Medical surgical nursing quiz


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Medical surgical nursing quiz

  1. 1. 1 Medical-surgical Nursing Quiz (Cardiac)1. The factors associated with a high likelihood of success with PTCA are all, EXCEPT:A. Age less than 65 yearsB. Single-vessel diseaseC. Absence of calcificationD. All of the above2. The serum creatine kinase (CK) rises in a patient with myocardial infarction with in thefirst:A. 4-6 hoursB. 2-4 daysC. 12-18 hoursD. 3-6 days3. A type of AV block characterised by progressive lengthening of the PR interval until theP wave fails to conduct is:A. Second degree AV-Block : Mobiz Type IIB. Second degree AV block: Mobiz Type IC. First degree AV blockD. Third degree block4. Rhythms require permanent pacing in patients with cardiac disorders include:A. Supraventricular tachycardiaB. Second-degree Av block : Mobiz Type IC. Complete heart blockD. Wolf-Parkinson White syndrome5. The American Heart Association recommended energy dose for defibrillation inventricular fibrillation using a biphasic defibrillator is;
  2. 2. 2A. 200 JB. 400 JC. 150 JD. 100 J6. Multifocal atrial tachycardia are more frequently seen in patients with:A. Cardiac myopathyB. Chronic obstructive pulmonary diseaseC. Diabetic mellitusD. Chronic kidney disease7. A form of ventricular tachycardia usually occurs in the setting of QT prolongation is:A. Monomorphic VTB. Torsade de pointsC. Wolf-Parkinson White syndromeD. Sick sinus syndrome8). A condition characterised by a prolonged PR interval more than 0.2 secs in ECG iscalled:A. Second degree AV blockB. Mobiz Type II AV blockC. First degree Av blockD. Complete block11). Which procedure regarding the treatment of varicose veins with slerotherapy iscorrect:A. The procedure involves tying off the veins to prevent slugginess of blood from occludingB. The procedure involves tying off the veins so that circulation is redirected to anotherarea
  3. 3. 3C. The procedure involves surgically removing the varicosityD. The procedure involves injecting an agent in to the vein to damage the vein wall andclose it off.9). The type of ulcer which is deep, pale and surrounded by a tissue which is cool to touchis :A. Venous stasis ulcerB. Arterial ulcerC. Stage 1 ulcerD. Vascular ulcer10). Standard management for a patient with deep vein thrombosis includes:A. Maintain affected limb in the dependent positionB. Apply cool packs to the affected leg for 20 minutes every 4 hoursC. Administer narcotic analgesic every 4 hours around the clockD. Maintain bed rest12). Which of tthe following listed assessment finding is typical of cardiac tamponade?A. A pulse rate of 60 per minuteB. Flat neck veinsC. Muffed or distant heart soundsD. A pulse pressure of 18/82 mmHg13). A patient who is sheduled to begin treatment with acetazolamide for the managementof glucoma should be evaluated for allergy to :A. GlucocorticosteroidsB. NSAIDsC. PenicillinD. Sulfa drugs14) In a patient on mechanical prosthetic heart valve, the recoomended international
  4. 4. 4normalized ratio for anticoagulant therapy with warfarin sodium is :A. 2B. 2.3C. 3D. 515). Intraaortic baloon pump therapy is most often used in the management of:A. Congestive cardiac failureB. Cardiogenic shockC. Pulmonary edemaD. Aortic insufficiency16. Fibrous cords called ______________ connect the free valve margins and ventricularsurfaces of the valve cusps to papillary muscles and ventricular walls.A. chordae tendineaeB. lunulaeC. bundle of HisD. Kent bundles17. Intraaortic baloon pump theerapy is used for treatment of:A. Congestive heart failureB. Cardiogenic shockC. Pulmonary demaD. Aortic insufficiency18. Cardiac troponin T or cardiac troponin I is a protein marker in the detection of:A. Myocardial infarctionB. Congestive cardiac failure
  5. 5. 5C. Ventricular tachycardiaD. Atrial fibrillation19. Which of the following assessment finding would elicit specific information regardingthe left ventricular function of a patient with left ventricular failure?A. Assessing peripheral and sacral edema.B. Assessing jugular vein distention.C. Monitoring for organomegaly.D. Listening to lung sounds.20. Which of the following ECG findings indicate the presence of hypokalemia?A. Tall, peak T waveB. ST segment depressionC. Widening of QRS complexD. Prolonged PR interval21. _________________ are slightly raised, yellowish plaques of cholesterol in the skin thatappear along the nasal side of one or both eyelidsA. Corneal arcusB. Roths spotsC. XanthelasmasD. Cotton wool patches22. ____________ is the reduction in strength of the arterial pulse that can be felt duringabnormal inspiratory decline of left ventricular filling.A. Pulsus bisferiensB. Pulsus alternansC. Bigeminal pulsesD. Pulsus paradoxus23. _________ should be performed before radial arterial cannulation to evaluate radial
