CARDIOVASCULAR NCLEX QUESTIONS
AND ANSWERS GRADED A
A 65-year-old male develops blockage in the pulmonary artery. As a result of the
blockage, blood would first back up into the:
a. Aorta
b. Left ventricle
c. Pulmonary veins
d. Right ventricle - d. Right ventricle
A nurse is teaching about the heart. Which information should the nurse include? The
chamber of the heart that generates the highest pressure is the:
a. Right atrium
b. Left atrium
c. Left ventricle
d. Right ventricle - c. Left ventricle
A nurse recalls the chamber that receives blood from the systemic circulation is the:
a. Right atrium
b. Right ventricle
c. Left atrium
d. Left ventricle - a. Right atrium
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Which statement indicates the nurse understands blood flow? Oxygenated blood flows
through the:
a. Superior vena cava
b. Pulmonary veins
c. Pulmonary artery
d. Cardiac veins - b. Pulmonary veins
The nurse is planning care for a patient with heart problems. Which information should
the nurse remember? The _____ artery travels down the interventricular septum and
delivers blood to portions of the left and right ventricle.
a. Right coronary
b. Circumflex
c. Left anterior descending
d. Cardiac - c. Left anterior descending
When a staff member asks where venous blood from the coronary circulation drains into,
what is the best response by the nurse? The:
a. Superior vena cava
b. Inferior vena cava
c. Right atrium
d. Reft atrium - c. Right atrium
While viewing the electrocardiogram, the nurse recalls the _____ conducts action
potentials down the atrioventricular septum.
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a. Bachmann bundle
b. Bundle of His
c. Sinoatrial node
d. Atrioventricular node - b. Bundle of His
A 13-year-old female took a weight loss drug that activated the sympathetic nervous
system. Which of the following assessment findings would the nurse expect?
a. Decreased myocardial contraction
b. Decreased heart rate
c. Increased cardiac conduction
d. Increased intranodal conduction time - c. Increased cardiac conduction
A 50-year-old female received trauma to the chest that caused severe impairment of the
primary pacemaker cells of the heart. Which of the following areas received the greatest
damage?
a. Atrioventricular (AV) node
b. Sinoatrial (SA) node
c. Bundle of His
d. Ventricles - b. Sinoatrial (SA) node
A nurse assesses the heart after acetylcholine because the effect of acetylcholine on the
heart is to
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a. Decrease the refractory period
b. Increase calcium influx
c. Increase the strength of myocardial contraction
d. Decrease the heart rate - d. Decrease the heart rate
A nurse is discussing the pressure generated at the end of diastole. Which term is the
nurse describing?
a. Preload
b. Afterload
c. Systemic vascular resistance
d. Total peripheral resistance - a. Preload
Which principle should the nurse remember when planning nursing care for a patient
with heart problems? As stated by the Frank-Starling law, there is a direct relationship
between the _____ of the blood in the heart at the end of diastole and the _____ of
contraction during the next systole.
a. Pressure, duration
b. Volume, force
c. Viscosity, force
d. Viscosity, duration - b. Volume, force
Within a normal physiologic range, an increase in left ventricular end-diastolic volume
would lead the nurse to monitor for:
a. An increased force of contraction
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