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Ch. 11 Winland-Brown Cardiovascular Problems 4th ed. 100% Correct
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Ch. 11 Winland-Brown Cardiovascular Problems4th ed. 100% Correct
Alex presents to your office with waxing and waning ischemic symptoms over days and
weeks, an increase in angina at rest, and transient ST changes on his
electrocardiogram. Based on this presentation you believe that Alex is suffering from
A. a stroke.
B. a myocardial infarction.
C. stable angina.
D. unstable angina
(Ch. 11 Winland-Brown)-ANSWER D
A recently discharged outpatient surgery client is seen with insidious onset of edema
and dusky blue discoloration of the head and upper extremities. You recognize that this
is a medical emergency and suspect which of the following?
A. Evolving cerebral infarction
B. Impending myocardial infarction
C. Superior vena cava syndrome
D. Temporal arteritis
(Ch. 11 Winland-Brown) - ANSWER C
Selma has acute peripheral arterial occlusion of a lower extremity. Before you begin
your examination you know that it
A. may present with only complaints of coldness or paresthesia of the extremity.
B. may present as the only disease
,C. always occurs in the lower extremities
D. will result in an extremity that appears "blue."
(Ch. 11 Winland-Brown) - ANSWER A
Characteristics of ischemic arterial ulcers include
A. an irregularly shaped border with crusting or scaling at the edges.
B. severe pain.
C. a location anywhere on the leg.
D. a moist ulcer base with ill-defined borders.
(Ch. 11 Winland-Brown) - ANSWER B
According to the JNC 8 guidelines, for healthy patients 60 years of age or older, the goal
BP level is
A. <120/80
B. <130/80
C. <140/90
D. <150/90
(Ch. 11 Winland-Brown) - ANSWER D
Signs of right-sided heart failure include
A. a low cardiac output.
B. fluid retention
C. dyspnea
D. increased pulmonary venous pressure
,(Ch. 11 Winland-Brown) - ANSWER B
An anterior wall myocardial infarction most likely occurs from occlusion of the
A. left circumflex artery
B. left main artery
C. right coronary artery
D. left anterior descending artery
(Ch. 11 Winland-Brown) - ANSWER D
Which of the following resuscitation recommendations did the American Heart
Association support to improve survival rates in patients with a return of spontaneous
circulation (ROSC) post-cardiac arrest?
A. Hypothermia
B. Hyperthermia
C. Institution of intravenous lidocaine
D. A rebreathing mask
(Ch. 11 Winland-Brown)-ANSWER A
Ted, 18 years of age, is to undergo a cardiac screening examination prior to playing
colloege basketball. The diagnostic test of choice for detecting hypertrophic
cardiomyopathy or idiopathic left bentricular hypertrophy is a(n)
A. echocardiogram.
B. electrocardiogram.
C. anteriogram
D. stress test
, (Ch. 11 Winland-Brown) - ANSWER A
Which would be the LAST step you would consider in a client with long-term chronic
ischemic heart disease?
A. Use of aspirin
B. Beta blockers, calcium channel blockers, and nitrates
C. Modifying risk factors and life-style modification
D. A coronary angiogram
(Ch. 11 Winland-Brown) - ANSWER D
There are four classifications of heart failure that often are interwoven; they include
systolic, diastolic, acute, and/or chronic. Clients who present with JVD, dyspnea with
exertion, peripheral edema and abdominal fullness would most likely be experiencing
chronic right sided heart failure. A routine diagnostic work up would include all of the
following except
A. BNP.
B. BMP.
C. echocardiogram
D. CTA
(Ch. 11 Winland-Brown) - ANSWER D
Which of the following is a common disorder that causes impaired blood flow to the
extremities?
A. Raynaud's disease
B. Peripheral vascular disease
C. Polycythemia
D. Buerger's disease
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