EAQ Cardiac Quizzes

The nurse is providing medication instructions to a patient with heart failure who is prescribed beta blockers and digoxin therapy. Which statement made by the patient indicates a need for correction?

"I should take two doses at a time if I missed a dose."

The nurse provided teaching to a patient diagnosed with infective endocarditis. What statement by the patient indicates a need for further teaching?

"I will make sure I take antibiotics anytime I go to the dentist."

The nurse teaches a patient diagnosed with atrial fibrillation about verapamil hydrochloride, a new prescription the patient will be taking orally at home. Which statement by the patient indicates the teaching was successful?

"I will take my time getting up and changing positions."

Which is an expected finding for a normal PR interval?

0.16 seconds

Which waveform indicates proper function of the sinoatrial (SA) node?

A P wave precedes every QRS complex

A patient with arrhythmogenic right ventricular cardiomyopathy has not responded to drug therapy. What treatment does the nurse anticipate preparing the patient for?

Ablation

The nurse is caring for a patient newly diagnosed with bacterial pericarditis. Which therapies does the nurse anticipate the provider will order? Select all that apply.

Antibiotics

A patient with atrial fibrillation with rapid ventricular response has received medication to slow the ventricular rate. The pulse is now 88 beats/min. For which additional therapy does the nurse plan?

Anticoagulation

The patient has had asymptomatic sinus bradycardia with a rate of 56 beats/min. The nurse notes the rate has dropped to 46 beats/min. What action does the nurse take?

Assess BP, skin color, and moisture

What specialized function of myocardial cells gives them a pacing function?

Automaticity

A patient has a history of acute dyspnea. Which test is used for diagnosing diastolic heart failure in this patient?

B-type natriuretic peptide

The nurse is caring for a patient receiving digoxin therapy. Which finding would indicate to the nurse that the patient is suffering from digoxin toxicity?

Blurred vision

What are common manifestations of rheumatic carditis? Select all that apply.

Cardiomegaly, change in an existing murmur

To prevent vagal stimulation in a patient with heart disease, what must be avoided? Select all that apply.

Constipation, oropharyngeal suctioning, insertion of a ng tube

The nurse is administering adenosine to a patient with supraventricular tachycardia. While administering the drug, the patient has a short period of asystole and then returns to normal sinus rhythm. What action by the nurse is priority?

Continue to monitor the patient

The patient has heart failure. Which signs or symptoms would prompt the nurse to suspect pulmonary edema? Select all that apply.

Crackles in the lung bases, difficulty in breathing at rest, disorientation regarding time and place

Which assessment finding is an indication of left sided heart failure?

Crackles in the lung fields

What are symptoms of aortic stenosis? Select all that apply.

Debilitation, marked fatigue, peripheral cyanosis

What are common signs and symptoms of right-sided heart failure? Select all that apply.

Dependent edema, increase in weight, nausea and vomiting

An older patient undergoing treatment of chronic heart failure (HF) with atrial fibrillation reports anorexia, fatigue, blurred vision, and changes in mental status. Which medication does the nurse suspect to be the cause of the patient's condition?

Digoxin

The nurse is caring for a patient with endocarditis. Which assessment findings, if present in the patient, would prompt the nurse to suspect right-sided heart failure secondary to endocarditis? Select all that apply.

Distended neck veins, weight gain, peripheral edema

Which ventricular reconstructive procedure involves the removal of portions of the cardiac septum and left ventricular wall?

Endoventricular circular patch cardioplasty

A registered nurse is teaching a nursing student about mitral valve stenosis and mitral valve regurgitation. The nursing student demonstrates understanding of the teaching by identifying which common effect of both mitral valve disorders?

Fatigue

The nurse caring for a patient with heart failure is concerned that digoxin toxicity has developed. For which signs and symptoms of digoxin toxicity does the nurse notify the provider? Select all that apply.

Fatigue, anorexia, sinus bradycardia

The nurse is preparing to perform a 12-lead electrocardiogram (ECG) on a patient. Where does the nurse place the first V-lead (precordial lead)?

Fourth intercostal space, right sternal border

The nurse is caring for a patient with acute coronary syndrome (ACS) and atrial fibrillation who has a new prescription for metoprolol. Which monitoring is essential when administering the medication?

