1/21/202 Chapter 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder |
2 Nursing Test Banks
Nursing Test Banks
Chapter 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder | Nursing Test Banks
Chapter 47: Care of the Patient with a
Cardiovascular or a Peripheral Vascular
Disorder
Chapter 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder
Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition
MULTIPLE CHOICE
1. The nurse is aware that the muscle layer of the heart, which is responsible for the heart’s
contraction, is the:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D
The myocardium is the specialized muscle layer that allows the heart to contract.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1533
OBJ: 2 TOP: Myocardium KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
2. The nurse clarifies that the master pacemaker of the heart is the:
a. left ventricle.
b. atrioventricular (AV) node.
https://boostgrade.info/chapter-47-care-of-the-patient-with-a-cardiovascular-or-a-peripheral- 1/3
vascular-disorder/
, Chapter 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder | Nursing Test Banks
c. sinoatrial (SA) node.
d. bundle of His.
ANS: C
The SA node is the master pacemaker of the heart.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1533
OBJ:10TOP:Acute myocardial infarction
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
3. The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ
in women because acute chest pain is not present. Women are frequently misdiagnosed as
having:
a. hepatitis A.
b. indigestion.
c. urinary infection.
d. menopausal complications.
ANS: B
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for
women having an MI.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1559
OBJ:16TOP:MIs in women
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
4. The nurse identifies the “LUBB” sound of the “LUBB/DUBB” of the cardiac cycle as the sound
of the:
a. AV valves closing.
b. closure of the semilunar valves.
https://boostgrade.info/chapter-47-care-of-the-patient-with-a-cardiovascular-or-a-peripheral- 2/3
vascular-disorder/
, Chapter 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder | Nursing Test Banks
c. contraction of the papillary muscles.
https://boostgrade.info/chapter-47-care-of-the-patient-with-a-cardiovascular-or-a-peripheral- 3/3
vascular-disorder/
, 1/21/201 Chapter 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder |
8 Nursing Test Banks
d. contraction of the ventricles.
ANS: A
The LUBB is the first sound of a low pitch heard when the AV valves close.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1535
OBJ: 4 TOP: Lubb sound KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
5.A patient is admitted from the emergency department. The emergency department
physician notes the patient has a diagnosis of heart failure with a New York Heart
Association (NYHA) classification of IV. This indicates the patient’s condition as:
a. moderate heart failure.
b. severe heart failure.
c. congestive heart failure.
d. negligible heart failure.
ANS: B
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina
or symptoms of cardiac inefficiency may develop at rest.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1565, Box 47-3
OBJ:9TOP:Classification of heart failure
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
6. The nurse assesses that the home health patient has no signs or symptoms of heart
failure, but does have a history of rheumatic fever and has been recently diagnosed with
diabetes mellitus. The nurse is aware that using the American College of Cardiology and the
American Heart Association (ACC/AHA) staging, this patient would be a:
a. stage A.
https://boostgrade.info/chapter-47-care-of-the-patient-with-a-cardiovascular-or-a-peripheral- 3/3
vascular-disorder/
2 Nursing Test Banks
Nursing Test Banks
Chapter 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder | Nursing Test Banks
Chapter 47: Care of the Patient with a
Cardiovascular or a Peripheral Vascular
Disorder
Chapter 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder
Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition
MULTIPLE CHOICE
1. The nurse is aware that the muscle layer of the heart, which is responsible for the heart’s
contraction, is the:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D
The myocardium is the specialized muscle layer that allows the heart to contract.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1533
OBJ: 2 TOP: Myocardium KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
2. The nurse clarifies that the master pacemaker of the heart is the:
a. left ventricle.
b. atrioventricular (AV) node.
https://boostgrade.info/chapter-47-care-of-the-patient-with-a-cardiovascular-or-a-peripheral- 1/3
vascular-disorder/
, Chapter 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder | Nursing Test Banks
c. sinoatrial (SA) node.
d. bundle of His.
ANS: C
The SA node is the master pacemaker of the heart.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1533
OBJ:10TOP:Acute myocardial infarction
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
3. The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ
in women because acute chest pain is not present. Women are frequently misdiagnosed as
having:
a. hepatitis A.
b. indigestion.
c. urinary infection.
d. menopausal complications.
ANS: B
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for
women having an MI.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1559
OBJ:16TOP:MIs in women
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
4. The nurse identifies the “LUBB” sound of the “LUBB/DUBB” of the cardiac cycle as the sound
of the:
a. AV valves closing.
b. closure of the semilunar valves.
https://boostgrade.info/chapter-47-care-of-the-patient-with-a-cardiovascular-or-a-peripheral- 2/3
vascular-disorder/
, Chapter 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder | Nursing Test Banks
c. contraction of the papillary muscles.
https://boostgrade.info/chapter-47-care-of-the-patient-with-a-cardiovascular-or-a-peripheral- 3/3
vascular-disorder/
, 1/21/201 Chapter 47: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder |
8 Nursing Test Banks
d. contraction of the ventricles.
ANS: A
The LUBB is the first sound of a low pitch heard when the AV valves close.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1535
OBJ: 4 TOP: Lubb sound KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
5.A patient is admitted from the emergency department. The emergency department
physician notes the patient has a diagnosis of heart failure with a New York Heart
Association (NYHA) classification of IV. This indicates the patient’s condition as:
a. moderate heart failure.
b. severe heart failure.
c. congestive heart failure.
d. negligible heart failure.
ANS: B
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina
or symptoms of cardiac inefficiency may develop at rest.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1565, Box 47-3
OBJ:9TOP:Classification of heart failure
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
6. The nurse assesses that the home health patient has no signs or symptoms of heart
failure, but does have a history of rheumatic fever and has been recently diagnosed with
diabetes mellitus. The nurse is aware that using the American College of Cardiology and the
American Heart Association (ACC/AHA) staging, this patient would be a:
a. stage A.
https://boostgrade.info/chapter-47-care-of-the-patient-with-a-cardiovascular-or-a-peripheral- 3/3
vascular-disorder/