  6. 6. 6and ulnar arterial patency.A. Valsalva maneuverB. Allen testC. AngiographyD. Capillary refilling test24. _______________ is a paradoxical elevation of jugular venous pressure duringinspiration and may occur in patients with chronic constrictive pericarditis, heart failure,or tricuspid stenosis.A. Kussmauls signB. Homans signC. Kernigs signD. Brudzinskis sign25. When measuring blood pressure,diastolic blood pressure is equated with disappearanceof:A. Premature ectopic beatsB. Muffling of soundsC. Auscultatory gapD. Korotkoff sounds26. Which assessment finding is a more specific information regarding left ventricularfunction in a patient with left ventricular failure?A. Listening to heart soundsB. assessment of peripheral and sacral edemaC. Assessment of jugular and vein distentionD. Monitoring for organomegaly27. Which one of the assessment findings in a patient who has been taking spirinolactonefor hypertension is sugestive of side effect of the medication?
  7. 7. 7A. A potassium level of 3.2 mEq/LB. a potassium level of 5.8mEq/LC. ConstipationD. Dry skin28. The normal left atraial pressure is:A. 8 mmHgB. 15 mmHgC. 25 mmhgD. 32 mmHg29. Normal fibrinogen level in a female client is:A. 180 to 340 mg/dLB. 190 to 420 mg/dLC. 420 to 500 mg/mLD. 500 to 560 mg/dL30. Which of the following listed finding more specifically indicate the presence ofmyocardial infarction:A. increased creatinine kinase MBB. Increased creatinine kinase MMC. Increased blood urea nitrogenD. Decreased white blood cell count31. Bruce protocol is related to:A. CABGB. EchocardiaogramC. AngiogramD. Exercise ECG test
  8. 8. 832. Cardiac Toponin level helps in the diagnosis ofA. Myocardial infarctionB. Congestive heart failureC. Ventricular tachycardiaD. Atrial fibrillation33. A patient has developed atrial fibrillation and his ventricular rate is 150 beats perminute. What should the patient be asssessed for next?A. Flat neck veinsB. Complaints of nauseaC. Complaints of headacheD. Hypotension34. Which of the following assessment would elicit specific information regarding leftventricular function of a patient with CHF?A. Listening to lung soundsB. Assessing for peripheral and sacral edemaC. Assessing for jugular venous distentionD. Monitoring for organomegaly35. A patient is treated with spirinolactone for hypertension. Which of the followingindicates the patient is experiencing side effect of the drug?A. A potassium level of 3.2 mEq/LB. A potassium level of 5.2 mEq/LC. A sodium level of 140.2 mEq/LD. A calcium level of 12 mg/dL36. Which of the following finding would indicate the presence of myocardial infarction?A. Increased creatinine kinase MB
  9. 9. 9B. Increased creatinine kinase MMC. Increased blood urea nitrogen levelD. Decreased WBC level37. Which of the following beverages can be included in the menu of a patient withmyocardial infarction?A. CoffeeB. TeaC. ColaD. Lemonade38. A patient is undergoing cardiac catheterization. Which of the following sensationsreported by the patient during the procedure has the highest priority?A. Pressure at the insertion siteB. Urge to coughC. Warm, flushed feelingD. Chest pain39. A patient recovering from cardiac surgery has a pleural effusion on the left side and ishaving thoracentesis. The patient should be placed in which position for the procedure?A. Upright and leaning forward with the arms on the over-the-bed tableB. Right-side lying with legs curled up into a fetal positionC. Left-lateral with the right arm supported by a pillow.D. Dorsal decumbant40. Which of the following statements about Prinzmetals (variant) angina is correct?A. Managed most effectively with beta-blocking drugsB. Drug of choice in variant angina is nitrates.C. Generally treated with calcium channel blockersD. Improves with low-sodium, high potassium diet
