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

Distended jugular veins, especially when visible from the base of the neck to the angle of the jaw in a supine position, are a classic clinical sign of elevated central venous pressure (CVP). Increased CVP indicates higher pressure in the right atrium and vena cava, often associated with conditions like right-sided heart failure or fluid overload.

Question 2

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

Accepted Answer

Walk as tolerated

Answer

For patients with intermittent claudication, a symptom of peripheral artery disease (PAD), supervised exercise programs, particularly walking, are a cornerstone of treatment. Walking as tolerated helps improve collateral circulation, reduce symptoms, and enhance functional capacity, making it a recommended instruction.

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

The patient's statement, 'What I do or don't do is unimportant. Either I grow better, or I pass away,' indicates a belief that their actions have no influence on their health outcome. This reflects a sense of helplessness and a profound feeling of loss of control over their health situation, rather than acceptance or an internal locus of control.

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

Persistent signs of despair after ten weeks of cardiac rehabilitation suggest the patient may be experiencing clinical depression, which is common following a myocardial infarction. The most appropriate intervention for ongoing despair is a referral for professional psychological counseling and evaluation for antidepressant medication, as these are evidence-based treatments for depression.

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

The pattern of excessive calorie intake specifically on nights when the spouse is absent suggests a personal response to the spouse's absence, possibly due to loneliness, stress, or boredom. This indicates an individual coping behavior, where the patient uses food to manage emotions or fill a void, rather than a family-wide issue or lack of dietary knowledge.

Cardiac Vascular Nursing Exam Practice Test

Cardiac Vascular Nursing Exam Practice Test

FREE Cardiac-Vascular Nursing MCQ Questions and Answers