Cardiovascular System Assessment: Ch. 35 (Lewis’s Med-Surg)

Where is the blood flow altered when a patient has a tricuspid valve problem?

A. Vena cava and right atrium

B. Left atrium and left ventricle

C. Right atrium and right ventricle

D. Right ventricle and pulmonary artery

C. Right atrium and right ventricle

A patient has a severe blockage in his right coronary artery. Which heart structures would the nurse expect to be affected by this blockage? (SATA)

A. AV node

B. Left ventricle

C. Coronary sinus

D. Right ventricle

E. Pulmonic valve

A, B, D

Which part of the vascular system provides hemostasis?

A. Thin capillary vessels

B. Endothelial layer of the arteries

C. Elastic middle layer of the veins

D. Smooth muscle of the arterial wall

b. endothelial layer of the arteries.

Which homeostatic mechanism is stimulated to compensate for a rise in blood pressure?

A. Baroreceptors that inhibit the sympathetic nervous system, causing vasodilation

B. Chemoreceptors that inhibit the sympathetic nervous system, causing vasodilation

C. Baroreceptors that inhibit the parasympathetic nervous system, causing vasodilation

D. Chemoreceptors that stimulate the sympathetic nervous system, causing an increase in heart rate

C. Baroreceptors that inhibit the parasympathetic nervous system, causing vasodilation

Which action does the P wave on an ECG represent?

A. Firing of the SA node and repolarizing of the atria

B. Firing of the SA node and depolarizing of the atria

C. Conduction through the AV node and depolarizing the atria

D. Conduction through the AV node and spreading to the bundle of His

b. Firing of the SA node and depolarizing the atria

Which subjective data related to the cardiovascular system would the nurse plan to obtain? (SATA)

A. Annual income

B. Smoking history

C. Spiritual preferences

D. Number of pillows used to sleep

E. Blood for basic laboratory studies

B. Smoking history

C. Spiritual preferences

D. Number of pillows used to sleep

Which heart valve sound is heard best at the left midclavicular line at the level of the 5th ICS?

A. Aortic

B. Mitral

C. Tricuspid

D. Pulmonic

b. mitral

Which condition is likely to cause a pulse deficit of 23 beats?

A. Dysrhythmia

B. Heart murmur

C. Gallop rhythm

D. Pericardial friction rub

A. Dysrhythmia

Which finding is expected in the assessment of an 81-year-old patient?

A. Narrowed pulse pressure

B. Diminished carotid artery pulses

C. Difficulty isolating the apical pulse

D. Increased heart rate in response to stress

C. difficulty in isolating the apical pulse.

Which item would the nurse zero to establish accurate hemodynamic monitoring for a patient?

A. Pressure monitoring system to phlebostatic axis

B. Pressure monitoring system to the level of the midclavicular line

C. Cardiac output monitoring system to the level of the left ventricle

D. Pressure monitoring system to the level of the catheter tip in the patient

a. Pressure monitoring system to phlebostatic axis

Which nursing responsibilities are priorities when caring for a patient returning from a cardiac catheterization? (SATA)

A. Monitoring vital signs and ECG

B. Checking the catheter insertion site and distal pulses

C. Helping the patient to ambulate to the bathroom to void

D. Telling the patient that he will be sleepy from the general anesthesia

E. Teaching the patient about the risks of the radioactive isotope injection

A. Monitoring vital signs and ECG

B. Checking the catheter insertion site and distal pulses