FREE CMSRN Cardiac Vascular Questions and Answers

Question 1

When a patient is examined while supine, enlarged jugular veins can be seen running 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

decreased venous return.

Answer

increased pulmonary artery capillary pressure.

Question 2

One of the main ways to lower a female patient's chance of getting coronary heart disease is to:

Accepted Answer

avoid excessive weight gain during pregnancy.

Answer

enroll in a cardiac rehabilitation program.

Answer

take nitroglycerin at the onset of chest pain.

Answer

take 81 mg of aspirin daily.

Question 3

When receiving warfarin (Coumadin) medication, excessive alcohol consumption causes:

Accepted Answer

increased anticoagulation effect.

Answer

decreased international normalized ratio.

Answer

increased vitamin K absorption.

Answer

decreased anticoagulation effect.

Question 4

A nurse diagnosing cardiogenic shock gives the patient's reduced cardiac output. The patient is expected to attain the following goals with the right interventions:

Accepted Answer

baseline cardiac function.

Answer

reduced anxiety.

Answer

decreased afterload.

Answer

baseline activity level.

Question 5

During a cardiac-vascular nurse's evaluation for intermittent claudication, she looks for leg pain and cramps when exerted. She then questions the patient:

Accepted Answer

"Is the leg pain relieved by rest?"

Answer

"Is the leg pain relieved with elevation?"

Answer

"Does this same type of pain occur without activity?"

Answer

"Does shortness of breath accompany the leg pain?"

Question 6

A coronary artery bypass surgery patient displays a thorough comprehension of discharge instruction by:

Accepted Answer

clarifying when cardiac rehabilitation will begin.

Answer

describing plans to relax in a hot tub during recovery.

Answer

planning to resume driving his or her spouse to work next week.

Answer

asking whether smoking one cigarette per day is acceptable.

Question 7

Meditation may be helpful for a patient recovering from a myocardial infarction since this method:

Accepted Answer

decreases sympathetic nervous system activity.

Answer

decreases vasodilation.

Answer

increases the release of catecholamines.

Answer

increases sympathetic nervous system activity.

Question 8

When getting ready to give thrombolytic therapy to a patient who is having an acute myocardial infarction (MI), what is the most important thing to keep in mind?

Accepted Answer

Time since onset of symptoms.

Answer

Sensitivity to aspirin.

Answer

Size and location of the MI.

Answer

History of heart disease.

Question 9

A cardiac-vascular nurse treating a patient with intermittent claudication suggests the following to the patient:

Accepted Answer

walk as tolerated.

Answer

refrain from exercise.

Answer

elevate the legs when sitting.

Answer

apply graduated compression stockings before getting out of bed.

Question 10

When discussing prescribed activities with a patient who experienced a myocardial infarction, the cardiac-vascular nurse steps in. "It doesn't really matter what I do or don't do. I will either get better or die," the patient says. The statement illustrates:

Accepted Answer

feelings of loss of control.

Answer

projection.

Answer

an internal locus of control.

Answer

acceptance of changed health status.