Skip To Content Question 1 A 75-year-old

Skip To Content Question 1 A 75-year-old obese female presents to her primary care provider reporting edema in the lower extremities. Physical exam reveals that she has varicose veins. Upon performing the history, which of the following is a possible cause for the varicose veins? Extreme exercise Trauma to the deep veins Ischemia Long periods of standing 20 A 52-year-old male presents with pooling of blood in the veins of the lower extremities and edema. The diagnosis is chronic venous insufficiency, and an expected assessment finding of this disorder is: Group of answer choices deep vein thrombus formation. gangrene. skin hyperpigmentation. edema above the knee. 3. Superior vena cava syndrome (SVCS), causing venous distention in the upper extremities, is a result of progressive superior vena cava: Group of answer choices distention. inflammation. sclerosis. occlusion. 4 A 50-year-old male with a 30-year history of smoking was diagnosed with bronchogenic cancer. He developed edema and venous distention in the upper extremities and face. Which of the following diagnosis will the nurse observe on the chart? Group of answer choices Deep vein thrombosis Chronic venous insufficiency Thromboembolism Superior vena cava syndrome (SVCS) Question 5 When a patient is diagnosed with coronary artery disease, the nurse assesses for myocardial: Group of answer choices ischemia. inflammation. hypertrophy. necrosis. 6 A nurse takes an adult patient’s blood pressure and determines it to be normal. What reading did the nurse obtain? Group of answer choices Systolic pressure greater than 140 mm Hg and a diastolic pressure of 100 mm Hg Systolic pressure less than 120 mm Hg and diastolic pressure less than 80 mm Hg Systolic pressure between 140 and 150 mm Hg Systolic pressure less than 100 mm Hg regardless of diastolic pressure 7. Most cases of combined systolic and diastolic hypertension have no known cause and are documented on the chart as _____ hypertension. Group of answer choices primary congenital acquired secondary Question 8 A 30-year-old White female was recently diagnosed with primary hypertension. She reports that she eats fairly well, usually moderate red meat consumption. She also reports that her father has hypertension as well. A nurse determines which of the following risk factors is most likely associated with this diagnosis? Group of answer choices Age Race Genetic Diet 9 A 52-year-old is diagnosed with primary hypertension but has no other health problems. Present treatment would cause the nurse to anticipate administering which drug to the patient? Group of answer choices A diuretic A calcium channel agonist A beta-adrenergic agonist An alpha-adrenergic agonist 10 When a nurse checks the patient for orthostatic hypotension, what activity did the nurse have the patient engage in? Group of answer choices Eating Physical exertion Standing up Lying down Question 11 A patient is diagnosed with orthostatic hypotension. Which of the following symptoms would most likely be reported? Group of answer choices Nausea and vomiting Headache and blurred vision Chest pain and palpitations Syncope and fainting 12 A patient presents to the emergency department reporting difficulty swallowing and shortness of breath. A CT scan would most likely reveal an aneurysm in the: Group of answer choices inferior vena cava. cerebral vessels. renal arteries. thoracic aorta. 13 An older adult is diagnosed with cerebral aneurysm. Where does the nurse suspect the cerebral aneurysm is located? Group of answer choices Carotid arteries Circle of Willis Vertebral arteries Basilar artery 14 What term should the nurse use to document a detached blood clot? Group of answer choices Thrombus Thromboembolus Infarction Embolus 15 A patient presents with severe chest pain and shortness of breath and is diagnosed with pulmonary embolism. The embolism most likely originated from the: Group of answer choices deep veins of the leg. systemic arteries. left ventricle. superficial veins of the arm. 16 Individuals with Raynaud disease need to be counseled to avoid which of the following conditions to prevent severe symptoms? Group of answer choices Tissue injury Hot water immersion Cold exposure Allergic reactions 17 A patient is diagnosed with coronary artery disease. Which of the following modifiable risk factors would the nurse suggest the patient change? Group of answer choices Smoking cigarettes Eating meat Drinking tomato juice Living arrangements 18 A patient presents to a primary care provider reporting chest pain and is diagnosed with atherosclerosis. This disease is caused by: Group of answer choices autonomic nervous system imbalances. arterial wall thinning and weakening. abnormal thickening and hardening of vessel walls. abnormally dilated arteries and veins. 