Heart Rate

A patient with a history of rheumatic carditis presents to the emergency department with a red sore throat and the following vital signs: blood pressure 130/80, pulse 112, respiratory rate 20, oxygen saturation 95% on room air, and a temperature of 102.3°F. What nursing assessment is priority?

Heart Sounds

What treatment is indicated for a patient diagnosed with uremic pericarditis?

Hemodialysis

The use of which drug may pose a risk for the development of heart failure, especially in older adults?

Ibuprofen

The nurse initiates cardiac monitoring for a patient with a potassium level of 2.5 mEq/L. What electrocardiogram (ECG) change does the nurse anticipate?

Inverted T wave

What does the nurse anticipate administering to a patient with pulmonary edema to promote diuresis?

Loop diuretic by infusion

Which factor reflects the most common etiology of heart failure?

Myocardial infarction

What patient population has the highest risk of being misdiagnosed when experiencing infective endocarditis?

Older adults

What interventions should a nurse prepare when caring for a patient experiencing stable ventricular tachycardia? Select all that apply.

Oxygen, 12 lead EKG

According to the American College of Cardiology (ACC) and the American Heart Association (AHA), which patients does category D include?

Patient with end stage heart failure

What patients have increased risk for dilated cardiomyopathy? Select all that apply.

Patients with poor nutrition, patients with excessive alcohol use, patients who recently had chemotherapy

What is the definitive treatment for constrictive pericarditis?

Pericardectomy

One hour after administering enalapril to a patient with heart failure (HF), the patient reports dizziness and the nurse notes a blood pressure of 82/46 mm Hg. Which is the nurse's priorityaction?

Place the patient flat in bed

A patient is transported to the emergency department because of supraventricular tachycardia. The patient is confused, and the peripheral pulses are weak. The vital signs are as follows: blood pressure of 78/35, pulse of 250, and no registration of oxygen saturation. Which action by the nurse is priority?

Prepare for synchronized cardioversion

What part of the cardiac conduction system is responsible for ventricular depolarization?

Purkinje Fibers

The nurse is evaluating a patient's electrocardiogram (ECG) rhythm strip. The nurse notes the presence of a U wave. What action by the nurse is priority?

Request that a stat potassium level is obtained

The patient diagnosed with infective endocarditis has gained 4 pounds in 24 hours and has peripheral edema. What complication should the nurse assess for?

Right sided heart failure

patient begins lisinopril therapy. What does the nurse consider at the start of therapy with this medication?

Risk for hypotension

What diseases are common causes of restrictive cardiomyopathy? Select all that apply.

Sarcoidosis, Amyloidsis

Which factors are associated with the development of infective endocarditis? Select all that apply.

Sepsis, cystoscopy 2 days ago, IV heroin use

Before administering furosemide to a patient with heart failure, it is most important for the nurse to assess which diagnostic test result?

Serum Electrolytes

A patient's rhythm strip shows a heart rate of 116 beats/min, one P wave occurring before each QRS complex, a PR interval measuring 0.16 second, and a QRS complex measuring 0.08 second. How does the nurse interpret this rhythm strip?

Sinus Tachycardia

What are possible causes of infective endocarditis? Select all that apply.

Skin infection, IV line placement, UTI

The nurse is assessing a patient with a cardiac infection. Which symptoms support the diagnosis of infective endocarditis instead of pericarditis or rheumatic carditis?

Splinter hemorrhages

The nurse is the second responder for a person who collapsed in a school and does not have a pulse. After retrieving the automated external defibrillator (AED), the nurse applies the pads, plugs them in, and starts the machine. The AED indicates the pulseless patient is in ventricular asystole. What is the nurse's priority action?

Start compressions

The nurse is teaching a patient with a dysrhythmia to eat potassium-containing foods. Which food does the nurse suggest the patient include in the diet?

Strawberries

A patient diagnosed with pericarditis reports severe substernal chest pain. What position should the patient be placed in?

Upright, leaning forward

Which cardiac rhythm typically deteriorates into ventricular fibrillation?

Ventricular Tachycardia

What are the common symptoms of hypokalemia? Select all that apply.

Weakness, depressed reflexes, irregular heart rate

The nurse is caring for a patient who is complaining of chest pain. Assessment findings include a scratchy, high-pitched sound over the patient's left side, at the fourth intercostal space. What lab value should the nurse evaluate?

White blood cell count