NURS 1141 EXAM QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS ASSUARED 2023
Chapter 21
1. The nurse is reviewing the anatomy and physiology of the cardiac system with a patient scheduled for
pacemaker insertion. Which chamber of the heart should the nurse instruct has the greatest workload
and usually fails first as a result?
a. Left atrium
b. Right atrium
c. Left ventricle
d. Right ventricle - C. Left Ventricle
The thicker walls of the left ventricle pump with approximately five times the force of the right ventricle.
This difference in force is due to the great difference between systemic and pulmonary blood pressure.
A. B. D. These heart chambers do not have the same workload volume as the left ventricle.
2. The nurse is helping a patient understand why the heart beat can change in speed. When doing so,
what should the nurse explain as being the pacemaker of the heart?
a. Bundle of His
b. Sinoatrial node
c. Purkinjes fibers
d. Atrioventricular node - B
3. The nurse is using a stethoscope to listen to a patients heart sounds. The nurse recognizes that the
dupp of the characteristic lubb-dupp heart sound indicates what part of the cardiac cycle?
a. The closure of the mitral valve
b. The closure of the tricuspid
valve
c. The closure of the atrioventricular valves
d. The closure of the aortic and pulmonary semilunar valves - D
4. The nurse suspects that a patients heart rate is being affected by parasympathetic influence.
What should the nurse recall as the effect the parasympathetic nervous system has on the heart?
a. Decreases heart rate
b. Decreases resting phase
c. Increases cardiac
output
d. Increases strength of contraction - A
5. The nurse is caring for a patient recovering from a cardiac catheterization with a right femoral
artery entry site. Which action should the nurse take?
a. Ambulate every 2 hours.
b. Position knees with 40-degree bend.
c. Avoid movement of right leg as ordered.
d. Perform passive range of motion of right leg hourly. - C
6. The nurse is providing care for a patient whose right atrial pressure (RAP) is 12 mm Hg. Which
action should the nurse take?
a. Assess skin turgor.
b. Listen to breath sounds.
c. Measure urine specific gravity.
d. Determine level of consciousness. - B
7. A patient is diagnosed with epicarditis. What should the nurse recall regarding the purpose of
,NURS 1141 EXAM QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS ASSUARED 2023
the epicardium when caring for this patient?
a. Line the chambers of the heart.
b. Line the coronary blood
vessels.
,NURS 1141 EXAM QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS ASSUARED 2023
c. Cover the heart muscle and prevent friction.
d. Contract and pump blood from the ventricles. - C
8. The nurse is explaining the regulation of blood pressure to a patient newly diagnosed with
hypertension. What tissues within the artery wall that helps maintain diastolic blood pressure should
the nurse identify for the patient?
a. Smooth muscle and elastic connective tissue
b. Smooth muscle and simple squamous epithelium
c. Elastic connective tissue and fibrous connective tissue
d. Fibrous connective tissue and simple squamous epithelium - A
9. The nurse instructs a patient on beverages to avoid when taking the prescribed medication
warfarin (Coumadin). Which beverage should the patient state that indicates teaching has been
effective?
a. Beer
b. Orange juice
c. Grapefruit juice
d. Cranberry juice - D
10. A patient has sustained damage to the sinoatrial node. Which heart rates indicate that the patients
atrioventricular node has taken over as the pacemaker for the heart?
a. 10 to 20
b. 20 to 35
c. 40 to 60
d. 80 to 100 - C
11. The nurse is measuring a patients central venous pressure (CVP). Which patient factors is reflected
by this pressure reading?
a. Hydration
b. Cardiac output
c. Blood pressure
d. Peripheral vascular resistance - A
12. A patient with type 1 diabetes mellitus arrives for cardiac surgery. During the assessment, the
nurse learns the patient self-administered the usual insulin dose. Which action should the nurse take?
a. Obtain vital signs.
b. State, that is good.
c. Inform the physician.
d. Give 6 ounces of cranberry juice now. - C
Upon auscultating a patients heart sounds, the nurse is concerned that a pericardial friction rub is present.
Which health problem should the nurse suspect is possibly occurring in this patient?
a. Pleurisy
b. Pneumonia
c. Mitral valve prolapse
d. Myocardial infarction - D
13. The nurse reviews the cardiac catheterization procedure with a patient scheduled for the test in
2 hours. Which patient statement indicates that teaching has been effective?
a. I know the room will be very warm.
b. Most people feel drowsy during the procedure.
c. The table may move while the test is being
done.
