Skip to ContentGo to accessibility pageKeyboard shortcuts menu
OpenStax Logo
Medical-Surgical Nursing

Review Questions

Medical-Surgical NursingReview Questions

Review Questions

1 .
From what heart chamber will deoxygenated blood be delivered to the lungs for oxygenation?
  1. right atrium
  2. right ventricle
  3. left atrium
  4. left ventricle
2 .
What term defines the amount of stretch myocardial cells must employ prior to a contraction?
  1. stroke volume
  2. automaticity
  3. preload
  4. afterload
3 .

What factors affect cardiac output? Select all that apply.

  1. gender
  2. age
  3. heart failure
  4. education level
  5. previous hospitalization
4 .
In an ECG, what would represent electrical activity conducted by the atria?
  1. QRS
  2. PR interval
  3. T wave
  4. P wave
5 .
What is not a risk factor for bradycardia?
  1. opioid overdose
  2. third-degree heart block
  3. avid distance runner
  4. smoking
6 .
What would most likely trigger an ectopic dysrhythmia?
  1. potassium 4.0 mmol/L
  2. magnesium 2.2 mg/dL
  3. decaffeinated tea
  4. coffee
7 .
A patient was found pale, short of breath, and in rapid atrial fibrillation at 120 beats per minute. The patient successfully cardioverted. What evaluation would the nurse anticipate to know the treatment was effective?
  1. Patient reports dizziness upon standing.
  2. The patient’s blood pressure is 88/48 mm Hg.
  3. The patient’s apical pulse is regular.
  4. The patient’s capillary refill is 3+.
8 .

A patient has been newly diagnosed with atrial fibrillation. What factor would put the patient at risk for developing a blood clot? Select all that apply.

  1. history of hyperlipidemia
  2. age 76 years
  3. history of heart failure
  4. history of hypertension
  5. female gender
9 .

What comorbidity most commonly elevates the risk of HF development? Select all that apply.

  1. MI
  2. HTN
  3. aortic dissection
  4. obstructive sleep apnea
10 .
What is a gold standard test for diagnosing HF?
  1. echocardiogram
  2. chest X-ray
  3. electrocardiogram
  4. cardiac catheterization
11 .
What response should a patient display if they are having a therapeutic response to diuretics?
  1. potassium 4.0 mmol/dl
  2. weight increase of 2 lbs
  3. unchanged orthopnea
  4. increased ease of breathing
12 .
How do nitrates assist patients with HF?
  1. preload reduction
  2. afterload reduction
  3. coronary vasoconstriction
  4. ventricular remodeling
13 .
What cue would the nurse expect to recognize in heart sounds for a patient in HF?
  1. murmur
  2. regular rate and rhythm
  3. bradycardia
  4. pericardial click
14 .
What outcome would the nurse expect for the patient on diuretic therapy for HF?
  1. The patient’s weight will be reduced by 2 lbs.
  2. The patient will liberally drink fluids.
  3. The patient will have to work through moments of fatigue during activities of daily living.
  4. The patient will take the medication with a blood pressure of 88/48 mm Hg.
15 .
What is a modifiable risk factor that places a patient at risk for developing hypertension?
  1. diabetes insipidus
  2. a low-sodium diet
  3. obesity
  4. female
16 .
What is the pathophysiological function that causes the blood to be hypercoagulable?
  1. endothelial dysfunction
  2. arteriolar dilation
  3. increased autonomic nervous system activity
  4. reduced serum angiotensin
17 .
What medication therapy is indicated for Black patients for hypertension?
  1. loop diuretics
  2. alpha receptor blockers
  3. ACE inhibitors
  4. beta-blockers
18 .
What is an example of a statement made by the nurse that demonstrates education about modifiable risk reduction to control high blood pressure?
  1. “You’re all set because you quit smoking.”
  2. “It’s okay to continue with excessive coffee since that does not affect blood pressure.”
  3. “It is recommended to abstain from alcohol.”
  4. “Completing sixty minutes of physical activity per week should help with your blood pressure.”
19 .
A nurse is conducting an educational session on dietary changes for a patient newly diagnosed with hypertension. What statement made by the patient would indicate the teaching was effective?
  1. “I will reduce my intake of 2 bowls to one bowl of ice cream every night.”
  2. “I will continue to drink red wine.”
  3. “I will monitor how much salt I am eating.”
  4. “I will increase my fluid intake.”
20 .
What coronary artery perfuses the sinoatrial node, known as the “pacemaker” of the heart?
  1. right coronary artery
  2. left circumflex artery
  3. left main coronary artery
  4. left anterior descending artery
21 .
What is true about stable angina?
  1. worsens with rest
  2. lasts several minutes
  3. reversed with rest
  4. worsens despite pharmacological intervention
22 .

What finding or findings represents STEMI? Select all that apply.

  1. there are no ECG changes
  2. elevation in troponins
  3. there are ECG changes
  4. elevation in CK-MB levels
  5. does not require emergent angiography
23 .

A patient has acutely ruled in for NSTEMI and will be proceeding to angiography in a few hours. What medications would the nurse anticipate for this patient? Select all that apply.

  1. Simvastatin
  2. Losartan
  3. Metoprolol
  4. Heparin
  5. Clopidogrel
24 .
What cue would the nurse recognize to be consistent with MI?
  1. pulse 64 bpm
  2. normal sinus rhythm
  3. 120/64 mm Hg
  4. 82/40 mm Hg
25 .
What clinical manifestation represents carotid artery disease?
  1. nausea
  2. vomiting
  3. leg pain
  4. vision changes
26 .

What populations are at risk for venous insufficiency? Select all that apply.

  1. males
  2. females
  3. obese
  4. thin
  5. Age 65 years old or older
27 .
What is the noninvasive diagnostic test for identifying peripheral vascular disease?
  1. ankle-brachial index
  2. angiography
  3. blood pressure
  4. CT scan
28 .
What would the nurse want to include in the education for a patient with venous insufficiency?
  1. avoid wearing compression stockings
  2. movement will relieve leg pain
  3. elevate their legs on a pillow
  4. avoid hydration to minimize edema
29 .

What are the characteristics of arterial ulcers? Select all that apply.

  1. present on heels and toes
  2. round
  3. large amounts of serous drainage
  4. shallow
  5. minimal to no drainage
PreviousNext
Citation/Attribution

This book may not be used in the training of large language models or otherwise be ingested into large language models or generative AI offerings without OpenStax's permission.

Want to cite, share, or modify this book? This book uses the Creative Commons Attribution License and you must attribute OpenStax.

Attribution information
  • If you are redistributing all or part of this book in a print format, then you must include on every physical page the following attribution:
    Access for free at https://openstax.org/books/medical-surgical-nursing/pages/1-introduction
  • If you are redistributing all or part of this book in a digital format, then you must include on every digital page view the following attribution:
    Access for free at https://openstax.org/books/medical-surgical-nursing/pages/1-introduction
Citation information

© Sep 20, 2024 OpenStax. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution License . The OpenStax name, OpenStax logo, OpenStax book covers, OpenStax CNX name, and OpenStax CNX logo are not subject to the Creative Commons license and may not be reproduced without the prior and express written consent of Rice University.