Question 1

The nurse is assessing a patient suspected to have myocardial infarction. Which of the following questions is a priority?

Accepted Answer

A)  Are you undergoing a lot of stress lately?
B)  When did these symptoms start?
C)  Did you take any medications recently?
D)  All of the above B

Question 2

Which of the following is not a possible disciplinary action measure which can be taken if a nurse is found guilty of misconduct?

Accepted Answer

A)  Suspension of license for a specified period of time
B)  Prosecution
C)  Prohibition of work in specified settings
D)  Revocation of license B

Question 3

Which of the following findings is suggestive of pulsus paradoxus?

Accepted Answer

A)  Inspiratory drop in SBP > 10 mmHg
B)  Expiratory drop in SBP > 10 mmHg
C)  Inspiratory rise in SBP > 10 mmHg A

Question 4

A patient presents whom is diagnosed to have dyslipidemia. Which of the following is not a part of goal of treatment in this patient?

Accepted Answer

A)  Decreasing low-density lipoprotein level
B)  Increasing total cholesterol levels
C)  Increasing triglyceride levels
D)  Increasing high-density lipoprotein levels

Question 5

Which of the phenomena is matched correctly with the relevant of general adaptation syndrome?

Accepted Answer

A)  Alarm stage - initial response to a stressor
B)  Stage of exhaustion - point at which the stressor becomes dysfunctional
C)  Stage of resistance - individual continues the fight or flight response

Question 6

Which of the following statements are not true about sick sinus syndrome?

Accepted Answer

A)  Sick sinus syndrome is caused due to structural sinoatrial node disease
B)  Treatment is pacing for bradycardia and medicines for tachycardia
C)  It may present as complete heart block
D)  It may present as tachy-brady syndrome

Question 7

Which of the following set of drugs are not vasodilators?

Accepted Answer

A)  Atenolol, isosorbide dinitrate, calcium channel blockers
B)  Dopamine, dobutamine, furosemide
C)  Amlodipine, verapamil, diazoxide
D)  Hydralazine, nitroprusside, propranolol

Question 8

Which of the following techniques is used for stress management?

Accepted Answer

A)  Adjusting to discomfort
B)  Cognitive restructuring
C)  Maintaining hope
D)  Modification to reaction

Question 9

Which of the following statements correctly describes the mechanism of action of phosphodiesterase inhibitors?

Accepted Answer

A)  Increases ATP level within myocardial cells
B)  Increases sodium efflux from myocardial cells
C)  Increases calcium level within myocardial cells
D)  Increases potassium influx within myocardial cells

Question 10

Which of the following findings is expected to be present in a patient who is a cocaine user?

Accepted Answer

A)  Hypotension and an increased heart rate
B)  Multiple infarcts with normal coronary arteries
C)  Peripheral hyperemia
D)  Vasodilatation and facial flushing

Question 11

A patient is being discharged from the hospital following a myocardial infarction. He is encouraged to practice frequent leg exercises and ambulate in the hallway as directed by his physician. Which of the following reflects the actual purpose of exercise in this patient?

Accepted Answer

A)  Increases fitness and exercise capacity and to prevent future heart attacks
B)  Prevention of bedsores
C)  Prevention of deep vein thrombosis
D)  Prevention of constipation

Question 12

The most common type of cardiomyopathy is:

Accepted Answer

A)  Restrictive cardiomyopathy
B)  Hypertrophic cardiomyopathy
C)  Dilated cardiomyopathy
D)  Arrhythmogenic right ventricular dysplasia

Question 13

Which of the following are not used as stressors in cardiac stress testing?

Accepted Answer

A)  Treadmill
B)  Dipyridamole
C)  Noradrenaline
D)  Dobutamine

Question 14

Cardioversion is an electrical current administration used to convert certain dysrhythmias to normal rhythm. This procedure is most effective when the patient demonstrates:

Accepted Answer

A)  Ventricular Fibrillation
B)  Ventricular Tachycardia
C)  Ventricular Standstill
D)  Torsades de Pointes

Question 15

A nurse records an EKG of an asymptomatic person coming for routine check-up. After looking at the EKG, which of the following findings might the nurse say that there is nothing wrong with the EKG?

Accepted Answer

A)  PR interval of 210 milliseconds
B)  Fibrillatory waves
C)  ST-T changes in precordial leads
D)  Saw-tooth pattern

Question 16

Which of the following diuretics is not correct matched with its class of diuretic?

Accepted Answer

A)  Potassium-sparing diuretics - spironolactone, triamterene
B)  Loop diuretic - torsemide, bumetanide
C)  Osmotic diuretics - glycerine, mannitol
D)  Thiazide diuretic - amiloride, ethacrynic acid

Question 17

Which of the following diagnostic tests should be done for a patient who wants to be screened for presence of valvular heart disease?

Accepted Answer

A)  Electrocardiogram, echocardiography, chest x-ray
B)  Electrocardiogram, stress echocardiography, chest CT
C)  Electrocardiogram, transthoracic echocardiography, ambulatory blood pressure monitoring
D)  Electrocardiogram, Holter monitoring, thallium scan

Question 18

A nurse is explaining about foot care to a patient being discharged with peripheral vascular disease . Which of the following information should be included in instructions?

Accepted Answer

A)  Walk barefoot during morning walks
B)  Use a heating pad to keep feet warm
C)  Avoid keeping legs crossed
D)  Use antibacterial ointment to treat small cuts on skin to prevent infection

Question 19

A patient presents with chest pain in emergency department was diagnosed to have acute myocardial infarction. What is the goal of treatment in this patient?

Accepted Answer

A)  To relieve pain
B)  To give rest to the heart
C)  To minimize the infarct and prevent complication
D)  To mobilize the patient at earliest

Question 20

Pulsus bisferiens is present in which of the following conditions?

Accepted Answer

A)  Aortic stenosis + Aortic regurgitation
B)  Aortic stenosis
C)  Aortic regurgitation
D)  Mitral stenosis + Mitral regurgitation

Exam 1: Cardiac Medicine