, NURS 1141 EXAM QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS ASSUARED 2023
d. I should expect a cool sensation throughout my body when they inject the dye. - C
14. The nurse is caring for a patient who had a cardiac catheterization using the left femoral site for
entry. Which data is most important for the nurse to monitor?
a. Pupil reaction
b. Left pedal pulse
c. Orientation status
d. Right foot sensation - B
15. A patient is being instructed about a Holter monitor. Which statement indicates that the patient
knows what to do a symptom occurs while wearing a Holter monitor?
a. Call an ambulance.
b. Notify the
physician. c. Take an
apical pulse.
d. Push the event button. - D
16. A patient will be wearing a Holter monitor for 2 days. What should the nurse instruct the patient
about bathing while wearing the monitor?
a. Take a sponge bath.
b. You may take a tub bath.
c. Take a shower with the monitor on.
d. Remove the monitor before showering. - A
17. A patient asks the nurse to explain what high levels of low-density lipoproteins (LDLs) means. What
response by the nurse would be appropriate?
a. Increased blood clotting risk.
b. Increased risk for coronary artery disease.
c. Protection against coronary artery
disease.
d. Decreased risk for atherosclerosis development. - B
18. The nurse is reinforcing teaching provided to a patient about the role high-density lipoproteins
(HDLs) play in cardiac disease. Which patient statement indicates correct understanding of the
teaching? a. There is an increased blood clotting risk.
b. There is increased risk for coronary artery disease.
c. It provides protection against coronary artery disease.
d. The risk for atherosclerosis development is increased. - C
19. The nurse is collecting data from a patient with hypertension. Which modifiable cardiovascular
risk factor should the nurse identify for care planning?
a. Gender
b. Heredity
c. Ethnic origin
d. Activity level - D
20. The nurse is reinforcing teaching provided to a patient with a high serum cholesterol level, low
HDLs and high LDLs. What should the nurse include?
a. You need to see your doctor about this as soon as possible to start medications to lower
your cholesterol.
b. Your cholesterol level is too high, so you should stop eating foods high in cholesterol, such as eggs
and cream.
GRADED A+ SUCCESS ASSUARED 2023
Chapter 21
1. The nurse is reviewing the anatomy and physiology of the cardiac system with a patient scheduled for
pacemaker insertion. Which chamber of the heart should the nurse instruct has the greatest workload
and usually fails first as a result?
a. Left atrium
b. Right atrium
c. Left ventricle
d. Right ventricle - C. Left Ventricle
The thicker walls of the left ventricle pump with approximately five times the force of the right ventricle.
This difference in force is due to the great difference between systemic and pulmonary blood pressure.
A. B. D. These heart chambers do not have the same workload volume as the left ventricle.
2. The nurse is helping a patient understand why the heart beat can change in speed. When doing so,
what should the nurse explain as being the pacemaker of the heart?
a. Bundle of His
b. Sinoatrial node
c. Purkinjes fibers
d. Atrioventricular node - B
3. The nurse is using a stethoscope to listen to a patients heart sounds. The nurse recognizes that the
dupp of the characteristic lubb-dupp heart sound indicates what part of the cardiac cycle?
a. The closure of the mitral valve
b. The closure of the tricuspid
valve
c. The closure of the atrioventricular valves
d. The closure of the aortic and pulmonary semilunar valves - D
4. The nurse suspects that a patients heart rate is being affected by parasympathetic influence.
What should the nurse recall as the effect the parasympathetic nervous system has on the heart?
a. Decreases heart rate
b. Decreases resting phase
c. Increases cardiac
output
d. Increases strength of contraction - A
5. The nurse is caring for a patient recovering from a cardiac catheterization with a right femoral
artery entry site. Which action should the nurse take?
a. Ambulate every 2 hours.
b. Position knees with 40-degree bend.
c. Avoid movement of right leg as ordered.
d. Perform passive range of motion of right leg hourly. - C
6. The nurse is providing care for a patient whose right atrial pressure (RAP) is 12 mm Hg. Which
action should the nurse take?
a. Assess skin turgor.
b. Listen to breath sounds.
c. Measure urine specific gravity.
d. Determine level of consciousness. - B
7. A patient is diagnosed with epicarditis. What should the nurse recall regarding the purpose of
,NURS 1141 EXAM QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS ASSUARED 2023
the epicardium when caring for this patient?
a. Line the chambers of the heart.
b. Line the coronary blood
vessels.
