Med Surg Quiz 3 -- Ch 25, 27, 28 TestBank
Questions with correct Answers 2025/2026
A+ Graded 100% Verified
A nurse is describing the process by which blood is ejected into circulation as the chambers of
the heart become smaller. The instructor categorizes this action of the heart as what? -
ANS-Systole
During a shift assessment, the nurse is identifying the clients point of maximum impulse (PMI).
Where will the nurse best palpate the PMI? - ANS-Left midclavicular line of the chest at the fifth
intercostal space
The nurse is calculating a cardiac patient's pulse pressure. If the patients blood pressure is
122/76 mm Hg, what is the patients pulse pressure? - ANS-46 mm Hg
The nurse is caring for a patient admitted with unstable angina. The laboratory result for the
initial troponin I is elevated in this patient. The nurse should recognize what implication of this
assessment finding? - ANS-This is an accurate indicator of myocardial injury.
The nurse is conducting patient teaching about cholesterol levels. When discussing the patients
elevated LDL and lowered HDL levels, the patient shows an understanding of the significance of
these levels by stating what? - ANS-Increased LDL and decreased HDL increase my risk of
coronary artery disease.
The physician has placed a central venous pressure (CVP) monitoring line in an acutely ill
patient so right ventricular function and venous blood return can be closely monitored. The
results show decreased CVP. What does this indicate? - ANS-Possible hypovolemia
While auscultating a patients heart sounds, the nurse hears an extra heart sound immediately
after the second heart sound (S2). An audible S3 would be considered an expected finding in
what patient? - ANS-A 20-year-old patient
The physical therapist notifies the nurse that a patient with coronary artery disease (CAD)
experiences a much greater-than-average increase in heart rate during physical therapy. The
nurse recognizes that an increase in heart rate in a patient with CAD may result in what? -
ANS-Myocardial ischemia
, The nurse is caring for a patient who has a history of heart disease. What factor should the
nurse identify as possibly contributing to a decrease in cardiac output? - ANS-A heart rate of 54
bpm
The nurse is caring for an 82-year-old patient. The nurse knows that changes in cardiac
structure and function occur in older adults. What is a normal change expected in the aging
heart of an older adult? - ANS-Widening of the aorta
A resident of a long-term care facility has complained to the nurse of chest pain. What aspect of
the residents pain would be most suggestive of angina as the cause? - ANS-The pain occurs
immediately following physical exertion.
The critical care nurse is caring for a patient with a central venous pressure (CVP) monitoring
system. The nurse notes that the patients CVP is increasing. Of what may this indicate? -
ANS-Hypervolemia
The critical care nurse is caring for a patient with a pulmonary artery pressure monitoring
system. The nurse is aware that pulmonary artery pressure monitoring is used to assess left
ventricular function. What is an additional function of pulmonary artery pressure monitoring
systems? - ANS-To assess the patients response to fluid and drug administration
The cardiac care nurse is reviewing the conduction system of the heart. The nurse is aware that
electrical conduction of the heart usually originates in the SA node and then proceeds in what
sequence? - ANS-SA node to AV node to bundle of His to Purkinje fibers
A patient has had a myocardial infarction and has been diagnosed as having damage to the
layer of the heart responsible for the pumping action. You are aware that the damage occurred
where? - ANS-Myocardium
The nurse working on a cardiac care unit is caring for a patient whose stroke volume has
increased. The nurse is aware that afterload influences a patients stroke volume. The nurse
recognizes that afterload is increased when there is what? - ANS-Arterial vasoconstriction
A nurse is preparing a patient for scheduled transesophageal echocardiography. What action
should the nurse perform? - ANS-Inform the patient that she will remain on bed rest following
the procedure.
The nurse is caring for a patient admitted with angina who is scheduled for cardiac
catheterization. The patient is anxious and asks the reason for this test. What is the best
response? - ANS-Cardiac catheterization is usually done to assess how blocked or open a
patients coronary arteries are.