19 Foam cells in a fatty streak are: Group of answer choices lipid-laden mast cells. deposited adipose cells. injured neutrophils. macrophages that engulf low-density lipoprotein (LDL). 20. The most common cause of myocardial ischemia is: Group of answer choices idiopathic vasospasm. atherosclerosis. arterial emboli from a heart valve. venous emboli. 21. A 51-year-old male presents with recurrent chest pain on exertion and is diagnosed with angina pectoris. The pain occurs when: Group of answer choices the myocardial oxygen supply has fallen below demand. cardiac output has fallen below normal levels. the vagus nerve is stimulated. myocardial stretch has exceeded the upper limits. Flag question: Question 22 22 A 62-year-old male presents to his primary care provider reporting chest pain at rest and with exertion. He does not have a history of coronary artery disease and reports that the pain often occurs at night. He is most likely experiencing which type of angina? Group of answer choices Silent Unstable Prinzmetal Stable 23 A 51-year-old male is at the health clinic for an annual physical exam. After walking from the car to the clinic, he developed substernal pain. He also reported discomfort in his left shoulder and his jaw, lasting 2-3 minutes and then subsiding with rest. He indicates that this has occurred frequently over the past few months with similar exertion. The nurse suspects he is most likely experiencing: Group of answer choices Stable angina Myocardial infarction (MI) Unstable angina Prinzmetal angina 24 A 49-year-old male presents reporting chest pain. EKG reveals ST elevation. He is diagnosed with myocardial ischemia. Which of the following interventions would be most beneficial? Group of answer choices Administer a diuretic to decrease volume. Give an antibiotic to decrease infection. Encourage exercise to increase heart rate. Apply oxygen to increase myocardial oxygen supply. 25 A 68-year-old male presents to the ER reporting chest pain. He has a history of stable angina that now appears to be unstable. He most likely has: Group of answer choices decreased myocardial oxygen demand. mild to moderate atherosclerosis. impending myocardial infarction (MI). electrical conduction problems in the heart. 26 A 55-year-old male died of a myocardial infarction. Autopsy would most likely reveal: Group of answer choices embolization of plaque from the aorta. platelet aggregation within the atherosclerotic coronary artery. smooth muscle dysplasia in the coronary artery. decreased ventricular diastolic filling time. 27 A 75-year-old male has severe chest pain and dials 911. Based upon the lab findings indicating a patient has elevated levels of cardiac troponins I and T, the nurse suspects which of the following has occurred? Group of answer choices Angina Raynaud disease Myocardial infarction (MI) Orthostatic hypotension 28 A 28-year-old presents to the ER reporting severe chest pain that worsens with respirations or lying down. Other signs include a fever, tachycardia, and a friction rub. Assessment findings support which medical diagnosis? Group of answer choices Pericardial effusion Stable angina Acute pericarditis Myocardial infarction (MI) 29 A 56-year-old presents to his primary care provider for a checkup. Physical exam reveals edema, hepatomegaly, and muffled heart sounds. Which of the following is of greatest concern to the nurse? Group of answer choices Exudate Aneurysm Tamponade Pulsus paradoxus 30 A 42-year-old is diagnosed with constrictive pericarditis. The nurse assesses the blood pressure for decreased cardiac output because of: Group of answer choices cardiomyopathy. fibrosis and calcification of the pericardial layers. hemorrhage in the pericardial cavity. pericardial effusions. 31 A 60-year-old female has survived a myocardial infarction. The nurse is providing care for impaired ventricular function because: Group of answer choices there is too much stress on the heart. the resulting ischemia leads to hypoxic injury and myocardial cell death. the cells become hypertrophic. there is a temporary alteration in electrolyte balance. 32 Many valvular stenosis and regurgitation disorders in adults have a common etiology. Which of the following conditions should alert the nurse that the patient may have both types of valve dysfunctions? Group of answer choices Connective tissue disorders Rheumatic fever or heart disease Heart failure Syphilis infection 33 Which valvular condition is characterized by the valve opening being constricted and narrowed, causing the valve leaflets, or cusps, to fail to open completely? Group of answer choices Insufficiency Incompetence Regurgitation Stenosis

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