,NURS 1141 EXAM QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS ASSUARED 2023
c. Cover the heart muscle and prevent friction.
d. Contract and pump blood from the ventricles. - C
8. The nurse is explaining the regulation of blood pressure to a patient newly diagnosed with
hypertension. What tissues within the artery wall that helps maintain diastolic blood pressure should
the nurse identify for the patient?
a. Smooth muscle and elastic connective tissue
b. Smooth muscle and simple squamous epithelium
c. Elastic connective tissue and fibrous connective tissue
d. Fibrous connective tissue and simple squamous epithelium - A
9. The nurse instructs a patient on beverages to avoid when taking the prescribed medication
warfarin (Coumadin). Which beverage should the patient state that indicates teaching has been
effective?
a. Beer
b. Orange juice
c. Grapefruit juice
d. Cranberry juice - D
10. A patient has sustained damage to the sinoatrial node. Which heart rates indicate that the patients
atrioventricular node has taken over as the pacemaker for the heart?
a. 10 to 20
b. 20 to 35
c. 40 to 60
d. 80 to 100 - C
11. The nurse is measuring a patients central venous pressure (CVP). Which patient factors is reflected
by this pressure reading?
a. Hydration
b. Cardiac output
c. Blood pressure
d. Peripheral vascular resistance - A
12. A patient with type 1 diabetes mellitus arrives for cardiac surgery. During the assessment, the
nurse learns the patient self-administered the usual insulin dose. Which action should the nurse take?
a. Obtain vital signs.
b. State, that is good.
c. Inform the physician.
d. Give 6 ounces of cranberry juice now. - C
Upon auscultating a patients heart sounds, the nurse is concerned that a pericardial friction rub is present.
Which health problem should the nurse suspect is possibly occurring in this patient?
a. Pleurisy
b. Pneumonia
c. Mitral valve prolapse
d. Myocardial infarction - D
13. The nurse reviews the cardiac catheterization procedure with a patient scheduled for the test in
2 hours. Which patient statement indicates that teaching has been effective?
a. I know the room will be very warm.
b. Most people feel drowsy during the procedure.
c. The table may move while the test is being
done.
, NURS 1141 EXAM QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS ASSUARED 2023
d. I should expect a cool sensation throughout my body when they inject the dye. - C
14. The nurse is caring for a patient who had a cardiac catheterization using the left femoral site for
entry. Which data is most important for the nurse to monitor?
a. Pupil reaction
b. Left pedal pulse
c. Orientation status
d. Right foot sensation - B
15. A patient is being instructed about a Holter monitor. Which statement indicates that the patient
knows what to do a symptom occurs while wearing a Holter monitor?
a. Call an ambulance.
b. Notify the
physician. c. Take an
apical pulse.
d. Push the event button. - D
16. A patient will be wearing a Holter monitor for 2 days. What should the nurse instruct the patient
about bathing while wearing the monitor?
a. Take a sponge bath.
b. You may take a tub bath.
c. Take a shower with the monitor on.
d. Remove the monitor before showering. - A
17. A patient asks the nurse to explain what high levels of low-density lipoproteins (LDLs) means. What
response by the nurse would be appropriate?
a. Increased blood clotting risk.
b. Increased risk for coronary artery disease.
c. Protection against coronary artery
disease.
d. Decreased risk for atherosclerosis development. - B
18. The nurse is reinforcing teaching provided to a patient about the role high-density lipoproteins
(HDLs) play in cardiac disease. Which patient statement indicates correct understanding of the
teaching? a. There is an increased blood clotting risk.
b. There is increased risk for coronary artery disease.
c. It provides protection against coronary artery disease.
d. The risk for atherosclerosis development is increased. - C
19. The nurse is collecting data from a patient with hypertension. Which modifiable cardiovascular
risk factor should the nurse identify for care planning?
a. Gender
b. Heredity
c. Ethnic origin
d. Activity level - D
20. The nurse is reinforcing teaching provided to a patient with a high serum cholesterol level, low
HDLs and high LDLs. What should the nurse include?
a. You need to see your doctor about this as soon as possible to start medications to lower
your cholesterol.
b. Your cholesterol level is too high, so you should stop eating foods high in cholesterol, such as eggs
and cream.