Questions with correct Answers 2025/2026
A+ Graded 100% Verified
A nurse is describing the process by which blood is ejected into circulation as the chambers of
the heart become smaller. The instructor categorizes this action of the heart as what? -
ANS-Systole
During a shift assessment, the nurse is identifying the clients point of maximum impulse (PMI).
Where will the nurse best palpate the PMI? - ANS-Left midclavicular line of the chest at the fifth
intercostal space
The nurse is calculating a cardiac patient's pulse pressure. If the patients blood pressure is
122/76 mm Hg, what is the patients pulse pressure? - ANS-46 mm Hg
The nurse is caring for a patient admitted with unstable angina. The laboratory result for the
initial troponin I is elevated in this patient. The nurse should recognize what implication of this
assessment finding? - ANS-This is an accurate indicator of myocardial injury.
The nurse is conducting patient teaching about cholesterol levels. When discussing the patients
elevated LDL and lowered HDL levels, the patient shows an understanding of the significance of
these levels by stating what? - ANS-Increased LDL and decreased HDL increase my risk of
coronary artery disease.
The physician has placed a central venous pressure (CVP) monitoring line in an acutely ill
patient so right ventricular function and venous blood return can be closely monitored. The
results show decreased CVP. What does this indicate? - ANS-Possible hypovolemia
While auscultating a patients heart sounds, the nurse hears an extra heart sound immediately
after the second heart sound (S2). An audible S3 would be considered an expected finding in
what patient? - ANS-A 20-year-old patient
The physical therapist notifies the nurse that a patient with coronary artery disease (CAD)
experiences a much greater-than-average increase in heart rate during physical therapy. The
nurse recognizes that an increase in heart rate in a patient with CAD may result in what? -
ANS-Myocardial ischemia
, The nurse is caring for a patient who has a history of heart disease. What factor should the
nurse identify as possibly contributing to a decrease in cardiac output? - ANS-A heart rate of 54
bpm
The nurse is caring for an 82-year-old patient. The nurse knows that changes in cardiac
structure and function occur in older adults. What is a normal change expected in the aging
heart of an older adult? - ANS-Widening of the aorta
A resident of a long-term care facility has complained to the nurse of chest pain. What aspect of
the residents pain would be most suggestive of angina as the cause? - ANS-The pain occurs
immediately following physical exertion.
The critical care nurse is caring for a patient with a central venous pressure (CVP) monitoring
system. The nurse notes that the patients CVP is increasing. Of what may this indicate? -
ANS-Hypervolemia
The critical care nurse is caring for a patient with a pulmonary artery pressure monitoring
system. The nurse is aware that pulmonary artery pressure monitoring is used to assess left
ventricular function. What is an additional function of pulmonary artery pressure monitoring
systems? - ANS-To assess the patients response to fluid and drug administration
The cardiac care nurse is reviewing the conduction system of the heart. The nurse is aware that
electrical conduction of the heart usually originates in the SA node and then proceeds in what
sequence? - ANS-SA node to AV node to bundle of His to Purkinje fibers
A patient has had a myocardial infarction and has been diagnosed as having damage to the
layer of the heart responsible for the pumping action. You are aware that the damage occurred
where? - ANS-Myocardium
The nurse working on a cardiac care unit is caring for a patient whose stroke volume has
increased. The nurse is aware that afterload influences a patients stroke volume. The nurse
recognizes that afterload is increased when there is what? - ANS-Arterial vasoconstriction
A nurse is preparing a patient for scheduled transesophageal echocardiography. What action
should the nurse perform? - ANS-Inform the patient that she will remain on bed rest following
the procedure.
The nurse is caring for a patient admitted with angina who is scheduled for cardiac
catheterization. The patient is anxious and asks the reason for this test. What is the best
response? - ANS-Cardiac catheterization is usually done to assess how blocked or open a
patients coronary arteries are.
