Cardiac Lewis Test Bank QUESTIONS
WITH CORRECT ANSWERS GRADED
A+
When a patient is lying flat, the jugular vein is at the level of the right atrium, so JVD
is common. JVD that persists when the patient is sitting at a 30 to 45-degree angle
or greater is significant.
The nurse received the laboratory results for a patient who developed chest
pain 4 hours ago and may have myocardial infarction. The most important
laboratory result will review will be
a. myoglobin
b. low-density lipoprotein (LDL)
c. troponins T and L
d. creatine kinase-MB (CK-MB)
c. troponins T and L
cardiac troponins start to elevate 4 to 6 hours after myocardial injury and are highly
specific to the myocardium. They are the preferred diagnostic marker for myocardial
infarction.
When the nurse is monitoring a patient who is undergoing exercise (stress)
testing on a treadmill, which assessment finding requires the most rapid
action by the nurse?
a. Patient complaint of feeling tired
b. Pulse change from 87 to 101 beats/minute
c. Blood pressure (BP) increase from 134/68 to 150/80 mm Hg
d. Newly inverted T waves on the electrocardiogram
d. Newly inverted T waves on the electrocardiogram
WITH CORRECT ANSWERS GRADED
A+
When a patient is lying flat, the jugular vein is at the level of the right atrium, so JVD
is common. JVD that persists when the patient is sitting at a 30 to 45-degree angle
or greater is significant.
The nurse received the laboratory results for a patient who developed chest
pain 4 hours ago and may have myocardial infarction. The most important
laboratory result will review will be
a. myoglobin
b. low-density lipoprotein (LDL)
c. troponins T and L
d. creatine kinase-MB (CK-MB)
c. troponins T and L
cardiac troponins start to elevate 4 to 6 hours after myocardial injury and are highly
specific to the myocardium. They are the preferred diagnostic marker for myocardial
infarction.
When the nurse is monitoring a patient who is undergoing exercise (stress)
testing on a treadmill, which assessment finding requires the most rapid
action by the nurse?
a. Patient complaint of feeling tired
b. Pulse change from 87 to 101 beats/minute
c. Blood pressure (BP) increase from 134/68 to 150/80 mm Hg
d. Newly inverted T waves on the electrocardiogram
d. Newly inverted T waves on the electrocardiogram
