Chapter 8: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Chapter 8: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 308        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.
c.	sinoatrial (SA) node.
d.	bundle of His.

 

 

ANS:  C

The SA node is the master pacemaker of the heart.

 

DIF:    Cognitive Level: Application           REF:   Page 308        OBJ:   10

TOP:   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.

 

DIF:    Cognitive Level: Application           REF:   Page 334        OBJ:   16

TOP:   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.
c.	contraction of the papillary muscles.
d.	contraction of the ventricles.

 

 

ANS:  A

The LUBB is the first sound of a low pitch heard when the AV valves close.

 

DIF:    Cognitive Level: Application           REF:   Page 310        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.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 340, Box 8-3

OBJ:   9                    TOP:   Classification of heart failure

KEY:  Nursing Process Step: Assessment   MSC:  NCLEX: Physiological Integrity