  10. 10. 1041. Electrocariaogram strip of a patient shows:P wave and QRS complexes -regularPR-Interval - 0.14 secondsQRS complexes measure- 0.08 secondsoverall hert beat rate- 82beats per minutes.The cardiac rhythm isA. Sinus bradycardiaB. Sinus tachycardiaC. Normal sinus rhythmD. First-degree heart block42. EEG rhythm strip of a patient showsAtrial and ventricular rate- 70 beats per minutePR-Interval - 0.14 secondsQRS complexes - 0.08 secondsP-P interval - slightly irregularWhat is the rhythm?A. Sinus bradycardiaB. Normal sinus rhythmC. Sinus tachycardiaD. Sinus arrythmia43. A patient with myocardial infarction experiencing new multiform, prematurecontractions. The patient is allergic to lidocaine hydrochloride.What is the next drug of choice for immediate use?A. Digoxin
  11. 11. 11B. MetoprololC. VerapramilD. Procainamide44. Which of the following indicates that antidysrhythmic therapy for a patient withpremature ventricular contractions (PVC) is effective?If the PVCs continued to:A. be multifocal in appearance.B. occure in pairs.C. decrease in frequency to less than 6 per minute.D. fall on the second half of the T wave.45. A patient with complete heart block has had a permanant demand pace makerinserted. The pacemaker function is considered to be proper, if ECG rhythm strip showspresence of pacemaker spikesA. Just after each T waveB. Before each QRS complexC. Just after each P waveD. Before each P wave
  12. 12. 1246. Which of the following intervention is contraindicated in a patient with deepvein thrombosis of the right leg?A. Elevation of the limbB. Ambulation in the hall every 4 hoursC. Application of moist heat to the right legD. Administration of analgesics47. The cercumflex artery is a branch ofA. Right coronory arteryB. Anterior descending arteryC. Left coronory arteryD. Descending aorta48. Apical pulse is is taken by placing the diaphragm of the stethescope at the areaofA. Right atriumB. Right ventricleC. Pulmonic valveD. Mitral area49. Which of the following statements about coronory arteries is wrong?A. Right coronory artery supplies the right side of the heart.B. Left anterior descending artery supplies the anterior wall of the left ventricleC. Circumflex artery supplies the left atrium and lateral wall of the left ventricle.D. Right coronory artery supplies the left ventricle.50. A female patient who has had a myocardial infarction asks the nurse why sheshould not bear down or strain to ensure having a bowel movement. The informsthe that this would trigger
  13. 13. 13A. Vagus nerve stimulation, causing a decrease in heart rate and cardiaccontractility.B. Vagus nerve stimulation, causing and increase in heart rate and cardiaccontractility.C. Sympathetic nerve stimulation, causing an increase in heart rate and cardiaccontractility.D. Sympathetic nerve stimulation, causing a decrease in heart rate and cardiaccontractility.51. Which of the following intervention is NOT indicated in a patient with stableventricular tachycardia?A. Assess airway, breathing, and circulationB. Administer oxygenC. Obtain an ECGD. Contact physicianE. Difibrillate the patient52. Which of the following manifestations differentiates pericarditis from othercardiopulmonary problems?A. Chest pain that worsens on expirationB. Pericardial friction rubC. Anterior chest painD. Weakness and irritability53. Premature ventricular contractions are charecterised byA. Premature beats followed by a compensatory pauseB. QRS complexes, which are short and narrowC. Inverted P waves before the QRS complexesD. A P-wave preceding every QRS complexes54. Which of the following is NOT associated with cardiac tamponade?
  14. 14. 14A. Pulses paradoxusB. Distant heart soundsC. Distended jugular veinsD. Bradycardia55. Digitalis functions to improve congestive heart failure byA. Induction of emesisB. Activation of -adrenergic receptorsC. Improving survival in patients of heart failureD. Binding to and inhibiting the Na–K ATPase enzyme in cardiac myocytesE. Deactivation of the angiotensin receptorANSWER KEY 1. D 2. A 3. B 4. C 5. A. 6. B 7. B 8. C 9. B 10. D 11. D 12. C. 13.D 14.C 15. B 16. A 17. B 18. C 19. D 20. B 21. C 22. D 23. B 24. A 25.D 26. A 27. B 28. A 29. B 30. A 31. D 32. A 33. D 34. A 35. B 36. A 37. D 38. D 39. A 40.C 41.C 42. D 43. D 44. C 45.C 46. B 47. C 48. d 49. D 50. A 51. E 52. B 53. A 54. D 55.D