NUR 2023 Cardio 1 Med Surg exam Arkansas Tech
University 2022/2023
After noting a pulse deficit when assessing a patient who has D electrocardiographic
just arrived in the emergency department, the nurse will (ECG) monitoring.
anticipate that the patient may require
A) a. a 2-D echocardiogram.
B) b. a cardiac catheterization.
C) c. hourly blood pressure (BP) checks.
D) d. electrocardiographic (ECG) monitoring.
When reviewing the 12-lead electrocardiograph (ECG) for a A The heart rate (HR) is
healthy 86-year-old patient who is having an annual 43 beats/minute.
physical examination, which of the following will be of most
concern to the nurse?
A) a. The heart rate (HR) is 43 beats/minute.
B) b. The PR interval is 0.21 seconds.
C) c. There is a right bundle-branch block.
D) d. The QRS duration is 0.13 seconds.
During a physical examination of a patient, the nurse palpates D assess the patient for
the point of maximal impulse (PMI) in the sixth intercostal symptoms of left
space lateral to the left midclavicular line. The most ventricular hypertrophy.
appropriate action for the nurse to take next will be to
A) a. document that the PMI is in the normal anatomic location.
B) b. ask the patient about risk factors for coronary
artery disease.
C) c. auscultate both the carotid arteries for the presence
of a bruit.
D) d. assess the patient for symptoms of left
ventricular hypertrophy.
To auscultate for S3 or S4 gallops in the mitral area, the nurse A bell of the stethoscope
listens with the with the patient in the left
A) a. bell of the stethoscope with the patient in the left lateral position.
lateral position.
B) b. bell of the stethoscope with the patient sitting and
leaning forward.
C) c. diaphragm of the stethoscope with the patient in a
reclining position.
D) d. diaphragm of the stethoscope with the patient lying flat
on the left side.
To determine the effects of therapy for a patient who is being D B-type natriuretic peptide
treated for heart failure, which laboratory result will the nurse
,plan to review? (BNP)
A) a. Myoglobin
B) b. Homocysteine (Hcy)
C) c. Low-density lipoprotein (LDL)
D) d. B-type natriuretic peptide (BNP)
While doing the admission assessment for a thin 72-year-old D Document the finding in
patient, the nurse observes pulsation of the abdominal aorta the patient chart.
in the epigastric area. Which action should the nurse take?
A) a. Notify the hospital rapid response team.
B) b. Instruct the patient to remain on bed rest.
C) c. Teach the patient about aortic aneurysms.
D) d. Document the finding in the patient chart.
A patient is scheduled for a cardiac catheterization with C a warm feeling may be
coronary angiography. Before the test, the nurse informs the noted when the contrast dye
patient that is injected
A) a. electrocardiographic (ECG) monitoring will be required
for 24 hours after the test.
B) b. it will be important to lie completely still during
the procedure.
C) c. a warm feeling may be noted when the contrast
dye is injected.
D) d. monitored anesthesia care will be provided during
the procedure.
While assessing a patient who was admitted with heart failure, C Observe for JVD with the
the nurse notes that the patient has jugular venous distention head at 30 degrees.
(JVD) when lying flat in bed. Which action should the nurse take
next?
A) a. Use a ruler to measure the level of the JVD.
B) b. Document this finding in the patient's record.
C) c. Observe for JVD with the head at 30 degrees.
D) d. Have the patient perform the Valsalva maneuver.
The nurse teaches the patient being evaluated for rhythm C keep a diary of daily
disturbances with a Holter monitor to activities while the monitor is
A) a. exercise more than usual while the monitor is in place. worn.
B) b. remove the electrodes when taking a shower or tub bath.
C) c. keep a diary of daily activities while the monitor is worn.
D) d. connect the recorder to a telephone transmitter once daily.
When auscultating over the patient's abdominal aorta, the B bruit.
nurse hears a humming sound. The nurse documents this
finding as a
, A) a. thrill.
B) b. bruit.
C) c. heave.
D) d. murmur.
Which action will the nurse in the hypertension clinic take in C Have the patient sit in a
order to obtain an accurate baseline blood pressure (BP) for a chair with the feet flat on the
new patient? floor.
A) a. Obtain a BP reading in each arm and average the results.
B) b. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second.
C) c. Have the patient sit in a chair with the feet flat on the floor.
D) d. Assist the patient to the supine position for
BP measurements.
The nurse obtains this information from a patient with B No regular aerobic exercise
prehypertension. Which finding is most important to address
with the patient?
A) a. Low dietary fiber intake
B) b. No regular aerobic exercise
C) c. Weight 5 pounds above ideal weight
D) d. Drinks wine with dinner once a week
After giving a patient the initial dose of oral labetalol C Ask the patient to request
(Normodyne) for treatment of hypertension, which action assistance when getting out
should the nurse take? of bed.
A) a. Encourage oral fluids to prevent dry mouth or dehydration.
B) b. Instruct the patient to ask for help if heart
palpitations occur.
C) c. Ask the patient to request assistance when getting out
of bed.
D) d. Teach the patient that headaches may occur with
this medication.
After the nurse teaches the patient with stage 1 hypertension D. The patient has a glass
about diet modifications that should be implemented, which of low-fat milk with each
diet choice indicates that the teaching has been effective? meal.
A) a. The patient avoids eating nuts or nut butters.
B) b. The patient restricts intake of dietary protein.
C) c. The patient has only one cup of coffee in the morning.
D) d. The patient has a glass of low-fat milk with each meal.
