Cardio Drill

1. While caring for client who sustained an

MI, the nurse notes eight premature
ventricular contractions (PVCs) in one
minute on the cardiac monitor. The client is
receiving an intravenous infusion of 5%
dextrose in water and 2 liters/minute of
oxygen. The nurses first course of action
should be to
A. increase the intravenous infusion rate
B. notify the physician promptly
C. increase the oxygen concentration
D. administer a prescribed analgesic
2. The priority nursing
diagnosis for the client
with dysrhythmias is:
a. decreased tissue
perfusion
b. decreased cardiac
output
c. alteration in comfort
d. activity intolerance
3. Which of the following is
true of cardioversion?
a. it is done to revert
cardiac arrest
b. the electric shock is
applied during the R wave
c. it involves
unsynchronized application
of electric shock to the heart
d. it is done on the T wave
4. Which of the following
terms is used to describe
the ability of cardiac muscle
to initiate an electrical
impulse?
a. ablation
b. conductivity
c. automaticity
d. repolarization
5. Which of the following is
the DOC to reduce PVCs
during an MI?
a) Digoxin (Lanoxin)
b) Lidocaine (Xylocaine)
c) Phenytoin (Dilantin)
d) Procainamide
(Pronestyl)

6. What is also known
as AV dissociation?
A. 1st degree AV block
B. mobitz type 1
C. mobitz type 2
D. 3rd degree AV block
7. The most accurate
diagnostic test for infective
endocarditis is:
A. ECG
B. Cardiac catheterization
C. Blood culture
D. Arteriography

8. A patient who is at risk for
infective endocarditis requires
prophylactic antibiotic therapy
before undergoing which of
the following?
A. ECG
B. Dental procedures
C. X-ray
D. Exercising

9. While interviewing the patient, you
know that which of the following findings
put the patient at risk for developing
endocarditis?
A. The patient candidly states that she
engages in premarital sex with her
boyfriend
B. The patients father is currently on
short course chemotherapy for TB
C. The patient admits that she
occasionally engages in the use of illicit
intravenous drugs
D. The patient has a history of heart
disease in the family

10. Which finding should the nurse
report promptly to the physician?
A. Patient complained of
involuntary muscle spasms
B. New heart murmurs heard on
auscultation
C. Sudden appearance of rash on
the upper arms
D. Patient complained of painful
joints

11.Caused by accumulation of
fluid in the pericardium which
causes compression of the
heart and restriction of blood
flow in and out of the ventricles.
a. Pericarditis
b. Cardiac tamponade
c. Myocarditis
d. Infective Endocarditis
12. Pericardiocentesis is
performed on a patient with
cardiac tamponade. This
procedure would be deemed
effective if:
A. Aspirated blood clots rapidly
B. Dyspnea is relieved
C. Blood pressure increases
D. Heart sounds become
muffled
13.A client with a prescription of
sodium warfarin (Coumadin)
should be given the following
instructions, except:
A. Check for bleeding
B. Eat green leafy vegetables
once a week
C. Inject the drug subcutaneously
only
D. Avoid engaging in contract
sports or using power tools

14. A diabetic taking beta blockers
should be instructed to:
A. Increase insulin dosage
because hyperglycemia is a side
effect
B. Reduce physical activity to
reduce cardiac workload
C. Monitor blood glucose more
frequently for hypoglycemia
D. Check blood pressure before
taking the next dose of the drug

15. A hospitalized patient with angina
complained of chest pain to the
nurse. What should the nurse do?
A. Administer oxygen by mask and
give patient morphine sulfate
B. Call the physician and prepare for
CPR
C. Give patient nitroglycerin tablet
and let patient rest
D. Place patient on semi-fowlers
position and administer oxygen

16. When monitoring a client who is
receiving tissue plasminogen
activator the nurse understands it is
important to monitor vital signs and
have resuscitation equipment
available because reperfusion of the
cardiac tissue can result in which of
the following?
A. hypertension
B. seizure
C. cardiac dysrhythmias
D. hypothermia
17. The nursing management
of a client with acute CHF will
include all of the following
Except:
A. Improving cardiac output
B. Increasing urine production
C. Reducing the hearts
workload
D. Decreasing myocardial
contractility

18. An exercise program is prescribed
for the client with HPN. Which
intervention would be most likely to
assist the client in maintaining an
exercise program?
A. giving the client a written exercise
program
B. explaining the exercise program to
the clients spouse
C. reassuring the client that he or she
can do the exercise program
D. tailoring a program to the clients
needs and abilities
19. The nurse understands
that a priority nursing
diagnosis for the client with
HPN would be;
A. Pain
B. Deficient fluid volume
C. Impaired skin integrity
D. Ineffective health
maintenance
20. The most important long
term goal for a client with
HPN would be to:
A. Learn how to avoid stress
B. Explore a job change or
early retirement
C. Make a commitment to
long term therapy
D. Lose weight
CHECK YOUR WORK!