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    Exam Review

    1. (1 point). Listen.A nurse observes a marked elevated ST segment on the ECG.What type of MI did the patient sustain?
      A)
      Subendocardial.
      B)
      Transmural.
      C)
      Cardial.
      D)
      Transient.
    2. (1 point). Listen.While reading the history, the nurse notices that the patient has stenosis of a heart valve.How does the nurse interpret this finding? The valve:.
      A)
      Permits blood to flow backward.
      B)
      Fails to shut completely.
      C)
      Is constricted and narrowed.
      D)
      Regurgitates and causes insufficiency.
    3. (1 point). Listen.Which patient should be monitored most closely by the nurse for complications?
      A)
      Non-STEMI type heart attack.
      B)
      STEMI type heart attack.
      C)
      QRS type heart attack.
      D)
      Non-QRS type heart attack.
    4. A nurse is receiving change-of-shift report for four clients.Which of the following clients should the nurse see first?
      A)
      A client who has bipolar disorder and is speaking loudly.
      B)
      A client who has schizophrenia and is experiencing olfactory hallucinations.
      C)
      A client who is taking clozapine and reports a sore throat.
      D)
      A client who is taking lithium and reports weight gain.
    Page 1 of 16

    Exam Review

    1. A nurse is caring for a school-age child who has a new diagnosis of attention-deficit hyperactivity disorder.The nurse should anticipate a prescription for which of the following medications?
      A)
      Lithium.
      B)
      Valproate.
      C)
      Risperidone.
      D)
      Methylphenidate.
    2. (1 point). Listen.A nurse is asked what causes Prinzmetal angina.How should the nurse respond? Prinzmetal angina is caused by:.
      A)
      Blood clots in the coronary artery.
      B)
      Hypoxemia from respiratory disease.
      C)
      Vasospasm.
      D)
      Deep vein thromboses potension.
    3. (1 point). Listen.A patient has orthostatic hypotension.Which activity will require close observation by the nurse? When the patient:.
      A)
      Sleeps.
      B)
      Exercises.
      C)
      Sits down.
      D)
      Stands up.
    4. (1 point). Listen.Mitogens, such as angiotensin II, and growth factors stimulate:.
      A)
      Smooth muscle proliferation.
      B)
      Endothelial injury.
      C)
      Cardiac muscle toxicity.
      D)
      Activation of phagocytes.
    Page 2 of 16

    Exam Review

    1. (1 point). Listen.If a patient's history indicates that the cardiac valve disease is autosomal dominant, which diagnosis will the nurse observe written in the chart?
      A)
      Mitral valve prolapse.
      B)
      Pulmonary stenosis.
      C)
      Tricuspid regurgitation.
      D)
      Aortic stenosis.
    2. (1 point). Listen.A nurse is asked why myocardial ischemia is usually reversible within 20 minutes.What is the nurse's best response?
      A)
      The heart stores approximately 20 minutes' worth of oxygen supply in the myoglobin.
      B)
      Collateral blood flow to the myocardium can maintain the myocardium for 20 minutes.
      C)
      It takes 20 minutes for neutrophils and macrophages to arrive and activate inflammation.
      D)
      Anaerobic metabolism maintains cellular integrity for approximately 20 minutes.
    3. (1 point). Listen.Which laboratory result should the nurse monitor to determine the severity of heart failure in a patient?
      A)
      Troponin T.
      B)
      C-reactive protein.
      C)
      Potassium.
      D)
      Brain natriuretic peptide.
    4. (1 point). Listen.Which assessment findings are typical of deep vein thrombosis (DVT) in the lower leg?
      A)
      Pain and edema in the affected limb.
      B)
      Muscle paralysis and paresthesia.
      C)
      Reduced pulses in the foot.
      D)
      Skin pallor in the area of the thrombosis.
    Page 3 of 16

    Exam Review

    1. (1 point). Listen.A nurse is teaching about obesity and adipokines.Which information should the nurse include? Obesity causes a decrease of:.
      A)
      Leptin.
      B)
      Adiponectin.
      C)
      Homocysteine.
      D)
      C-reactive protein.
    2. (1 point). Listen.If a person stands for long periods of time, causing blood to pool in superficial veins, which condition should the nurse assess for?
      A)
      Pressure ulcers.
      B)
      Varicose veins.
      C)
      Emboli.
      D)
      Thromboangitis obliterans (Buerger's disease).
    3. (1 point). Listen.A nurse is describing stroke.together?
      A)
      Pulse rate, hypertension, and arrhythmia.
      B)
      Murmurs, hypertrophy, and blood flow.
      C)
      Contractility, preload, and afterload.
      D)
      Myocyte hibernation, stunning, and remodeling.
    4. (1 point):. Which of the following cardiovascular complications should the nurse assess for in a patient with human immunodeficiency virus (HIV)?
      A)
      Acute pericarditis.
      B)
      Stable angina.
      C)
      Buerger's disease.
      D)
      Raynaud's phenomenon.
    Page 4 of 16

    Exam Review

    1. (1 point):. An elderly patient asks the nurse what causes aortic stenosis later in life.How should the nurse respond? Aortic stenosis usually results from:.
      A)
      Congenital disorders.
      B)
      Rheumatic heart disease and loss of muscle fibers.
      C)
      Degeneration and calcification of the valve.
      D)
      Marfan syndrome.
    2. (1 point):. A patient with acute pericarditis develops pericardial effusion.Which type of fluid is associated with this condition?
      A)
      Serous.
      B)
      Exudate.
      C)
      Serosanguineous.
      D)
      Sanguineous.
    3. (1 point):. Which guideline should the nurse use to determine normal blood pressure in a patient?
      A)
      Systolic pressure between 130-139 mmHg and diastolic pressure between 80-89 mmHg.
      B)
      Systolic pressure greater than or equal to 140 mmHg and diastolic pressure greater than or equal to 90 mmHg.
      C)
      Systolic pressure less than 120 mmHg and diastolic pressure less than 80 mmHg.
      D)
      Systolic pressure between 120-129 mmHg and diastolic pressure less than 80 mmHg.
    4. (1 point):. A patient has peripheral artery disease and experiences pain on ambulation.Which term should the nurse use to describe this finding?
      A)
      Intermittent claudication.
      B)
      Deep vein thrombosis.
      C)
      Thromboangiitis obliterans.
      D)
      Venous stasis ulcer.
    Page 5 of 16

    Exam Review

    1. (1 point). Listen.The nurse recalls risk factors that are associated with atherosclerosis.These include primary hypertension and:.
      A)
      high-sodium diet.
      B)
      Advanced age.
      C)
      Hyperhomocysteinemia.
      D)
      low-potassium diet.
    2. (1 point). Listen.Which statement indicates that the patient needs more teaching regarding the Virchow triad? A component of the Virchow triad is:.
      A)
      Endothelial injury.
      B)
      LDL accumulation.
      C)
      Venous stasis.
      D)
      Hypercoagulable state.
    3. (1 point). Listen.A patient has hyperhomocysteinemia and coronary artery disease (CAD). A nurse will label the hyperhomocysteinemia as a:.
      A)
      Traditional risk factor.
      B)
      Major risk factor.
      C)
      Novel risk factor.
      D)
      Conventional risk factor.
    4. (1 point). Listen.Over time, if a patient has sustained hypertension, which complication should the nurse expect in this patient?
      A)
      Insulin resistance.
      B)
      Left ventricular hypertrophy.
      C)
      Excessive excretion of fluid by the kidneys.
      D)
      Hormone dysfunction.
    Page 6 of 16