A patient has just been diagnosed with hypertension and has a D. Change position slowly to
University 2022/2023
After noting a pulse deficit when assessing a patient who has D electrocardiographic
just arrived in the emergency department, the nurse will (ECG) monitoring.
anticipate that the patient may require
A) a. a 2-D echocardiogram.
B) b. a cardiac catheterization.
C) c. hourly blood pressure (BP) checks.
D) d. electrocardiographic (ECG) monitoring.
When reviewing the 12-lead electrocardiograph (ECG) for a A The heart rate (HR) is
healthy 86-year-old patient who is having an annual 43 beats/minute.
physical examination, which of the following will be of most
concern to the nurse?
A) a. The heart rate (HR) is 43 beats/minute.
B) b. The PR interval is 0.21 seconds.
C) c. There is a right bundle-branch block.
D) d. The QRS duration is 0.13 seconds.
During a physical examination of a patient, the nurse palpates D assess the patient for
the point of maximal impulse (PMI) in the sixth intercostal symptoms of left
space lateral to the left midclavicular line. The most ventricular hypertrophy.
appropriate action for the nurse to take next will be to
A) a. document that the PMI is in the normal anatomic location.
B) b. ask the patient about risk factors for coronary
artery disease.
C) c. auscultate both the carotid arteries for the presence
of a bruit.
D) d. assess the patient for symptoms of left
ventricular hypertrophy.
To auscultate for S3 or S4 gallops in the mitral area, the nurse A bell of the stethoscope
listens with the with the patient in the left
A) a. bell of the stethoscope with the patient in the left lateral position.
lateral position.
B) b. bell of the stethoscope with the patient sitting and
leaning forward.
C) c. diaphragm of the stethoscope with the patient in a
reclining position.
D) d. diaphragm of the stethoscope with the patient lying flat
on the left side.
To determine the effects of therapy for a patient who is being D B-type natriuretic peptide
treated for heart failure, which laboratory result will the nurse
,plan to review? (BNP)
A) a. Myoglobin
B) b. Homocysteine (Hcy)
C) c. Low-density lipoprotein (LDL)
D) d. B-type natriuretic peptide (BNP)
While doing the admission assessment for a thin 72-year-old D Document the finding in
patient, the nurse observes pulsation of the abdominal aorta the patient chart.
in the epigastric area. Which action should the nurse take?
A) a. Notify the hospital rapid response team.
B) b. Instruct the patient to remain on bed rest.
C) c. Teach the patient about aortic aneurysms.
D) d. Document the finding in the patient chart.
A patient is scheduled for a cardiac catheterization with C a warm feeling may be
coronary angiography. Before the test, the nurse informs the noted when the contrast dye
patient that is injected
A) a. electrocardiographic (ECG) monitoring will be required
for 24 hours after the test.
B) b. it will be important to lie completely still during
the procedure.
C) c. a warm feeling may be noted when the contrast
dye is injected.
D) d. monitored anesthesia care will be provided during
the procedure.
While assessing a patient who was admitted with heart failure, C Observe for JVD with the
the nurse notes that the patient has jugular venous distention head at 30 degrees.
(JVD) when lying flat in bed. Which action should the nurse take
next?
A) a. Use a ruler to measure the level of the JVD.
B) b. Document this finding in the patient's record.
C) c. Observe for JVD with the head at 30 degrees.
D) d. Have the patient perform the Valsalva maneuver.
The nurse teaches the patient being evaluated for rhythm C keep a diary of daily
disturbances with a Holter monitor to activities while the monitor is
A) a. exercise more than usual while the monitor is in place. worn.
B) b. remove the electrodes when taking a shower or tub bath.
C) c. keep a diary of daily activities while the monitor is worn.
D) d. connect the recorder to a telephone transmitter once daily.
When auscultating over the patient's abdominal aorta, the B bruit.
nurse hears a humming sound. The nurse documents this
finding as a
, A) a. thrill.
B) b. bruit.
C) c. heave.
D) d. murmur.
Which action will the nurse in the hypertension clinic take in C Have the patient sit in a
order to obtain an accurate baseline blood pressure (BP) for a chair with the feet flat on the
new patient? floor.
A) a. Obtain a BP reading in each arm and average the results.
B) b. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second.
C) c. Have the patient sit in a chair with the feet flat on the floor.
D) d. Assist the patient to the supine position for
BP measurements.
The nurse obtains this information from a patient with B No regular aerobic exercise
prehypertension. Which finding is most important to address
with the patient?
A) a. Low dietary fiber intake
B) b. No regular aerobic exercise
C) c. Weight 5 pounds above ideal weight
D) d. Drinks wine with dinner once a week
After giving a patient the initial dose of oral labetalol C Ask the patient to request
(Normodyne) for treatment of hypertension, which action assistance when getting out
should the nurse take? of bed.
A) a. Encourage oral fluids to prevent dry mouth or dehydration.
B) b. Instruct the patient to ask for help if heart
palpitations occur.
C) c. Ask the patient to request assistance when getting out
of bed.
D) d. Teach the patient that headaches may occur with
this medication.
After the nurse teaches the patient with stage 1 hypertension D. The patient has a glass
about diet modifications that should be implemented, which of low-fat milk with each
diet choice indicates that the teaching has been effective? meal.
A) a. The patient avoids eating nuts or nut butters.
B) b. The patient restricts intake of dietary protein.
C) c. The patient has only one cup of coffee in the morning.
D) d. The patient has a glass of low-fat milk with each meal.
A patient has just been diagnosed with hypertension and has a D. Change position slowly to
