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Medical-Surgical Nursing Exam 16: Cardiovascular Nursing (60 Items) ALL ANSWERS 100% CORRECT SPRING FALL-2022 LATEST GUARANTEED GRADE A+

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Congratulations - you have completed Cardiovascular Nursing. You scored 0 out of 60. Your performance has been rated as Read more about the topic! Your answers are highlighted below. Which of the following arteries primarily feeds the anterior wall of the heart? Circumflex artery Internal mammary artery Left anterior descending artery Right coronary artery When do coronary arteries primarily receive blood flow? During inspiration During diastole During expiration During systole Which of the following illnesses is the leading cause of death in the US? Cancer Coronary artery disease Liver failure Renal failure Which of the following conditions most commonly results in CAD? Atherosclerosis DM MI Renal failure Atherosclerosis impedes coronary blood flow by which of the following mechanisms? Plaques obstruct the vein Plaques obstruct the artery Blood clots form outside the vessel wall Hardened vessels dilate to allow the blood to flow through Which of the following risk factors for coronary artery disease cannot be corrected? Cigarette smoking DM Heredity HPN Exceeding which of the following serum cholesterol levels significantly increases the risk of coronary artery disease? 100 mg/dl 150 mg/dl 175 mg/dl 200 mg/dl Which of the following actions is the first priority care for a client exhibiting signs and symptoms of coronary artery disease? Decrease anxiety Enhance myocardial oxygenation Administer sublignual nitroglycerin Educate the client about his symptoms Medical treatment of coronary artery disease includes which of the following procedures? Cardiac catheterization Coronary artery bypass surgery Oral medication administration Percutaneous transluminal coronary angioplasty Prolonged occlusion of the right coronary artery produces an infarction in which of he following areas of the heart? Anterior Apical Inferior Lateral Which of the following is the most common symptom of myocardial infarction? Chest pain Dyspnea Edema Palpitations Which of the following landmarks is the correct one for obtaining an apical pulse? Left intercostal space, midaxillary line Left fifth intercostal space, midclavicular line Left second intercostal space, midclavicular line Left seventh intercostal space, midclavicular line Which of the following systems is the most likely origin of pain the client describes as knifelike chest pain that increases in intensity with inspiration? Cardiac Gastrointestinal Musculoskeletal Pulmonary A murmur is heard at the second left intercostal space along the left sternal border. Which valve area is this? Aortic Mitral Pulmonic Tricuspid Which of the following blood tests is most indicative of cardiac damage? Lactate dehydrogenase Complete blood count Troponin I Creatine kinase What is the primary reason for administering morphine to a client with myocardial infarction? To sedate the client To decrease the client's pain To decrease the client's anxiety To decrease oxygen demand on the client's heart Which of the followng conditions is most commonly responsible for myocardial infarction? Aneurysm Heart failure Coronary artery thrombosis Renal failure What supplemental medication is most frequently ordered in conjuction with furosemide (Lasix)? Chloride Digoxin Potassium Sodium After myocardial infarction, serum glucose levels and free fatty acids are both increase. What type of physiologic changes are these? Electrophysiologic Hematologic Mechanical Metabolic Which of the following complications is indicated by a third heart sound (S3)? Ventricular dilation Systemic hypertension Aortic valve malfunction Increased atrial contractions After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs? Left-sided heart failure Pulmonic valve malfunction Right-sided heart failure Tricuspid valve malfunction Which of the following diagnostic tools is most commonly used to determine the location of myocardial damage? Cardiac catheterization Cardiac enzymes Echocardiogram Electrocardiogram What is the first intervention for a client experiencing myocardial infarction? Administer morphine Administer oxygen Administer sublingual nitroglycerin Obtain an electrocardiogram What is the most appropriate nursing response to a myocardial infarction client who is fearful of dying? "Tell me about your feeling right now." "When the doctor arrives, everything will be fine." "This is a bad situation, but you'll feel better soon." "Please be assured we're doing everything we can to make you feel better." Which of the following classes of medications protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation? Beta-adrenergic blockers Calcium channel blockers Narcotics Nitrates What is the most common complication of a myocardial infarction? Cardiogenic shock Heart failure Arrhythmias Pericarditis With which of the following disorders is jugular vein distention most prominent? Abdominal aortic aneurysm Heart failure Myocardial infarction Pneumothorax What position should the nurse place the head of the bed in to obtain the most accurate reading of jugular vein distention?

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Medical-Surgical Nursing Exam 16:
Cardiovascular Nursing (60 Items) ALL
ANSWERS 100% CORRECT SPRING FALL-
2022 LATEST GUARANTEED GRADE A+




Introduction




Page 1 of 45

,This is a 60-item examination about the concepts of Cardiovascular Nursing. The challenging questions in this exam
can help you in your board exam or NCLEX.


Topics
Concepts covered in this exam are:


Cardiovascular Nursing
Myocardial Infarction
Heart Failure
Aortic Aneurysm


Guidelines
Read each question carefully and choose the best answer.
You are given one minute per question. Spend your time wisely!
Answers and rationales (if any) are given below. Be sure to read them.
If you need more clarifications, please direct them to the comments section.


Questions

Exam Mode
In Exam Mode: All questions are shown but the results, answers, and rationales (if any) will only be given after
you’ve finished the quiz. You are given 1 minute per question.


Cardiovascular Nursing
60:00


Congratulations - you have completed Cardiovascular Nursing. You scored 0 out of 60. Your performance has
been rated as Read more about the topic!

Your answers are highlighted below.



Which of the following arteries primarily feeds the anterior wall of the heart?




Page 2 of 45

, Circumflex artery


Internal mammary artery


Left anterior descending artery


Right coronary artery



Question 1 Explanation:
The left anterior descending artery is the primary source of blood for the
anterior wall of the heart. The circumflex artery supplies the lateral wall,
the internal mammary artery supplies the mammary, and the right
coronary artery supplies the inferior wall of the heart.




When do coronary arteries primarily receive blood flow?


During inspiration


During diastole


During expiration


During systole



Question 2 Explanation:
Although the coronary arteries may receive a minute portion of blood
during systole, most of the blood flow to coronary arteries is supplied
during diastole. Breathing patterns are irrelevant to blood flow




Which of the following illnesses is the leading cause of death in the US?


Cancer


Coronary artery disease


Liver failure


Renal failure




Page 3 of 45

, Question 3 Explanation:
Coronary artery disease accounts for over 50% of all deaths in the US.
Cancer accounts for approximately 20%. Liver failure and renal failure
account for less than 10% of all deaths in the US.




Which of the following conditions most commonly results in CAD?


Atherosclerosis


DM


MI


Renal failure



Question 4 Explanation:
Atherosclerosis, or plaque formation, is the leading cause of CAD. DM is
a risk factor for CAD but isn't the most common cause. Renal failure
doesn't cause CAD, but the two conditions are related. Myocardial
infarction is commonly a result of CAD.




Atherosclerosis impedes coronary blood flow by which of the following
mechanisms?


Plaques obstruct the vein


Plaques obstruct the artery


Blood clots form outside the vessel wall


Hardened vessels dilate to allow the blood to flow through



Question 5 Explanation:
Arteries, not veins, supply the coronary arteries with oxygen and other
nutrients. Atherosclerosis is a direct result of plaque formation in the
artery. Hardened vessels can't dilate properly and, therefore, constrict
blood flow.




Page 4 of 45

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