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Clinical Nursing Skills

Review Questions

Clinical Nursing SkillsReview Questions

Review Questions

1 .
How would you explain the interdependency of the structures of the cardiovascular system with other organ systems?
  1. The heart and associated vessels work together with other organ systems to maintain homeostasis through oxygenation, nutritional delivery, and waste removal.
  2. The cardiovascular system filters waste from the blood and routes it to the kidneys.
  3. The heart processes nutrients from the blood and transports them to the body’s tissues.
  4. The cardiovascular system coordinates with all other body systems to maintain a steady supply of red blood cells and transport them.
2 .
Why are the muscles of the left ventricle slightly larger than the right?
  1. The valves of the left ventricle are larger to allow more blood to flow out of the heart.
  2. The left ventricle has to generate more pressure to overcome greater resistance in the systemic circuit.
  3. The bundle branches are larger in the left ventricle compared to the right.
  4. The left ventricle must accommodate the Purkinje fibers, which trigger ventricular contraction for both sides of the heart.
3 .
How does the cardiovascular system work to ensure active tissues are fully supplied with oxygen and nutrients?
  1. Intralumenal valves prevent regurgitation.
  2. Skeletal muscles ensure a unidirectional flow of blood.
  3. Vessels are supported by interdependency with the muscular system.
  4. Resource allocation allows the system to supply blood to the areas most in need.
4 .
What is the correct sequence of the cardiac cycle?
  1. aorta, left atrium, left ventricle, right atrium, right ventricle, superior/inferior vena cavae
  2. superior/inferior vena cavae, left atrium, left ventricle, right atrium, right ventricle, aorta
  3. superior/inferior vena cavae, right atrium, right ventricle, left atrium, left ventricle, aorta
  4. aorta, right atrium, right ventricle, left atrium, left ventricle, superior/inferior vena cavae
5 .
What vessel transports oxygen away from the heart to the body?
  1. aorta
  2. inferior vena cava
  3. superior vena cava
  4. veins
6 .
What is the primary function of the peripheral vascular system?
  1. the production of red blood cells
  2. clearing of waste from the body
  3. transport of macromolecules to the cells
  4. transport of oxygen-rich blood to tissues
7 .
A patient hospitalized following a heart attack is noted to have smooth, shiny, hairless skin on the lower extremities with no edema. What is most likely the contributing factor?
  1. arterial insufficiency
  2. carotid insufficiency
  3. venous insufficiency
  4. deep vein thrombosis
8 .
What characteristic is indicative of claudication associated with arterial insufficiency?
  1. pain after walking distances that is relieved with rest
  2. dull, numbing, or tingling pain in the legs during exercise
  3. pain in the upper thighs and buttocks when at rest
  4. severe pain completely prohibiting walking in individuals younger than age 50
9 .
When assessing a patient for critical limb ischemia, what artery will the nurse focus on when the patient reports lower calf pain?
  1. common femoral
  2. popliteal
  3. superficial femoral
  4. tibial peroneal
10 .
What model is used when assessing a patient complaining of pain related to a myocardial infarction?
  1. ABCDE
  2. MEND
  3. PQRSTU
  4. RACE
11 .
What question should the nurse ask the patient when paroxysmal nocturnal dyspnea is suspected?
  1. Do you need extra pillows to help you breathe better, or do you need to lie flat in bed to sleep?
  2. What activities elicit shortness of breath?
  3. How long does it take you to recover when you experience shortness of breath?
  4. Have you ever woken up from sleeping feeling suddenly short of breath?
12 .
What interpretation can be established when a patient’s oxygen saturation level is read at 92 percent?
  1. This level is considered within normal limits.
  2. The patient’s blood is extremely low in oxygen.
  3. The oxygen level is low, which warrants further evaluation.
  4. Carbon dioxide levels, when measured, will be elevated.
13 .
When inspecting the patient’s neck, the nurse notices bulging on the right side. What condition can the nurse recognize in this patient?
  1. blanching
  2. edema
  3. DVT
  4. JVD
14 .
What will the nurse document when hearing a swishing sound during auscultation of the carotid artery?
  1. bruit
  2. friction rub
  3. rubor
  4. atrial gallop
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