CARDIAC NCLEX CH 8 QUESTIONS AND ANSWERS 2022 LATEST UPDATE

CARDIAC NCLEX CH 8 QUESTIONS AND ANSWERS 2022 LATEST UPDATE

Which of the following complications is indicated by a third heart sound?

• Ventricular dilation
• Systemic hypertension
• Aortic valve malfunction
• Increased atrial contractions - ANS-B

After myocardial infarction, serum glucose levels and free fatty acids are both increased. What type of physiologic changes are these?

• electrophysiologic
• Hematologic
• Mechanical
• Metabolic - ANS-D

Which of the following is the most common symptom of myocardial infarction.

• Chest pain
• Dyspnea
• Edema
• Palpitations - ANS-B

Which of the following systems is the most likely origin of pain the client describes as knifelike chest pain that increases in intensity with inspiration?

• Cardiac
• Gastrointestinal
• Muskuloskeletal
• Pulomnary - ANS-C

Which of the following landmarks is the correct one for obtaining an apical pulse?

• Left intercostal space, midaxillary line
• Left fifth intercostal space, midclavicular line
• Left second intercostal space, midclavicular line
• Left seventh intercostal space, midclavicular line - ANS-b

Which of the falling blood tests is most indicative of cardiac damage?

• Lactate dehydrogenase
• Complete blood count
• Troponin 1
• Creatine kinase - ANS-C

What supplemental medication is most frequently ordered in conjunction with furosemide (Lasix)

• Chloride
• Digoxin
• Potassium
• Sodium - ANS-C

What is the primary reason for administering morphine to a client with myocardial infarction?

• To sedate the client
• To decrease the client's anxiety
• To decrease the client's anxiety
• To decrease oxygen demand on the client's heart - ANS-D

Which of the following conditions is most commonly responsible for myocardial infarction?

• Aneurysm
• Heart Failure
• Coronary artery thrombosis
• Renal Failure - ANS-C

A murmur is heard at the second left intercostal space along the left sternal border.Which valve area is this?

• Aortic
• Mitral
• Pulmonic

• Tricuspid - ANS-C

After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs?

• Left-sided heart failure
• Pulmonic valve malfunction
• Right-sided heart failure
• Tricuspid valve malfunction - ANS-A

What position should the nurse place the head of the bed in to obtain the most accurate reading of the jugular vein distention?

• High-fowlers
• Raised 10 degrees
• Raised 30 degrees
• Supine position - ANS-C

Toxicity from which of the following medications may cause a client to see a green halo around lights?

• Digoxin
• Furosemide
• Metoprolol
• Enalapril - ANS-A

What is the most appropriate nursing response to a myocardial infarction client who is fearful of dying?

• "Tell me about your feeling right now."
• "When the doctor arrives, everything will be fine."
• "This is a bad situation, but you'll feel better soon."
• "Please be assured we're doing everything we can to make you feel better." -

ANS-A

Which of the following classes of medications protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation?

• Beta-adrenergic blockers
• Calcium channel blockers
• Narcotics
• Nitrates - ANS-A

With which of the following disorders is jugular vein distention most prominent?

• Abdominal aortic aneurysm
• Hear failure
• Myocardial infarct
• Pneumothorax - ANS-B

Which of the following diagnostic tools is most commonly used to determine the location of myocardial damage?

• Cardiac catheterization
• Cardiac enzymes
• Echocardiogram
• Electrocardiogram - ANS-D

What is the first intervention for a client experiencing myocardial infarction?

• Administer morphine
• Administer oxygen
• Administer sublingual nitroglycerine
• Obtain an electrocardiogram - ANS-B

What is the most common complication of a myocardial infarction.

• Cardiogenic shock
• Heart failure
• Arrhythmias
• Pericarditis - ANS-C

Which of the following parameters should be checked before administering digoxin?

• Apical pules
• Blood pressure