Ch15 Practice Questions Pt.1 Flashcards

1
Q

The walls of the capillaries are only one cell thick. This allows the exchange of nutrients and oxygen and waste products. The capillaries serve as the bridge between:

A) arterioles and venules.
B) the right atrium and the left atrium.
C) the pulmonary vein and the pulmonary artery.
D) arteries and veins.

A

The walls of the capillaries are only one cell thick. This allows the exchange of nutrients and oxygen and waste products. The capillaries serve as the bridge between:

A) arterioles and venules.
B) the right atrium and the left atrium.
C) the pulmonary vein and the pulmonary artery.
D) arteries and veins.

Ans: A

Complexity: Easy
Ahead: Anatomy and Physiology
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 312
Objective: 15-2
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2
Q

Which of the following statements concerning the flow of blood to and through the right side of the heart is correct?

A) Blood reaches the right atrium from the aorta, is pumped through the mitral valve into the right ventricle, and is then pumped through the pulmonary veins to the lungs.

B) Poorly oxygenated blood reaches the right ventricle from the venae cavae, is pumped through the pulmonic valve into the pulmonary artery, and then enters the right atrium and is pumped into the lungs.

C) Oxygenated blood reaches the right atrium from the pulmonary veins, is pumped through the tricuspid valve into the right ventricle, and is then pumped into the aorta and throughout the body.

D) Poorly oxygenated blood reaches the right atrium from the venae cavae, is pumped through the tricuspid valve into the right ventricle, and is then pumped through the pulmonic valve and on to the lungs through the pulmonary arteries.

A

Which of the following statements concerning the flow of blood to and through the right side of the heart is correct?
A) Blood reaches the right atrium from the aorta, is pumped through the mitral valve into the right ventricle, and is then pumped through the pulmonary veins to the lungs.
B) Poorly oxygenated blood reaches the right ventricle from the venae cavae, is pumped through the pulmonic valve into the pulmonary artery, and then enters the right atrium and is pumped into the lungs.
C) Oxygenated blood reaches the right atrium from the pulmonary veins, is pumped through the tricuspid valve into the right ventricle, and is then pumped into the aorta and throughout the body.
D) Poorly oxygenated blood reaches the right atrium from the venae cavae, is pumped through the tricuspid valve into the right ventricle, and is then pumped through the pulmonic valve and on to the lungs through the pulmonary arteries.

Ans: D

Complexity: Moderate
Ahead: Anatomy and Physiology
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 312
Objective: 15-2
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3
Q

The left side of the heart:

A) receives poorly oxygenated blood from the body.
B) pumps oxygenated blood to the body.
C) contains the pulmonic and tricuspid valves.
D) pumps poorly oxygenated blood to the lungs.

A

The left side of the heart:
A) receives poorly oxygenated blood from the body.
B) pumps oxygenated blood to the body.
C) contains the pulmonic and tricuspid valves.
D) pumps poorly oxygenated blood to the lungs.

Ans: B

Complexity: Easy
Ahead: Anatomy and Physiology
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 312
Objective: 15-2
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4
Q

After jogging with your friend for about 30 minutes, she stops and asks why your heart rate increases and your heart feels like it is pumping harder after you exercise for a while. Based on your understanding of the cardiovascular system, your best response would be which of the following statements?

A) “You’re out of shape. Those things wouldn’t happen if you exercised more.”

B) “Exercise makes your body need more nutrients and oxygen. Your heart pumps harder and faster to deliver more blood containing those things to your muscles.”

C) “When you exercise, your blood pressure increases, so your heart has to work harder to overcome the higher blood pressure.”

D) “Exercise pushes more blood into your heart, so your heart has to work harder and faster to pump the blood out so you don’t go into heart failure.”

A

After jogging with your friend for about 30 minutes, she stops and asks why your heart rate increases and your heart feels like it is pumping harder after you exercise for a while. Based on your understanding of the cardiovascular system, your best response would be which of the following statements?
A) “You’re out of shape. Those things wouldn’t happen if you exercised more.”
B) “Exercise makes your body need more nutrients and oxygen. Your heart pumps harder and faster to deliver more blood containing those things to your muscles.”
C) “When you exercise, your blood pressure increases, so your heart has to work harder to overcome the higher blood pressure.”
D) “Exercise pushes more blood into your heart, so your heart has to work harder and faster to pump the blood out so you don’t go into heart failure.”

Ans: B

Complexity: Difficult
Ahead: Anatomy and Physiology
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 312
Objective: 15-2
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5
Q

Which of the following statements concerning arteries is true?

A) They carry blood away from the heart.
B) They have a lower pressure than veins.
C) They always carry oxygenated blood.
D) They drain into the venae cava.

