Question 1

A 77-year-old client is being treated for cardiac arrhythmia.The nurse determines that the client's cardiac output is adequate when assessment confirms which of the following? Select all that apply.

Accepted Answer

A)  Urine output of 140 cc over 4 hours
B)  Systolic blood pressure that remains within 20 mm of baseline
C)  Denial of substernal pain
D)  Recollection of the birthdays of all of her grandchildren
E)  Absence of rales and crackles A, B, D, E

Question 2

A novice nurse is aware that normal aging can result in changes in the ECG of a 73-year-old client.The experienced geriatric nurse explains that these changes may include which of the following? Select all that apply.

Accepted Answer

A)  An inverted T wave
B)  A notched P wave
C)  A prolonged PR interval
D)  Decreased amplitude of the QRS complex
E)  A slurred T wave B, C, D, E

Question 3

When administering Lopressor to an older adult client with hypertension, the nurse is careful to have the client's care plan include:

Accepted Answer

A)  frequent assessment for dizziness and/or syncope.
B)  education of the signs and symptoms of thromboembolism.
C)  regular evaluation of the client's muscle strength.
D)  regularly scheduled serum potassium levels. A

Question 4

An older adult recovering from an MI has been prescribed subcutaneous heparin but is now to receive oral warfarin (Coumadin).The nurse prepares a client teaching plan that includes information regarding which of the following? Select all that apply.

Accepted Answer

A)  Administration of both medications for up to 5 days
B)  Need to use a soft bristle toothbrush
C)  Use of atropine as an antidote for excessive bleeding
D)  Need to continue drawing partial thromboplastin times
E)  Need to drink at least 8 cups of fluids daily

Question 5

When evaluating the effectiveness of discharge teaching for an older adult client who had a pacemaker implanted, the nurse determines the client has an appropriate understanding of the device when stating:

Accepted Answer

A)  "The battery will need charging every 2 years or so."
B)  "I'm supposed to call my doctor if my pulse is within 10 beats of my preset rate."
C)  "My wife will have to be the one who makes the microwave popcorn."
D)  "I'll take my pulse each morning before my first cup of coffee."

Question 6

In order to evaluate an older client for possible renal failure as a result of chronic untreated hypertension, nurse prepares to:

Accepted Answer

A)  draw a blood sample.
B)  collect a urine sample.
C)  monitor intake and output.
D)  transport the client to radiology.

Question 7

It is suspected that an older adult client is experiencing severe hypertension.The nurse documents symptoms that support this diagnosis when the client reports:

Accepted Answer

A)  difficulty reading the newspaper's print.
B)  being very fatigued after walking around the block.
C)  noticing that his heart "skips a beat" frequently.
D)  getting up from a chair too quickly makes him dizzy.

Question 8

The effect of aging on the cardiovascular system is evidenced when the nurse notes that an older adult performing a stress test experiences which of the following? Select all that apply.

Accepted Answer

A)  Chest pain during exercise
B)  Slow increase of heart rate in response to stress
C)  Exercise induce dyspnea
D)  Slow decrease of heart rate post exercise
E)  Stress-induced arrhythmias

Question 9

The nurse recognizes that the symptoms that have priority for care are:

Accepted Answer

A)  acute confusion observed in a 78-year-old female.
B)  epigastric pain reported by a 70-year-old male.
C)  severe left shoulder pain in a 68-year-old male.
D)  persistent indigestion reported by a 69-year-old female.

Question 10

When assessing an older, female African American adult, the nurse notes that she has been a type 2 insulin-dependent diabetic 10 years.The nurse notes that the client's greatest risk for developing secondary hypertension is her:

Accepted Answer

A)  gender.
B)  ethnic origin.
C)  vascular system status.
D)  insulin therapy.

Question 11

The nurse educates the obese older adult client that the single most important outcome that will affect cardiac health is:

Accepted Answer

A)  compliance with antihypertensive drug therapy.
B)  adherence to the DASH diet.
C)  inclusion of 20 minutes of low impact exercise daily.
D)  a 10% reduction in weight.

Question 12

When a nurse prepares an educational fact sheet on cardiovascular disease ( CVD ) for distribution to a senior citizens group, the lifestyle choices included are which of the following? Select all that apply.

Accepted Answer

A)  Smoking cessation tips
B)  Low-carbohydrate food choices
C)  Stress management techniques
D)  Importance of regular blood pressure monitoring
E)  Strategies for including exercise into daily routine

Question 13

A 76-year-old client has been recently diagnosed with cardiac valvular disease.The nurse assesses the client and recognizes that the medical diagnosis is supported by:

Accepted Answer

A)  cyanotic fingertips.
B)  weight loss of 10 pounds over a 3-month period just before diagnosis.
C)  angina pain.
D)  the client's report that, "walking around the block makes me short of breath."

Question 14

The nurse shows an understanding of how anemia symptoms present in the older population when:

Accepted Answer

A)  questioning the client about dizziness when turning from side-to-side in bed.
B)  assessing the client for pale oral mucous membranes.
C)  asking whether the client takes supplementary iron tablets.
D)  assessing the client's weekly intake of red meat.

Question 15

A novice nurse requires additional education on the assessment findings reflective of arterial vascular deficiency when suggesting the condition's symptoms include:

Accepted Answer

A)  2+ edema in calf and foot of left leg.
B)  a 2-cm ulcer between the great and second toe on the left foot.
C)  skin on the left leg is cool to the touch.
D)  toenails on the left foot are thick and brittle.

Question 16

When preparing information concerning cardiovascular risk factors for a group of older adults, the nurse stresses that cigarette smokers are four times more likely to die of sudden cardiac death than nonsmokers because smoking:

Accepted Answer

A)  interferes with the development of collateral coronary vessels.
B)  produces coronary artery stricture.
C)  results in carbon monoxide poisoning.
D)  increases platelet aggregation.

Exam 23: Cardiovascular Function