Cardiovascular Disorders: Online Quizzes for Medical-Surgical Nursing I

Question 1

What is the predominant cause of heart failure in the United States?

Accepted Answer

Coronary artery disease

Answer

Hypertension

Answer

Diabetes mellitus

Answer

Valvular heart disease

Question 2

Which pathophysiological process underlies the chest pain associated with angina pectoris?

Accepted Answer

Myocardial ischemia

Answer

Aortic stenosis

Answer

Mitral regurgitation

Answer

Pericarditis

Question 3

For patients with uncomplicated hypertension, which class of medication is typically recommended as the initial pharmacological intervention?

Accepted Answer

Thiazide diuretics

Answer

Beta-blockers

Answer

ACE inhibitors

Answer

Calcium channel blockers

Question 4

In the United States, which type of valvular heart disease is most prevalent?

Accepted Answer

Aortic stenosis

Answer

Mitral stenosis

Answer

Aortic regurgitation

Answer

Mitral regurgitation

Question 5

In caring for a patient with infective endocarditis, what should be the primary focus of nursing care?

Accepted Answer

Preventing complications

Answer

Providing comfort

Answer

Promoting mobility

Answer

Educating the patient

Question 6

What is the most prevalent type of coronary artery disease?

Accepted Answer

Atherosclerosis

Answer

Vasospasm

Answer

Thrombosis

Answer

Emboli

Question 7

What is the distinction between bradycardia and tachycardia?

Accepted Answer

Bradycardia refers to a heart rate below 60 beats per minute (bpm), while tachycardia refers to a heart rate above 100 bpm.

Answer

Bradycardia refers to a heart rate above 100 bpm, while tachycardia refers to a heart rate below 60 bpm.

Answer

Bradycardia refers to a heart rate within the range of 60-100 bpm, while tachycardia refers to a heart rate below 60 bpm or above 100 bpm.

Answer

Bradycardia and tachycardia are the same condition.

Question 8

What is the fundamental mechanism of action of ACE inhibitors in the treatment of heart failure?

Accepted Answer

Blocking the renin-angiotensin-aldosterone system

Answer

Dilating blood vessels

Answer

Promoting diuresis

Answer

Inhibiting platelet activity

Question 9

Which clinical manifestation is NOT associated with heart failure?

Accepted Answer

Increased blood pressure

Answer

Edema

Answer

Fatigue

Answer

Cough

Question 10

What is the primary mechanism of action of nitroglycerin in the management of coronary artery disease?

Accepted Answer

Dilates arteries

Answer

Slows heart rate

Answer

Enhances contractility

Answer

Reduces platelet aggregation

Question 11

What type of arrhythmia presents with a rapid and irregular heart rate?

Accepted Answer

Atrial fibrillation

Answer

Sinus bradycardia

Answer

Ventricular tachycardia

Answer

Complete heart block

Question 12

What is the primary goal of ACE inhibitors in the management of heart failure?

Accepted Answer

Reducing fluid retention

Answer

Lowering blood pressure

Answer

Improving cardiac output

Answer

Preventing arrhythmias

Question 13

What is the most likely cause of rapid weight gain in a patient with heart failure?

Accepted Answer

Fluid retention

Answer

Increased cardiac output

Answer

Hypertension

Answer

Arrhythmia

Question 14

What is the most common symptom of a heart attack?

Accepted Answer

Sudden, severe chest pain

Answer

Gradual shortness of breath with activity

Answer

Leg pain when walking

Answer

Unequal pulses in the arms or legs

Question 15

What is the primary reason for using an intra-aortic balloon pump?

Accepted Answer

Cardiogenic shock

Answer

Heart attack

Answer

Irregular heartbeat

Answer

Blood clot in the lungs

Question 16

The most common modifiable risk factor for coronary artery disease is:

Accepted Answer

Smoking

Answer

Hypertension

Answer

Hyperlipidemia

Answer

Diabetes

Question 17

Which of the following is characterized by an abnormally rapid heart rate?

Accepted Answer

Tachycardia

Answer

Bradycardia

Answer

Arrhythmia

Answer

Asystole

Question 18

The prognosis for patients with severe aortic stenosis is generally:

Accepted Answer

Poor

Answer

Excellent

Answer

Good

Answer

Depends on the severity of the stenosis

Question 19

Which type of valvular heart disease is the most prevalent?

