Cardiac & Vascular Nursing Quiz

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Cardiac & vascular nursing knowledge short quiz.

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Danielle Kendricks

United States

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Cardiac & Vascular Nursing Quiz


Cardiac & Vascular Nursing QuizOnline version Cardiac & vascular nursing knowledge short quiz. by Danielle Kendricks 1 A client with CAD reports chest pressure during activity that stops with rest. This is most consistent with? a Pericarditis b Stable angina c Unstable angina d GERD 2 Which cardiac marker is most specific for myocardial infarction? a Myoglobin b CK c Troponin I d LDH 3 A client with suspected MI arrives at the ED. The nurse’s priority action is? a Administer morphine b Obtain cardiac enzymes c Obtain a 12-lead ECG d Insert an IV 4 Crushing chest pain radiating to the left arm with diaphoresis; which symptom would you expect with MI? a Fever b Diaphoresis c Improved pain with deep breathing d Pain relieved by rest 5 A diabetic woman with MI may present with which symptom? a Pain radiating to right eye b Minimal or no chest pain c Severe crushing chest pain d Sharp pain worse on inhalation 6 A client with PAD reports leg pain when walking that stops with rest. This is known as: a Intermittent claudication b Muscle cramping c Neuropathic pain d Rest pain 7 Which physical finding is most consistent with arterial insufficiency? a Warm, moist skin b Brown discoloration at ankles c Pitting edema d Shiny, hairless legs 8 Which ABI result indicates moderate peripheral artery disease? a 0.80 b 1.10 c 0.95 d 0.50 9 Which finding is typical of venous insufficiency? a Pale, cool extremities b Decreased dorsalis pedis pulses c Ulcers on medial malleolus d Pain with walking relieved by rest 10 A client with varicose veins wants to reduce symptoms. Which instruction is MOST appropriate? a Elevate legs and avoid prolonged standing b Avoid walking when legs hurt c Wear loose sandals instead of compression stockings d Increase sodium intake 11 Assessment finding suggests a thoracic aortic aneurysm? a Diarrhea and dehydration b Pulsatile abdominal mass c Hoarseness and difficulty swallowing d Tearing back pain only during activity 12 A client with AAA suddenly develops severe back pain and hypotension. This suggests: a Appendicitis b Kidney infection c Stable aneurysm d Aneurysm rupture 13 Which action is appropriate when assessing a suspected abdominal aortic aneurysm? a Lightly auscultate for a bruit b Check for rebound tenderness c Palpate pulses only d Deeply palpate the abdomen 14 Which lab result is most consistent with DIC? a D-dimer low b Fibrinogen elevated c PT/PTT prolonged d Platelets 300,000 15 A nurse caring for a client with DIC should anticipate administering which product? a Platelets b Warfarin c Insulin d Digoxin 16 A client with Raynaud’s disease demonstrates correct understanding when stating: a I should apply ice packs when my hands turn white. b Cold temperatures trigger my symptoms. c Warmth makes my symptoms worse. d I should avoid wearing gloves to increase circulation. 17 A venous stasis ulcer is expected to appear: a On the lateral ankle b On the medial ankle c On the heel only d On the toes 18 After femoral angioplasty, which finding is MOST concerning? a Small bruise at insertion site b Absent pedal pulse c Warm foot d Mild soreness 19 Which symptom indicates acute limb ischemia? a Slow toenail growth b Pulselessness c Hair loss on legs d Mild ankle swelling 20 Which statement best defines perfusion? a Exchange of gases in the lungs b Removal of carbon dioxide from cells c Delivery of oxygenated blood to tissues d Circulation of plasma proteins 21 Which client is most at risk for impaired central perfusion? a 45-year-old marathon runner b 30-year-old with asthma c 22-year-old who smokes occasionally d 70-year-old with hypertension and diabetes 22 A client with chest pain asks why aspirin is given. The nurse replies: a It will relieve all your chest pain. b It lowers your blood pressure. c It reduces clot formation in coronary arteries. d It helps regulate your electrolytes. 23 During MI, which lung finding indicates left-sided heart failure? a Absent breath sounds b Hyperresonance c Crackles at the lung bases d Wheezing 24 A client with unstable angina suddenly reports worsening pain at rest. The priority is to: a Obtain a detailed health history b Encourage deep breathing c Treat as a possible MI d Reassure it's normal 25 Before CABG surgery, which statement indicates proper understanding? a Smoking won’t affect the outcome of surgery. b I should practice my incentive spirometer now. c I won’t need any chest tubes after surgery. d I won’t be able to walk for several weeks. Feedback 1 Stable angina occurs with exertion and resolves with rest; unstable angina would be ongoing or new. 2 Troponin I is the most specific marker for myocardial injury. 3 ECG is time-sensitive for diagnosing MI and guides immediate treatment. 4 Diaphoresis is a classic MI symptom; fever is not typical acutely. 5 Diabetics often have atypical or silent MIs with minimal chest pain. 6 Intermittent claudication is pain with activity relieved by rest in PAD. 7 Arterial insufficiency often causes hairless, shiny skin; edema is more venous. 8 ABI <0.9 indicates PAD; 0.80 is moderate severity. 9 Venous ulcers typically occur medially at the ankle. 10 Elevation and avoiding prolonged standing helps venous symptoms; compression stockings are beneficial. 11 Aortic compression can cause hoarseness and dysphagia. 12 Sudden severe back pain with hypotension indicates rupture—emergency. 13 Palpation of an AAA is dangerous; bruit auscultation is preferred if indicated. 14 DIC features prolonged clotting times and low platelets; D-dimer is typically high. 15 DIC causes platelet consumption; platelets may be needed. 16 Cold exposure triggers symptoms; warmth helps improve circulation. 17 Venous ulcers classically appear medially at the ankle. 18 Absent pedal pulse suggests occlusion or complication; requires urgent assessment. 19 Pulselessness is a key sign of acute limb ischemia; other signs follow later. 20 Perfusion is tissue blood flow delivering oxygen and nutrients. 21 Age with HTN and diabetes increases risk for central perfusion impairment. 22 Aspirin inhibits platelet aggregation, helping prevent clot growth. 23 Pulmonary edema from LV failure causes crackles at bases. 24 Worsening rest pain suggests acute coronary syndrome; treat as MI. 25 Preoperative spirometry training helps post-op outcomes; chest tubes may be used but not guaranteed none.

