endothelial cells by
oxidized lipids, inflammatory response, and formation of plaques
3. What factor causes a congenital heart disease to produce cyanosis?
A. Left-to-right shunting of blood
B. right-to-left shunting of blood
C. Ventricular septal obstruction
, D. none of the above - Correct Answer: B. Right-to-left shunting of
blood
4. Two main causes of diastolic and systolic heart failure are:
A. ischemic heart disease and hypertension
B. cardiomyopathy and anemia
C. hyperthyroidism and coronary artery disease
D. hypertension and valvular heart disease. - Correct Answer: A.
ischemic heart disease and hypertension.
5. Which of the following medications is used to decrease preload in patients
with heart failure?
A. corticosteroids
B. Beta-blockers
C. Calcium channel blockers
D. Diuretics - Correct Answer: D. Diuretics
6. A patient with heart failure complains of awakening intermittently during
the night with shortness of breath. Which of the following terms is
appropriate for this clinical manifestation?
A. Dyspnea
B. Orthopnea
C. Paroxysmal nocturnal dyspnea
D. Cyanosis - Correct Answer: C. Paroxysmal nocturnal dyspnea
7. A patient is admitted to the hospital with left-sided heart failure. Which of
the following clinical manifestations would the nurse not expect the client
to exhibit?
A. Crackles in lungs
, B. Cough
C. Peripheral edema
D. Dyspnea - Correct Answer: C. Peripheral edema
8. Which of the following left atrial pressure readings indicates a risk of
increased capillary filtration that results in the clinical manifestations of
pulmonary edema?
A. 25 mmHg
B. 12 mmHg
C. 6 mm Hg
D. 2 mmHg - Correct Answer: A. 25 mmHg
9. A blood test is used to identify patients with heart failure includes which of
the following?
A. Echocardiogram
B. BNP
C. Chest x-ray film
D. ANP - Correct Answer: B. BNP
10.What effect does stimulation of the sympathetic nervous system have on
the arterioles?
A. Dilation, which results in increased vascular resistance, increased
blood pressure, and decreased afterload.
B. Constriction, which results in increased vascular resistance,
decreased blood pressure, and decreased afterload.
C. Constriction, which results in increased vascular resistance, increased
blood pressure, and increased afterload
D. Dilation, which results in decreased vascular resistance, decreased
blood pressure, and decreased afterload. - Correct Answer: C.