SOLVED

 Question 11 A patient is admitted with a decrease in cardiac output. Which assessment findings would the nurse attribute to that condition? 1. Increased output of very clear urine 2. Changes in skin color 3. Localized edema in the calf 4. Skin that is warm and damp Question 12 It is suspected that a patient who was severely injured in an automobile accident may have had a myocardial infarction prior to the crash. Which laboratory test result drawn while the patient was in the emergency department would the nurse evaluate as supporting that theory? 1. Increased serum potassium 2. Increased creatine kinase level 3. Increased BNP level 4. Increased troponin level Question 13 The nurse is instructing a patient who is scheduled for a cardiac catheterization. Which comment made by the patient would indicate the need for additional education? 1. “The nurse will check my feet very often after the procedure.” 2. “I will place a warm pack at the puncture site for pain relief.” 3. “I should let the nurse know if I need to cough after the procedure is done.” 4. “I will have someone available to drive me home following the procedure.” Question 14 A patient admitted with a cardiac arrhythmia is scheduled to have an electrophysiology study (EPS). The nurse would reinforce which teaching about this test? 1. This test will be helpful in determining if you need a pacemaker. 2. This test will help us determine how your heart responds to stress. 3. We can learn about the strength of your heart valves with this test. 4. This test will reveal the health of your heart’s blood supply system. Question 15 A patient is scheduled for an exercise electrocardiogram. The nurse will ensure that which objects are in the room prior to the beginning of the test? 1. Oral fluids 2. A defibrillator 3. External pacemaker 4. Portable chest x-ray machine Question 16 The nurse is caring for a patient having a transesophageal echocardiogram (TEE). What is an appropriate nursing intervention for the care of this patient? 1. Dim the lights in the room. 2. Monitor for bradycardia and hypotension. 3. Assess pedal pulses bilaterally. 4. Apply pressure to the puncture site. Question 17 A patient with left-sided heart failure is hospitalized with pulmonary edema. The nurse providing this patient’s care would consider which physiology when explaining this disorder to the patient’s family? 1. The normally high-pressure pulmonary circuit can damage lung tissue and cause pulmonary edema. 2. Since pulmonary veins have no valves, blood can back up into the lungs causing pulmonary edema. 3. The oxygen-rich blood that enters the pulmonary circuit tends to increase pressures in the tissue, causing pulmonary edema. 4. The arteries of the pulmonary circuit are single layer. Question 18 Testing reveals that a patient’s myocardial infarction damaged the papillary muscles of the mitral valve. The nurse plans care based on the knowledge that the patient is at high risk for which complication? 1. Extension of the myocardial damage 2. Catastrophic left heart failure 3. Pulmonary edema from right heart failure 4. Pulmonary embolism from clots in the left atrium Question 19 Cardiac catheterization reveals that a patient has an isolated lesion in the right coronary artery that occludes 90% of the vessels’ lumen. The nurse plans care for this patient based on the knowledge that total occlusion of the artery will result in damage to which portion of the heart? 1. Right ventricle 2. Anterior aspect of the left ventricle 3. The septum 4. The lateral wall of the left ventricle Question 20 Review of the medical record reveals that a patient has a summation gallop. Which pattern of heart sounds would the nurse expect? 1. S1 followed closely by S2 2. S1 followed closely by S2 followed closely by S3 3. S1 followed closely by a split S2 4. S4 followed by S1 followed by S2 followed by S3 followed by S4