Accepted Answer

Mitral valve prolapse

Answer

Aortic stenosis

Answer

Pulmonary regurgitation

Answer

Tricuspid atresia

Question 20

A patient with a history of heart failure presents with dyspnea, orthopnea, and edema. Which of the following assessments is most important for evaluating their fluid status?

Accepted Answer

Assessing for jugular venous distension

Answer

Performing a thorough respiratory assessment

Answer

Auscultating for S3 and S4 heart sounds

Answer

Measuring blood pressure and oxygen saturation

Question 21

A patient with aortic stenosis presents with angina. Which nursing intervention is most important for immediate symptom management?

Accepted Answer

Administering sublingual nitroglycerin

Answer

Preparing the patient for valve replacement surgery

Answer

Providing education on lifestyle modifications

Answer

Monitoring for signs and symptoms of heart failure

Question 22

What is the main reason for fluid buildup in the pericardial sac, causing pericardial effusion?

Accepted Answer

Excess fluid collects in the pericardial cavity, squeezing the heart and making it harder to fill.

Answer

Inflammation of the pericardium causes it to thicken, which weakens the heart's ability to pump.

Answer

Electrical problems in the heart lead to fluid leaking into the pericardial sac.

Answer

Reduced blood flow back to the heart causes fluid to back up in the pericardial sac.

Question 23

Which clinical manifestation is characteristic of hypertrophic cardiomyopathy?

Accepted Answer

Diastolic heart failure

Answer

Systolic heart failure

Answer

Pericardial effusion

Answer

Pulmonary edema

Question 24

Which mechanism is the primary trigger for the development of atherosclerosis?

Accepted Answer

Inflammation and immune response

Answer

Vasospasm and endothelial damage

Answer

Elevated blood pressure

Answer

Thrombus formation

Question 25

In the immediate management of a patient with acute pulmonary edema, which nursing intervention is of utmost priority?

Accepted Answer

Administer supplemental oxygen and monitor pulse oximetry

Answer

Establish an indwelling urinary catheter to track urine output

Answer

Elevate the head of the bed to an angle of 45 degrees

Answer

Administer morphine to alleviate shortness of breath

Question 26

What is a common symptom of heart failure?

Accepted Answer

Shortness of breath

Answer

High blood pressure

Answer

Chest pain

Answer

Excessive urination

Question 27

Which of the following is NOT a modifiable risk factor for developing coronary artery disease (CAD)?

Accepted Answer

Age

Answer

Smoking

Answer

Diabetes

Answer

High blood pressure

Question 28

Which antiarrhythmic medication is commonly used to manage atrial fibrillation?

Accepted Answer

Amiodarone

Answer

Digoxin

Answer

Warfarin

Answer

Propranolol

Question 29

What is the most common cause of pericarditis?

Accepted Answer

Viral infection

Answer

Autoimmune disorder

Answer

Trauma

Answer

Bacterial infection

Question 30

Which nursing action is crucial for managing a patient with infective endocarditis?

Accepted Answer

Administering antibiotics as prescribed

Answer

Performing electrocardiogram (ECG) monitoring

Answer

Providing emotional support to the patient's family

Answer

Educating the patient on infective endocarditis prevention

Question 31

Which physical examination finding may indicate mitral valve prolapse?

Accepted Answer

Mid-systolic click and late systolic murmur

Answer

Holosystolic murmur and thrill

Answer

Diastolic rumble and opening snap

Answer

S3 gallop and pulmonary edema

Question 32

What is the primary objective of managing a patient with hypertension?

Accepted Answer

Reduce blood pressure and minimize the risk of cardiovascular complications

Answer

Enhance cardiac output

Answer

Prevent renal failure

Question 33

Which diagnostic modality is most useful in assessing the severity of coronary artery disease?

Accepted Answer

Coronary angiography

Answer

Electrocardiogram (ECG)

Answer

Cardiac magnetic resonance imaging (MRI)

Answer

Echocardiogram

Question 34

For a patient experiencing chest pain consistent with unstable angina, which nursing intervention is the highest priority?

Accepted Answer

Administer sublingual nitroglycerin

Answer

Obtain a 12-lead ECG

Answer

Insert an intravenous line

Answer

Elevate the patient's legs

Question 35

Which symptom is commonly associated with coronary artery disease?

Accepted Answer

Chest pain or discomfort

Answer

Shortness of breath

Answer

Edema

Answer

Palpitations

Question 36

For a patient receiving intravenous nitroglycerin after a myocardial infarction, which nursing assessment is most important?

