Test Bank Unit 5 : Understanding Medical-Surgical Nursing 6th Edition Linda S. Williams Paula D. Hopper ||Chapter 21 - 26
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Course
Medical Surgical Nursing
Institution
Medical Surgical Nursing
Test Bank Unit 5: Understanding Medical-Surgical
Nursing 6th Edition Linda S. Williams Paula D. Hopper
Chapter 21. Cardiovascular System Function, Assessment, and Therapeutic
Measures
MULTIPLE CHOICE
1. A patient asks the nurse what the action of the arteries is. Which response by the nurse i...
Test Bank Unit 5: Understanding Medical-Surgical
Nursing 6th Edition Linda S. Williams Paula D. Hopper
Chapter 21. Cardiovascular System Function, Assessment, and Therapeutic
Measures
MULTIPLE CHOICE
1. A patient asks the nurse what the action of the arteries is. Which response by the nurse is
most appropriate?
1. “The arteries act as valves of the heart.”
2. “The arteries carry blood from capillaries to the heart.”
3. “The arteries are the natural pacemaker of the heart.”
4. “The arteries carry blood from the heart to capillaries.”
ANS: 4
Chapter: Chapter 21. Cardiovascular System Function, Assessment, and Therapeutic
Measures
Objective: 2. Explain the normal function of the cardiovascular system.
Page: 342
Heading: Arteries and Veins
Integrated Process: Teaching/Learning
Client Need: PHYS—Physiological Adaptation
Cognitive Level: Application (Applying)
Concept: Perfusion
Difficulty: Easy
Feedback
1 This does not describe the role of arteries.
2 This describes veins.
3 Arteries do not act as a pacemaker.
4 This is the correct description of the action of arteries.
PTS: 1 CON: Perfusion
2. The nurse is assessing the heart rate for a person who plays basketball and runs track. Which
heart rate can the nurse expect to document?
1. 50 beats/min
2. 70 beats/min
3. 90 beats/min
4. 110 beats/min
ANS: 1
Chapter: Chapter 21. Cardiovascular System Function, Assessment, and Therapeutic
Measures
Objective: 2. Explain the normal function of the cardiovascular system.
Page: 341
Heading: Pulses
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: PHYS—Physiological Adaptation
, Cognitive Level: Analysis (Analyzing)
Concept: Perfusion
Difficulty: Moderate
Feedback
1 The nurse can expect an athlete to have a pulse rate around 50 beats/min.
2 The nurse can expect an athlete to have a pulse rate around 50 beats/min.
3 The nurse can expect an athlete to have a pulse rate around 50 beats/min.
4 The nurse can expect an athlete to have a pulse rate around 50 beats/min.
PTS: 1 CON: Perfusion
3. The nurse is caring for a patient recovering from a cardiac catheterization with a right
femoral artery entry site. Which action should the nurse take?
1. Ambulate every 2 hours.
2. Position knees with 40-degree bend.
3. Avoid movement of right leg as ordered.
4. Perform passive range of motion of right leg hourly.
ANS: 3
Chapter: Chapter 21. Cardiovascular System Function, Assessment, and Therapeutic
Measures
Objective: 5. Plan nursing care for patients undergoing diagnostic tests for cardiovascular
disorders.
Page: 356
Heading: Cardiac Catheterization
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: PHYS—Physiological Adaptation
Cognitive Level: Application (Applying)
Concept: Perfusion
Difficulty: Moderate
Feedback
1 Since the extremity should not be moved, this action is contraindicated.
2 Since the extremity should not be moved, this action is contraindicated.
3 The extremity used for catheter insertion must not be moved or flexed for
several hours after the procedure.
4 Since the extremity should not be moved, this action is contraindicated.
PTS: 1 CON: Perfusion
4. The nurse is caring for a patient admitted with chest pain and suspected myocardial
infarction (MI). Which laboratory value should the nurse expect to see an elevation?
1. Ammonia
2. Glucose
3. Amylase
, 4. Troponin
ANS: 4
Chapter: Chapter 21. Cardiovascular System Function, Assessment, and Therapeutic
Measures
Objective: 4. Identify diagnostic tests commonly performed to diagnose disorders of the
cardiovascular system.
Page: 354
Heading: Cardiac Biomarkers
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: PHYS—Physiological Adaptation
Cognitive Level: Application (Applying)
Concept: Perfusion
Difficulty: Moderate
Feedback
1 This laboratory value is used to determine liver disease.
2 Glucose does not determine cardiac damage or function.
3 This laboratory value is used to diagnose pancreatitis.
4 This laboratory value is used to assess cardiac damage for a patient with a
suspected MI.
PTS: 1 CON: Perfusion
5. The nurse is caring for a group of patients. Which patient is at highest risk of death related
to cardiovascular disease?
1. An African American male who smokes
2. A Caucasian female who works a high-stress job
3. A Hispanic female who exercises daily
4. An Asian male who is vegetarian
ANS: 1
Chapter: Chapter 21. Cardiovascular System Function, Assessment, and Therapeutic
Measures
Objective: 3. List data to collect when caring for a patient with a disorder of the
cardiovascular system.
Page: 346
Heading: Cultural Considerations
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: PHYS—Physiological Adaptation
Cognitive Level: Application (Applying)
Concept: Perfusion
Difficulty: Moderate
Feedback
1 This patient is at highest risk for death caused by cardiovascular disease; he is
male, African American, and a smoker.
2 This patient is not at highest risk for death caused by cardiovascular disease.
, 3 This patient is not at highest risk for death caused by cardiovascular disease.
4 This patient is not at highest risk for death caused by cardiovascular disease.
PTS: 1 CON: Perfusion
6. The nurse is explaining the regulation of blood pressure (BP) to a patient newly diagnosed
with hypertension. What tissues within the artery wall that helps maintain diastolic BP
should the nurse identify for the patient?
1. Smooth muscle and elastic connective tissue
2. Smooth muscle and simple squamous epithelium
3. Elastic connective tissue and fibrous connective tissue
4. Fibrous connective tissue and simple squamous epithelium
ANS: 1
Chapter: Chapter 21. Cardiovascular System Function, Assessment, and Therapeutic
Measures
Objective: 2. Explain the normal function of the cardiovascular system.
Pages: 344–345
Heading: Blood Pressure
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: PHYS—Physiological Adaptation
Cognitive Level: Application (Applying)
Concept: Perfusion
Difficulty: Moderate
Feedback
1 The middle artery layer of smooth muscle and elastic connective tissue
maintains normal BP, especially diastolic BP, by changing the diameter of the
artery.
2 These tissues are not within the layers of the arterial walls.
3 These tissues are not within the layers of the arterial walls.
4 These tissues are not within the layers of the arterial walls.
PTS: 1 CON: Perfusion
7. The nurse instructs a patient on beverages to avoid when taking the prescribed medication
warfarin (Coumadin). Which beverage should the patient state that indicates teaching has
been effective?
1. Beer
2. Orange juice
3. Grapefruit juice
4. Cranberry juice
ANS: 4
Chapter: Chapter 21. Cardiovascular System Function, Assessment, and Therapeutic
Measures
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