FREE Cardiac-Vascular Nursing MCQ Questions and Answers

Question 1

A patient's supine position during examination reveals jugular veins that are enlarged from the base of the neck to the angle of the jaw. This result suggests:

Accepted Answer

Increased central venous pressure

Answer

Left-sided heart failure

Answer

Increased pulmonary artery capillary pressure

Answer

Decreased venous return

Question 2

The cardiac-vascular nurse gives the following instructions to a patient who has intermittent claudication:

Accepted Answer

Walk as tolerated

Answer

Before getting out of bed, put on graduated compression stockings.

Answer

Elevate the legs when sitting

Answer

Refrain from exercise

Question 3

A cardiac-vascular nurse gives an individual who experienced a myocardial infarction a review of suggested exercises. The client claims, "What I do or don't do is unimportant. Either I grow better, or I pass away." This assertion shows:

Accepted Answer

Feelings of loss of control

Answer

An internal locus of control

Answer

Acceptance of changed health status

Answer

Projection

Question 4

A patient receiving outpatient cardiac rehabilitation for ten weeks still shows signs of despair. The cardiac-vascular nurse includes the following in the discharge plan she creates:

Accepted Answer

A referral for counseling and possible medication

Answer

Alternative treatments, such as massage and yoga

Answer

A trial of herbal remedies

Answer

A thorough explanation of the patient's heart condition to help lower anxiety

Question 5

The cardiac-vascular nurse notices a pattern of excessive calorie intake on Monday, Wednesday, and Friday nights after studying the patient's four-week diet history. The patient claims that their spouse has recently begun attending a nearby university for a night class on those evenings. According to the patient's diet history:

Accepted Answer

An individual coping behavior

Answer

A lack of dietary instruction

Answer

A disabling family coping behavior

Answer

A need for cooking classes

Question 6

The following ejection fraction of a patient who underwent percutaneous, transluminal coronary angioplasty four weeks ago is 30%. The patient makes a follow-up appointment. An examination demonstrates mild pedal edema and clean lungs upon auscultation. Digoxin (Lanoxin), furosemide (Lasix), enalapril maleate (Vasotec), and aspirin are the patient's current meds. The patient claims to have put on 5 lbs (2.27 kg) in the last two days. The first step taken by the cardiac-vascular nurse is to:

Accepted Answer

Inquire about the patient's medication compliance

Answer

Record the patient's weight and reevaluate them at the following appointment.

Answer

The patient's most recent nuclear scan should be reviewed

Answer

Notify the patient's physician

Question 7

A patient in a research study says they no longer want the medication as the cardio-vascular nurse gets ready to give them an experimental heart medication. The patient is informed by the nurse that:

Accepted Answer

He or she has a right to refuse the medication and to withdraw from the study

Answer

The patient will discuss their choice with the principal investigator.

Answer

The medication dose has been scheduled for administration

Answer

Improvement of the quality of patient outcomes depends heavily on participant involvement in the study.