Accepted Answer

Monitor blood pressure every 5 minutes

Answer

Assess pain level every 15 minutes

Answer

Auscultate breath sounds every hour

Answer

Check capillary refill time every 30 minutes

Question 37

For a patient with a pericardial effusion experiencing chest pain, which nursing intervention is most likely to provide relief?

Accepted Answer

Position the patient in a semi-Fowler's position

Answer

Encourage the patient to cough

Answer

Apply a warm compress to the chest

Answer

Administer morphine as prescribed

Question 38

Which of the following clinical findings is a sign of heart failure?

Accepted Answer

Jugular venous distension

Answer

Tachycardia

Answer

Hypotension

Answer

Hyperglycemia

Question 39

What is the primary goal of treatment for atrial fibrillation?

Accepted Answer

Control the heart rate and prevent blood clots

Answer

Decrease the risk of stroke

Answer

Cure the arrhythmia

Question 40

A patient is learning about their antiplatelet medication. Which statement by the patient shows a need for further teaching?

Accepted Answer

I'll take it as needed to relieve chest pain.

Answer

I'll take it with food to reduce stomach upset.

Answer

I need to have my blood pressure checked regularly while taking this medication.

Answer

I'll tell my doctor if I experience any unusual bruising or bleeding.

Question 41

Which of the following findings is a strong indicator of a deep vein thrombosis (DVT)?

Accepted Answer

Unilateral leg pain and swelling

Answer

Chest pain and shortness of breath

Answer

Palpitations and dizziness

Answer

Fatigue and weakness

Question 42

Which of the following medications is typically contraindicated in patients with a history of asthma?

Accepted Answer

Beta-blockers

Answer

ACE inhibitors

Answer

Statins

Question 43

A patient has just experienced a myocardial infarction. What is the most crucial assessment for the nurse to perform?

Accepted Answer

Cardiac monitoring for dysrhythmias

Answer

Neurological assessment

Answer

Respiratory assessment

Answer

Urinary output

Question 44

Which cardiovascular disorder is most commonly diagnosed in the United States?

Accepted Answer

Coronary artery disease

Answer

Peripheral artery disease

Answer

Heart failure

Answer

Arrhythmias

Question 45

Which of the following is a common symptom of heart failure?

Accepted Answer

Shortness of breath

Answer

Palpitations

Answer

Chest pain

Answer

Nausea

Question 46

The ejection fraction is a measurement of the:

Accepted Answer

Percentage of blood ejected from the left ventricle with each beat

Answer

Amount of blood pumped by the heart per minute

Answer

Size of the aortic valve opening

Answer

Strength of the right ventricle's contractions

Question 47

A patient with aortic dissection will most likely present with:

Accepted Answer

Severe, tearing chest pain

Answer

Nausea

Answer

Shortness of breath

Answer

Palpitations

Question 48

When assessing a patient with a cardiac arrhythmia, which of the following is most crucial?

Accepted Answer

Palpating peripheral pulses to check for regularity and strength

Answer

Examining skin turgor to assess for dehydration

Answer

Measuring urine output to monitor kidney function

Answer

Auscultating bowel sounds to assess for any abnormalities

Question 49

Which medication is commonly used to relieve chest pain associated with angina pectoris?

Accepted Answer

Nitroglycerin

Answer

Digoxin

Answer

Furosemide

Answer

Metoprolol

Question 50

What is the primary way Angiotensin-converting enzyme (ACE) inhibitors help lower blood pressure?

Accepted Answer

Blocking the conversion of angiotensin I to angiotensin II, a powerful vasoconstrictor

Answer

Increasing urine output, leading to a reduction in blood volume

Answer

Slowing down the heart rate and reducing the force of contractions

Question 51

A patient with a history of deep vein thrombosis (DVT) is at increased risk for which of the following pulmonary conditions?

Accepted Answer

Pulmonary embolism

Answer

Pneumonia

Answer

Asthma

Answer

Chronic obstructive pulmonary disease (COPD)

Question 52

Which diagnostic test provides real-time images of the heart's structure and function?

Accepted Answer

Echocardiogram

Answer

Cardiac stress test

Answer

Cardiac catheterization

Answer

Electrocardiogram (ECG)

Question 53

What is the priority nursing intervention for a patient experiencing cardiac tamponade?

Accepted Answer

Prepare for immediate pericardiocentesis to relieve pressure on the heart

Answer

Administer intravenous fluids rapidly to increase blood volume

Answer

Place the patient in a high Fowler's position to ease breathing

Answer

Administer oxygen via nasal cannula to improve oxygenation