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Chapter 47: Care of the Patient with a Cardio
lar or a Peripheral Vascular Disorder
Chapter 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder
Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition
MULTIPLE CHOICE
1.The nurse is aware that the muscle layer of the heart, which is responsible for the heart’s con
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D
The myocardium is the specialized muscle layer that allows the heart to contract.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1533
OBJ: 2 TOP: Myocardium KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
,a. left ventricle.
b. atrioventricular (AV) node.
c. sinoatrial (SA) node.
d. bundle of His.
ANS: C
The SA node is the master pacemaker of the heart.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1533
OBJ:10TOP:Acute myocardial infarction
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
3.The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in wo
acute chest pain is not present. Women are frequently misdiagnosed as having:
a. hepatitis A.
b. indigestion.
c. urinary infection.
d. menopausal complications.
ANS: B
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for w
MI.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1559
OBJ:16TOP:MIs in women
,a. AV valves closing.
b. closure of the semilunar valves.
c. contraction of the papillary muscles.
d. contraction of the ventricles.
ANS: A
The LUBB is the first sound of a low pitch heard when the AV valves close.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1535
OBJ: 4 TOP: Lubb sound KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
5.A patient is admitted from the emergency department. The emergency department physician
tient has a diagnosis of heart failure with a New York Heart Association (NYHA) classification of
cates the patient’s condition as:
a. moderate heart failure.
b. severe heart failure.
c. congestive heart failure.
d. negligible heart failure.
ANS: B
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or s
cardiac inefficiency may develop at rest.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1565, Box 47-3
, 6.The nurse assesses that the home health patient has no signs or symptoms of heart failure, b
history of rheumatic fever and has been recently diagnosed with diabetes mellitus. The nurse is
ing the American College of Cardiology and the American Heart Association (ACC/AHA) staging,
would be a:
a. stage A.
b. stage B.
c. stage C.
d. stage D.
ANS: A
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but with
tions associated with the development of the disease.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1565, Box 47-3
OBJ: 9 TOP: Heart failure KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
7.The nurse caring for a patient recovering from a myocardial infarct who is on remote telemet
the need for added instruction when the patient says:
a. “I can ambulate in the hallway with this gadget on.”
b. “I always take off the telemetry device when I shower.”
c. “My EKG is being watched by one of the nurses in CCU on the home unit.”
d. “I am able to sleep just fine with this device on.”
ANS: B
Remote telemetry allows the patient to be on a separate unit, but be monitored in a central loc
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Chapter 47: Care of the Patient with a Cardio
lar or a Peripheral Vascular Disorder
Chapter 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder
Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition
MULTIPLE CHOICE
1.The nurse is aware that the muscle layer of the heart, which is responsible for the heart’s con
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D
The myocardium is the specialized muscle layer that allows the heart to contract.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1533
OBJ: 2 TOP: Myocardium KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
,a. left ventricle.
b. atrioventricular (AV) node.
c. sinoatrial (SA) node.
d. bundle of His.
ANS: C
The SA node is the master pacemaker of the heart.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1533
OBJ:10TOP:Acute myocardial infarction
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
3.The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in wo
acute chest pain is not present. Women are frequently misdiagnosed as having:
a. hepatitis A.
b. indigestion.
c. urinary infection.
d. menopausal complications.
ANS: B
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for w
MI.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1559
OBJ:16TOP:MIs in women
,a. AV valves closing.
b. closure of the semilunar valves.
c. contraction of the papillary muscles.
d. contraction of the ventricles.
ANS: A
The LUBB is the first sound of a low pitch heard when the AV valves close.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1535
OBJ: 4 TOP: Lubb sound KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
5.A patient is admitted from the emergency department. The emergency department physician
tient has a diagnosis of heart failure with a New York Heart Association (NYHA) classification of
cates the patient’s condition as:
a. moderate heart failure.
b. severe heart failure.
c. congestive heart failure.
d. negligible heart failure.
ANS: B
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or s
cardiac inefficiency may develop at rest.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1565, Box 47-3
, 6.The nurse assesses that the home health patient has no signs or symptoms of heart failure, b
history of rheumatic fever and has been recently diagnosed with diabetes mellitus. The nurse is
ing the American College of Cardiology and the American Heart Association (ACC/AHA) staging,
would be a:
a. stage A.
b. stage B.
c. stage C.
d. stage D.
ANS: A
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but with
tions associated with the development of the disease.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1565, Box 47-3
OBJ: 9 TOP: Heart failure KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
7.The nurse caring for a patient recovering from a myocardial infarct who is on remote telemet
the need for added instruction when the patient says:
a. “I can ambulate in the hallway with this gadget on.”
b. “I always take off the telemetry device when I shower.”
c. “My EKG is being watched by one of the nurses in CCU on the home unit.”
d. “I am able to sleep just fine with this device on.”
ANS: B
Remote telemetry allows the patient to be on a separate unit, but be monitored in a central loc