Cardiac & Vascular Nursing Quiz

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Cardiac & Vascular Nursing QuizOnline version

by Danielle Kendricks

A client with CAD reports chest pressure during activity that stops with rest. This is most consistent with?

Which cardiac marker is most specific for myocardial infarction?

A client with suspected MI arrives at the ED. The nurse’s priority action is?

Crushing chest pain radiating to the left arm with diaphoresis; which symptom would you expect with MI?

A diabetic woman with MI may present with which symptom?

A client with PAD reports leg pain when walking that stops with rest. This is known as:

Which physical finding is most consistent with arterial insufficiency?

Which ABI result indicates moderate peripheral artery disease?

Which finding is typical of venous insufficiency?

A client with varicose veins wants to reduce symptoms. Which instruction is MOST appropriate?

Assessment finding suggests a thoracic aortic aneurysm?

A client with AAA suddenly develops severe back pain and hypotension. This suggests:

Which action is appropriate when assessing a suspected abdominal aortic aneurysm?

Which lab result is most consistent with DIC?

A nurse caring for a client with DIC should anticipate administering which product?

A client with Raynaud’s disease demonstrates correct understanding when stating:

A venous stasis ulcer is expected to appear:

After femoral angioplasty, which finding is MOST concerning?

Which symptom indicates acute limb ischemia?

Which statement best defines perfusion?

Which client is most at risk for impaired central perfusion?

A client with chest pain asks why aspirin is given. The nurse replies:

During MI, which lung finding indicates left-sided heart failure?

A client with unstable angina suddenly reports worsening pain at rest. The priority is to:

Before CABG surgery, which statement indicates proper understanding?