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1. Whole grains
2. Green leafy vegetables
3. Meats and dairy products
4. Broccoli and Brussels sprouts
3. The nurse has just admitted a 35-yearold female client who has a serum B12
concentration of 800 pg/ml. Which of the
following laboratory findings would cue the
nurse to focus the client history on specific
drug or alcohol abuse?
a. Cigarette smoking
b. DM
c. Heredity
d. HPN
7. Exceeding which of the following serum
cholesterol levels significantly increases
the risk of coronary artery disease?
a. 100 mg/dl
b. 150 mg/dl
c. 175 mg/dl
d. 200 mg/dl
8. Which of the following actions is the
first priority care for a client exhibiting
signs and symptoms of coronary artery
disease?
a. Decrease anxiety
b. Enhance myocardial oxygenation
c. Administer sublingual nitroglycerin
d. Educate the client about his symptoms
9. Medical treatment of coronary artery
disease includes which of the following
procedures?
a. Cardiac catheterization
b. Coronary artery bypass surgery
c. Oral medication administration
d. Percutaneous transluminal coronary
angioplasty
10. Prolonged occlusion of the right
coronary artery produces an infarction in
which of he following areas of the heart?
a. Anterior
b. Apical
c. Inferior
d. Lateral
11. Which of the following is the most
common symptom of myocardial
infarction?
a. Chest pain
b. Dyspnea
c. Edema
d. Palpitations
12. Which of the following landmarks is
the correct one for obtaining an apical
pulse?
a. Left intercostal space, midaxillary line
b. Left fifth intercostal space, midclavicular
line
a. Electrophysiologic
b. Hematologic
c. Mechanical
d. Metabolic
a. Cardiac
b. Gastrointestinal
c. Musculoskeletal
d. Pulmonary
a. Ventricular dilation
b. Systemic hypertension
c. Aortic valve malfunction
d. Increased atrial contractions
21. After an anterior wall myocardial
infarction, which of the following problems
is indicated by auscultation of crackles in
the lungs?
a. Left-sided heart failure
b. Pulmonic valve malfunction
c. Right-sided heart failure
d. Tricuspid valve malfunction
22. Which of the following diagnostic tools
is most commonly used to determine the
location of myocardial damage?
a. Cardiac catheterization
b. Cardiac enzymes
c. Echocardiogram
d. Electrocardiogram
23. What is the first intervention for a
client experiencing myocardial infarction?
a. Administer morphine
b. Administer oxygen
c. Administer sublingual nitroglycerin
d. Obtain an electrocardiogram
24. What is the most appropriate nursing
response to a myocardial infarction client
who is fearful of dying?
a. Tell me about your feeling right now.
b. When the doctor arrives, everything
will be fine.
c. This is a bad situation, but youll feel
better soon.
d. Please be assured were doing
everything we can to make you feel
better.
25. Which of the following classes of
medications protects the ischemic
a. Beta-adrenergic blockers
b. Calcium channel blockers
c. Diuretics
d. Inotropic agents
a. High-fowlers
b. Raised 10 degrees
c. Raised 30 degrees
d. Supine position
a. Bradycardia
b. Tachycardia
c. Hypotension
d. Decreased myocardial contractility
36. Which of the following conditions is
most closely associated with weight gain,
nausea, and a decrease in urine output?
a. Angina pectoris
b. Cardiomyopathy
c. Left-sided heart failure
d. Right-sided heart failure
37. What is the most common cause of
abdominal aortic aneurysm?
a. Atherosclerosis
b. DM
c. HPN
d. Syphilis
38. In which of the following areas is an
abdominal aortic aneurysm most
commonly located?
a. Distal to the iliac arteries