NURSING
Chapter 8: Chest Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. In mitral stenosis, p waves may suggest:
A. Left atrial enlargement
B. Right atrial enlargement
C. Left ventricle enlargement
D. Right ventricle enlargement
____ 2. Aortic regurgitation requires medical treatment for early signs of CHF with:
A. Beta blockers
B. ACE inhibitors
C. Surgery
D. Hospitalization
____ 3. A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include
exertional dyspnea. Angina equivalents are important because:
A. Women with ischemic heart disease many times do not present with chest pain
B. Some patients may have no symptoms or atypical symptoms. Diagnosis may only
be made at the time of an actual myocardial infarction
C. Elderly patients have the most severe symptoms
D. A & B only
____ 4. The best evidence rating drugs to consider in a post myocardial infarction patient include:
A. ASA, ACE/ARB, beta-blocker, aldosterone blockade
B. Ace, ARB, Calcium channel blocker, ASA
C. Long-acting nitrates, warfarin, ACE, and ARB
D. ASA, clopidogrel, nitrates
____ 5. A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on
heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm
without ST segment abnormalities. Your plan may include:
A. Echocardiogram
B. Exercise stress test
C. Cardiac catheterization
D. Myocardial perfusion imaging
____ 6. Preceding a stress test, the following lab work might include:
A. CBC and differential to differentiate ischemic heart disease from anemia
B. Liver enzymes to rule out underlying gall bladder disease
C. Thyroid studies to rule out hyperthyroidism
D. A & C only
____ 7. Which test is the clinical standard for the assessment of aortic stenosis?
A. Cardiac catheterization
B. Stress test
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, C. Chest x-ray
D. Echocardiography
____ 8. What is the most common valvular heart disease in the older adult?
A. Aortic regurgitation
B. Aortic stenosis
C. Mitral regurgitation
D. Mitral stenosis
____ 9. On examination, what type of murmur can be auscultated with aortic regurgitation?
A. Austin flint
B. Systolic ejection
C. Soft S1 and a Loud S2
D. Loud S1
____ 10. Ischemic heart disease is:
A. Defined as imbalance between oxygen supply and demand.
B. Frequently is manifested as angina.
C. Leading cause of death in the elderly.
D. All of the above.
____ 11. Which test is the clinical standard for the assessment of aortic stenosis?
A. Cardiac catheterization
B. Stress test
C. Chest x-ray
D. Echocardiography
____ 12. The aging process causes what normal physiological changes in the heart?
A. The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
B. Cardiology occurs along with prolapse of the mitral valve and regurgitation
C. Dilation of the right ventricle occurs with sclerosis of pulmonic and tricuspid
valves
D. Hypertrophy of the right ventricle
____ 13. An older adult may present with atypical clinical signs of pneumonia. The nurse practitioner needs to
be aware that the clustering of all of the following signs and symptoms may be indicative of
pneumonia in an older person except:
A. Bradycardia
B. Malaise
C. Anorexia
D. Confusion
____ 14. Which of the following statements is true concerning anti-arrhythmic drugs?
A. Amiodarone is the only one not associated with increased mortality and it has a
very favorable side effect profile.
B. Both long-acting and short-acting calcium channel blockers are associated with an
increased risk of cardiovascular morbidity and mortality.
C. Most anti-arrhythmics have a low toxic/therapeutic ratio and some are exceedingly
toxic.
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Chapter 8: Chest Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. In mitral stenosis, p waves may suggest:
A. Left atrial enlargement
B. Right atrial enlargement
C. Left ventricle enlargement
D. Right ventricle enlargement
____ 2. Aortic regurgitation requires medical treatment for early signs of CHF with:
A. Beta blockers
B. ACE inhibitors
C. Surgery
D. Hospitalization
____ 3. A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include
exertional dyspnea. Angina equivalents are important because:
A. Women with ischemic heart disease many times do not present with chest pain
B. Some patients may have no symptoms or atypical symptoms. Diagnosis may only
be made at the time of an actual myocardial infarction
C. Elderly patients have the most severe symptoms
D. A & B only
____ 4. The best evidence rating drugs to consider in a post myocardial infarction patient include:
A. ASA, ACE/ARB, beta-blocker, aldosterone blockade
B. Ace, ARB, Calcium channel blocker, ASA
C. Long-acting nitrates, warfarin, ACE, and ARB
D. ASA, clopidogrel, nitrates
____ 5. A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on
heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm
without ST segment abnormalities. Your plan may include:
A. Echocardiogram
B. Exercise stress test
C. Cardiac catheterization
D. Myocardial perfusion imaging
____ 6. Preceding a stress test, the following lab work might include:
A. CBC and differential to differentiate ischemic heart disease from anemia
B. Liver enzymes to rule out underlying gall bladder disease
C. Thyroid studies to rule out hyperthyroidism
D. A & C only
____ 7. Which test is the clinical standard for the assessment of aortic stenosis?
A. Cardiac catheterization
B. Stress test
This study source was downloaded by 100000839306532 from CourseHero.com on 06-17-2022 14:09:50 GMT -05:00
https://www.coursehero.com/file/22900321/28622/
, C. Chest x-ray
D. Echocardiography
____ 8. What is the most common valvular heart disease in the older adult?
A. Aortic regurgitation
B. Aortic stenosis
C. Mitral regurgitation
D. Mitral stenosis
____ 9. On examination, what type of murmur can be auscultated with aortic regurgitation?
A. Austin flint
B. Systolic ejection
C. Soft S1 and a Loud S2
D. Loud S1
____ 10. Ischemic heart disease is:
A. Defined as imbalance between oxygen supply and demand.
B. Frequently is manifested as angina.
C. Leading cause of death in the elderly.
D. All of the above.
____ 11. Which test is the clinical standard for the assessment of aortic stenosis?
A. Cardiac catheterization
B. Stress test
C. Chest x-ray
D. Echocardiography
____ 12. The aging process causes what normal physiological changes in the heart?
A. The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
B. Cardiology occurs along with prolapse of the mitral valve and regurgitation
C. Dilation of the right ventricle occurs with sclerosis of pulmonic and tricuspid
valves
D. Hypertrophy of the right ventricle
____ 13. An older adult may present with atypical clinical signs of pneumonia. The nurse practitioner needs to
be aware that the clustering of all of the following signs and symptoms may be indicative of
pneumonia in an older person except:
A. Bradycardia
B. Malaise
C. Anorexia
D. Confusion
____ 14. Which of the following statements is true concerning anti-arrhythmic drugs?
A. Amiodarone is the only one not associated with increased mortality and it has a
very favorable side effect profile.
B. Both long-acting and short-acting calcium channel blockers are associated with an
increased risk of cardiovascular morbidity and mortality.
C. Most anti-arrhythmics have a low toxic/therapeutic ratio and some are exceedingly
toxic.
This study source was downloaded by 100000839306532 from CourseHero.com on 06-17-2022 14:09:50 GMT -05:00
https://www.coursehero.com/file/22900321/28622/
