Exam 2 (Cardiac & Hematology)
1. Cardiac cath/ coronary angiography – visualize blockages (diagnostic) and open blockages
(interventions)
2. Coronary artery disease – plaque buildup in arteries
3. Angiogenesis – build new vessels – collateral circulation
4. Pacemaker is functioning properly – pacemaker strikes before each QRS complex.
5. For interventions to reduce the risk of cardiovascular disease, which of the following
indicates to the nurse an indication for further teaching – increase my intake of foods
containing trans-fatty acids can lower my risk.
(trans fatty acid can increase LDL levels increasing risks)
6. A client with acute heart failure following a MI, which prescription requires clarification by
the provider – 0.9 % NaCl IV at 50 mL/hr continues. – If PT has MI, you do not give IV fluids
of normal saline = circulatory overload
7. A client with a chest pain and the provider suspects MI – Troponin test, the client ask, what
will the blood show? The nurse will explain that troponin is a heart muscle protein that
appears in the bloodstream when there is damage to the heart. Troponin I stays in the
blood for 7-10 days and troponin T for 10-14 days.
8. A hypertension client with potassium level of 6.8 mEq/L – obtain a 12-lead ECG.
9. MONA: Morphine, Oxygen, Nitro, Aspirin (When PT having chest pain, for MI)
10.Which ECG is used to determine the time it takes for ventricular polarization and
repolarization – QT intervals
11.A nurse is providing discharge teaching to a client who has implantable cardioverter
defibrillator (ICD) which information should the nurse include – the client should hold his
cellphone on the opposite side of the ICD
12.Client who reports pain in the jaw, back, and shoulder and SOB and nausea, what action
should the nurse take first – administer morphine
13.A client with hypovolemic shock, what will the nurse recognize as expected findings?
Oliguria (less than 400 cc/24 hrs) as a result of decreased blood flow to the kidneys.
14.Left sided heart failure reduces cardiac output and raises pulmonary venous pressure,
manifestations include: hacking cough, frothy sputum, wheezing, fatigue and weakness.
15.Assessing a client with suspected MI – nausea, tachycardia, diaphoresis.
16.A client with a diagnosis for essential hypertension the nurse should monitor which finding
– vertigo, headache, facial flushing, and fainting.
17.A client with a family history of blood pressure having a blood pressure of 125/84 mmhg
places him in prehypertension
18.A nurse is teaching a client with a post-op coronary artery bypass graft (CABG) surgery
and is receiving opioid medication to manage discomfort. Besides managing pain, what
are other desires the nurse should point out to be most important to the client’s recovery
about the medication – It facilitates the client’s deep breathing.
CABG when stenting is not an option
Stool softeners given to prevent straining
19.A nurse is caring for a client who develops a ventricular fibrillation rhythm, the client is
unresponsive, pulseless, and apneic, which of the following actions is the nurse’s priority –
defibrillate
20.A nurse is providing a discharge teaching to a client who has peripheral arterial disease
(PAD), which instruction should the nurse include in the teaching – Adjust the thermostat
to be warm to prevent vasoconstriction.
21.Heparin is order for a client with non-ST segment elevation myocardial infarction NSTEMI,
what is the purpose of the heparin? It prevents the development of new clots in the
coronary artery.
22.When caring for a client who has a sudden cardiac death (SCD) event and has no evidence
of and acute MI, the nurse will anticipate that additional diagnosis testing will be require
23.The nurse is teaching a client’s partner about the reason for drawing blood from her
partner who has an acute MI, what does the nurse response as the reason? The reason for
cardiac enzymes is to determine the degree of damage to the heart tissue
1. Cardiac cath/ coronary angiography – visualize blockages (diagnostic) and open blockages
(interventions)
2. Coronary artery disease – plaque buildup in arteries
3. Angiogenesis – build new vessels – collateral circulation
4. Pacemaker is functioning properly – pacemaker strikes before each QRS complex.
5. For interventions to reduce the risk of cardiovascular disease, which of the following
indicates to the nurse an indication for further teaching – increase my intake of foods
containing trans-fatty acids can lower my risk.
(trans fatty acid can increase LDL levels increasing risks)
6. A client with acute heart failure following a MI, which prescription requires clarification by
the provider – 0.9 % NaCl IV at 50 mL/hr continues. – If PT has MI, you do not give IV fluids
of normal saline = circulatory overload
7. A client with a chest pain and the provider suspects MI – Troponin test, the client ask, what
will the blood show? The nurse will explain that troponin is a heart muscle protein that
appears in the bloodstream when there is damage to the heart. Troponin I stays in the
blood for 7-10 days and troponin T for 10-14 days.
8. A hypertension client with potassium level of 6.8 mEq/L – obtain a 12-lead ECG.
9. MONA: Morphine, Oxygen, Nitro, Aspirin (When PT having chest pain, for MI)
10.Which ECG is used to determine the time it takes for ventricular polarization and
repolarization – QT intervals
11.A nurse is providing discharge teaching to a client who has implantable cardioverter
defibrillator (ICD) which information should the nurse include – the client should hold his
cellphone on the opposite side of the ICD
12.Client who reports pain in the jaw, back, and shoulder and SOB and nausea, what action
should the nurse take first – administer morphine
13.A client with hypovolemic shock, what will the nurse recognize as expected findings?
Oliguria (less than 400 cc/24 hrs) as a result of decreased blood flow to the kidneys.
14.Left sided heart failure reduces cardiac output and raises pulmonary venous pressure,
manifestations include: hacking cough, frothy sputum, wheezing, fatigue and weakness.
15.Assessing a client with suspected MI – nausea, tachycardia, diaphoresis.
16.A client with a diagnosis for essential hypertension the nurse should monitor which finding
– vertigo, headache, facial flushing, and fainting.
17.A client with a family history of blood pressure having a blood pressure of 125/84 mmhg
places him in prehypertension
18.A nurse is teaching a client with a post-op coronary artery bypass graft (CABG) surgery
and is receiving opioid medication to manage discomfort. Besides managing pain, what
are other desires the nurse should point out to be most important to the client’s recovery
about the medication – It facilitates the client’s deep breathing.
CABG when stenting is not an option
Stool softeners given to prevent straining
19.A nurse is caring for a client who develops a ventricular fibrillation rhythm, the client is
unresponsive, pulseless, and apneic, which of the following actions is the nurse’s priority –
defibrillate
20.A nurse is providing a discharge teaching to a client who has peripheral arterial disease
(PAD), which instruction should the nurse include in the teaching – Adjust the thermostat
to be warm to prevent vasoconstriction.
21.Heparin is order for a client with non-ST segment elevation myocardial infarction NSTEMI,
what is the purpose of the heparin? It prevents the development of new clots in the
coronary artery.
22.When caring for a client who has a sudden cardiac death (SCD) event and has no evidence
of and acute MI, the nurse will anticipate that additional diagnosis testing will be require
23.The nurse is teaching a client’s partner about the reason for drawing blood from her
partner who has an acute MI, what does the nurse response as the reason? The reason for
cardiac enzymes is to determine the degree of damage to the heart tissue
