1 Number the terms to correspond with items 1-15 in the diagram

__Right Atrium
__Aorta
__Superior Vena Cava
__Tricuspid Valve
__Right Pulmonary Artery
__Right Pulmonary Veins
__Left Atrium
__Right Ventricle
__Left Pulmonary Veins
__Inferior Vena Cava
__Left Pulmonary Artery
__Mitral Valve
__Aortic Valve
__Left Ventricle
__Descending Aorta
2
Match the following terms 1. Relaxation of the
with correct definition: myocardium
• ___Preload 2. Contraction of the
• ___Afterload myocardium
• ___Diastole 3. Volume of blood in the
• ___Systole ventricles at end of
diastole
4. Peripheral resistance
against which the left
ventricle must pump
3 Correctly assign clinical manifestations A, B, C and D to right or left heart failure.
Right-sided Heart Failure • A. Pulmonary edema
__________________ • B. Peripheral edema
• C. Jugular venous
distension (JVD)
Left-sided heart failure • D. Hepatomegaly
__________________
4
The nurse is caring for a patient newly diagnosed
with heart failure (HF). The patient is to receive a
first dose of digoxin (Lanoxin) 0.125 mg IV push. An
ampule containing 0.25 mg/mL is available. How
many millilitres should the nurse draw up to
administer the dose?
a. 0.5 mL
b. 0.6 mL
c. 1.2 mL
d. 1.4 mL
5
A patient with a recent diagnosis of heart failure
(HF) has been prescribed furosemide (Lasix) in
an effort to:
a. reduce preload
b. decrease afterload
c. increase contractility
d. promote vasodilation
6
A patient admitted with heart failure (HF) appears very
anxious and complains of shortness of breath. Which of
the following nursing actions would be appropriate to
alleviate this patient’s anxiety? (Select all that apply.)
A. Position patient in a semi-Fowler’s position.
B. Administer ordered morphine sulphate.
C. Position patient on left side with head of bed flat.
D. Instruct patient on the use of relaxation techniques.
E. Use a calm, reassuring approach while talking to
patient.
7
A patient with a history of chronic congestive heart failure is hospitalized with
severe dyspnea and a dry, hacking cough. She has pitting edema in both
ankles, and her vital signs are blood pressure (BP) 170/100 mm Hg, pulse 92
beats/min, and respiration 28 breaths/min. What is the most important
assessment for the nurse to conduct next?

a. Auscultate the lung sounds

b. Check the capillary refill
c. Assess the orientation
d. Palpate the abdomen
8
When working in the heart failure clinic, the nurse knows that
teaching for a 74-year-old patient with newly diagnosed heart
failure has been effective when the patient does which of the
following?

a. Says that the nitroglycerin patch will be used for any

chest pain that develops
b. Calls when the weight increases from 56 to 59 kg in 2
days
c. Tells the home care nurse that furosemide is taken daily
at bedtime
d. Makes an appointment to see the doctor at least once
yearly
9
The nurse is planning patient teaching for a patient who
has just been diagnosed with hypertension and has a new
prescription for captopril (Capoten). Which of the
following information is important to include when
teaching the patient?
a. Increase fluid intake if dryness of the mouth is a
problem.
b. Check BP daily before taking the medication.
c. Include high-potassium foods such as citrus fruits in
the diet.
d. Change position slowly to help prevent dizziness and
falls.
10
Which of the following amounts of exercise
recommended by the Canadian Hypertension
Education Program (CHEP) to reduce the possibility
of a person becoming hypertensive?
a. 30 minutes of light exercise daily
b. 30 to 45 minutes of heavy exercise, three times per week
c. 60 minutes of moderate exercise, twice a day, three times
per week
d. 30 to 60 minutes of moderate exercise, four to seven times
per week
11
The charge nurse observes a new registered nurse
(RN) doing discharge teaching for a hypertensive
patient who has a new prescription for enalapril
(Vasotec). The charge nurse will need to intervene if
the new RN tells the patient to do which of the
following?
a. Increase the dietary intake of high-potassium foods.
b. Move slowly when moving from a lying to a standing
position.
c. Check the BP with a home BP monitor every day.
d. Make an appointment with the dietitian for teaching about a
low-sodium diet.
12
The Canadian Hypertension Education Program
(CHEP) recommends which of the following
target values for diastolic and/or systolic
hypertension?
a. Less than 140/90 mm Hg
b. Less than 130/80 mm Hg
c. Less than 135/85 mm Hg
d. Less than 140 mm Hg
13
Identify the fallowing statements as
TRUE (T) or False (F):
a. Alcohol intake over 30mL/day is strongly linked
to hypertension.
b. After age 55, hypertension is more prevalent in
men versus women.
c. Risk of hypertension is greater if you are apple-
shaped versus pear-shaped.
d. Estrogen increases the risk of hypertension.
14
The nurse prepares a teaching plan for a patient
with coronary artery disease (CAD). Which risk
factor should the nurse plan to focus on during
the teaching session?
a. Hyperhomocysteinemia
b. Elevated serum lipids
c. Type A personality
d. Family history
15
The nurse instructs a patient about natural lipid-
lowering therapies. The nurse determines further
teaching is necessary if the patient makes which
statement?
a. “I should check with my physician before I start
taking any herbal products.”
b. “I will take garlic instead of my prescription
medication to reduce my cholesterol.”
c. “Omega-3 fatty acids are effective to reduce
triglyceride levels.”
d. “Herbal products do not go through extensive
testing the way prescription drugs do.”
16
A patient who had an ST-segment elevation
myocardial infarction (STEMI) receives fibrinolytic
treatment - alteplase (Activase). To assess the
effectiveness of this medication, the nurse should
assess the patient for which of the following?
a. Decrease in level of consciousness
b. Tachycardia with hypotension
c. Blood in the urine or stool
d. Absence of chest pain
17
A patient is admitted to the emergency
department with substernal chest pain. Which
action will the nurse complete before
administering sublingual nitroglycerin?
a. Auscultate heart and lung sounds.
b. Administer morphine sulfate intravenously.
c. Obtain a 12-lead electrocardiogram (ECG).
d. Assess for coronary artery disease risk factors.
18
Which patient is at greatest risk for sudden
cardiac death?
a. A 60-year-old Black male with left ventricular
failure
b. A 52-year-old White female with hypertension
and dyslipidemia
c. A 42-year-old overweight male with diabetes
mellitus and high cholesterol
d. A 72-year-old Aboriginal female with a family
history of heart disease
19
A hospitalized patient with angina tells the nurse
that she is having chest pain. What best describes
the nature of anginal pain?
a. Will be relieved by rest, nitroglycerine, or both.
b. Is less severe that pain of a myocardial
infarction.
c. Indicates that irreversible cellular damage is
occurring.
d. Is frequently associated with vomiting and
extreme fatigue.
20
What does the clinical spectrum of ACS include?
a. Unstable angina and STEMI
b. Unstable angina and NSTEMI
c. Stable angina and sudden cardiac death
d. Unstable angina, STEMI, and NSTEMI