Deck 16: Ischemic Heart Disease and Conduction Disorders

Question 1

A client has frequent premature ventricular contractions.Which factor should be the priority assessment by the nurse?
1)Sensations of palpitation
2)Causative factors
3)Blood pressure and oxygen saturation
4)None of the above

Answer 1

3

Question 2

Which is the last region in the conduction of the cardiac conduction sequence?
1)Sinoatrial node
2)Atrioventricular node
3)Purkinje fibers
4)Bundle of His

Answer 2

3

Question 3

A nurse is reviewing the results of a diagnostic test of a client who is being moved out of the intensive care unit.A cardiac troponin T level assay was performed while the client was in the intensive care unit,which indicated high levels of troponin.Which condition was the client diagnosed with?
1)Angina
2)Acute myocardial infarction
3)Both A and B
4)Atrioventricular block

Answer 3

2

Question 4

Which condition is characterized by the deposition of immune complexes,causing inflammation and fluid accumulation in the pericardial sac?
1)Dressler's syndrome
2)Myocarditis
3)Infective endocarditis
4)Unstable angina

Question 5

Which is the outer layer of the heart?
1)Myocardium
2)Endocardium
3)Pericardium
4)None of the above

Question 6

A client whose neck vein has bulged presents with a sharp pain in the chest.The electrocardiogram shows an elevated ST segment,and the laboratory report shows an increase in the serum creatinine and blood urea nitrogen.Which condition has the client developed?
1)Myocarditis
2)Pericarditis
3)Infective endocarditis
4)None of the above

Question 7

A nurse is reviewing a client's cardiac rhythm in an electrocardiogram and notes that the reading shows that the P wave and PR interval are absent.Which condition does the nurse interpret from this result?
1)Ventricular fibrillation
2)Premature ventricular contractions
3)Atrial fibrillation
4)None of the above

Question 8

A client presents with chest pain.Complete blood reports show an elevated level of white blood cells.Which clinical manifestation confirms that the client has myocarditis?
1)Dyspnea
2)Tonsillitis
3)Arthralgia
4)All of the above

Question 9

A registered nurse is teaching a student nurse about infective endocarditis.Which statements made by the student nurse about the complication of the condition indicates effective learning?
1)"The client may develop regurgitant heart valve defects."
2)"The client may develop heart failure."
3)"The client may develop abscess of the heart."
4)All of the above

Question 10

A client complains of chest pain.On examination,a scratchy sound is heard through the stethoscope.Which intervention should be provided to the client?
1)Administering aspirin
2)Administering amphicillin
3)Administering glucocorticoids
4)All of the above

Question 11

A client presents with chest pain.The pain has not reduced,even after administering three nitroglycerine tablets within 10 minutes.Which diagnostic test should the primary health-care provider recommend to confirm that the client has developed myocardial infarction?
1)Thallium stress test
2)Electrocardiogram
3)Cardiac troponin test
4)Intravascular angiosonography

Question 12

A client reports myalgia and fever.On physical examination,an S₃ gallop rhythm was heard through the stethoscope.Which finding confirms that the client has developed myocarditis?
1)Elevated number of white blood cells
2)Elevated cardiac troponin
3)Elevated erythrocyte sedimentation rate
4)All of the above

Question 13

A nurse is caring for a client with infective endocarditis.Which is the appropriate nursing intervention for this client?
1)Administering nitroglycerin
2)Administering amphicillin
3)Administering urokinase
4)None of the above

Question 14

A client presents with complaints of difficulty breathing and looks pale.The client experiences excessive perspiration and his or her electrocardiogram shows an irregular rhythm.Which other finding will indicate that the client may have developed myocardial infarction?
1)Nitroglycerin relieved the pain.
2)Nitroglycerin did not relieve the pain,even after taking three doses.
3)Aspirin relieved the pain.
4)None of the above

Question 15

Which heart condition increases the demand for myocardial oxygen?
1)Stable heart rate
2)Decreased muscle mass
3)Decreased systemic blood pressure
4)None of the above

Question 16

A client visits the hospital with chest pain,and the vital signs are 101.5°F body temperature and 125/85 mm HG blood pressure.The echocardiogram of the client shows valve perforation,and a new regurgitant murmur is heard through the stethoscope on examination.Which condition has the client developed?
1)Infective endocarditis
2)Myocarditis
3)Pericarditis
4)None of the above

Question 17

The nurse is caring for a client with angina pectoris.Which precautionary measures should the nurse advise the client to follow?
1)To consume a low-fat diet
2)To exercise 3 days a week
3)To avoid taking aspirin tablets
4)To avoid high-fiber foods

Question 18

A 65-year-old female client presents with complaints of crushing pain on the left side of the chest.After examining the client,it is found that the client has unstable angina.Which intervention to reduce the pain is appropriate for the client?
1)Administering nitroglycerin
2)Changing the position of the client
3)Encouraging the client to take deep breaths
4)All of the above.

Question 19

A nurse is providing discharge instructions to a client who is being discharged after treatment for myocardial infarction.Which statement made by the client indicates effective learning?
1)"I exercise every day after having my breakfast."
2)"I have gained 4 kilograms of weight."
3)"I have planned periods of rest in the morning and evening."
4)None of the above

Question 20

A client presents with chest pain that has not been relieved by nitroglycerin medication.A review of the client's medical record shows that the client has type 2 diabetes.The blood pressure of the client is 150/90 mm Hg.Which condition has the client developed?
1)Myocardial infarction
2)Angina
3)Pericarditis
4)Myocarditis

Question 21

Which wave in the electrocardiogram represents ventricular repolarization?
1)P wave
2)Q wave
3)S wave
4)T wave

Question 22

Which statements regarding angina are correct? Select all that apply.
1)"Stress is the cause of the chest pain."
2)"The chest pain lasts for more than 15 minutes."
3)"Taking a rest does not relieve the chest pain."
4)"The chest pain is reduced by taking a deep breath."
5)"The chest pain is reduced on resting."