A

Which of the following statements concerning arteries is true?
A) They carry blood away from the heart.
B) They have a lower pressure than veins.
C) They always carry oxygenated blood.
D) They drain into the venae cava.

Ans: A

Complexity: Easy
Ahead: Anatomy and Physiology
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 313
Objective: 15-2
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6
Q

Which of the following statements concerning the cardiovascular system is true?

A) It consists of four major components: the heart, the lungs, the blood vessels, and blood.

B) The heart is a muscular organ located behind and to the right of the sternum.

C) An electrical impulse that starts in the right atrium stimulates contraction of the heart muscle.

D) The subclavian arteries supply blood to the pelvis and legs.

A

Which of the following statements concerning the cardiovascular system is true?
A) It consists of four major components: the heart, the lungs, the blood vessels, and blood.
B) The heart is a muscular organ located behind and to the right of the sternum.
C) An electrical impulse that starts in the right atrium stimulates contraction of the heart muscle.
D) The subclavian arteries supply blood to the pelvis and legs.

Ans: C

Complexity: Moderate
Ahead: Anatomy and Physiology
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 313
Objective: 15-2
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7
Q

The largest artery in the body is the:

A) carotid artery.
B) femoral artery.
C) aorta.
D) jugular artery.

A
The largest artery in the body is the:
A) carotid artery.
B) femoral artery.
C) aorta.
D) jugular artery.

Ans: C

Complexity: Easy
Ahead: Anatomy and Physiology
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 313
Objective: 15-2
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8
Q

Which of the following statements about cardiovascular disease is false?

A) Cardiovascular disease involves a number of diseases that affect either the heart or blood vessels.

B) Cardiovascular disease is the leading cause of death in the United States.

C) Most cases of cardiovascular disease are congenital and could be prevented with improved prenatal care.

D) The underlying cause of most cases of cardiovascular disease is coronary artery disease or atherosclerosis of the coronary arteries.

A

Which of the following statements about cardiovascular disease is false?
A) Cardiovascular disease involves a number of diseases that affect either the heart or blood vessels.
B) Cardiovascular disease is the leading cause of death in the United States.
C) Most cases of cardiovascular disease are congenital and could be prevented with improved prenatal care.
D) The underlying cause of most cases of cardiovascular disease is coronary artery disease or atherosclerosis of the coronary arteries.

Ans: C

Complexity: Easy
Ahead: Cardiovascular Emergencies
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 317
Objective: 15-5
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9
Q

Your neighbor tells you that he is concerned about his 70-year-old wife. She is at home recovering from a heart attack that occurred about 3 weeks ago. He explains that over the last few days, her ankles and lower legs have been gradually swelling and are painful to touch. Today, she seems to be a little short of breath. You recommend that your neighbor seek immediate medical attention because these findings are suggestive of:

A) congestive heart failure.
B) tension pneumothorax.
C) an acute myocardial infarction.
D) pericarditis.

A
Your neighbor tells you that he is concerned about his 70-year-old wife. She is at home recovering from a heart attack that occurred about 3 weeks ago. He explains that over the last few days, her ankles and lower legs have been gradually swelling and are painful to touch. Today, she seems to be a little short of breath. You recommend that your neighbor seek immediate medical attention because these findings are suggestive of:
A) congestive heart failure.
B) tension pneumothorax.
C) an acute myocardial infarction.
D) pericarditis.

Ans: A

Complexity: Moderate
Ahead: Cardiovascular Emergencies
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 317
Objective: 15-5
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10
Q

Which of the following statements indicates that the speaker has an understanding of chest pain and acute myocardial infarction?

A) “If the chest pain started during activity, it is most likely cardiac in origin. If the pain started while the patient was at rest, it is most likely not cardiac in origin.”

B) “If the patient’s chest pain does not go away with nitroglycerin, you can assume that the medication has expired and is no longer effective.”

C) “If the patient experiences chest pain that radiates into the left arm, it is most likely a heart attack. If the pain radiates anywhere else, it is most likely not cardiac in origin.”

D) “Some patients experiencing acute myocardial infarction do not have actual chest pain. Instead, they may experience a sensation of ‘severe heartburn.’ ”

A

Which of the following statements indicates that the speaker has an understanding of chest pain and acute myocardial infarction?
A) “If the chest pain started during activity, it is most likely cardiac in origin. If the pain started while the patient was at rest, it is most likely not cardiac in origin.”
B) “If the patient’s chest pain does not go away with nitroglycerin, you can assume that the medication has expired and is no longer effective.”
C) “If the patient experiences chest pain that radiates into the left arm, it is most likely a heart attack. If the pain radiates anywhere else, it is most likely not cardiac in origin.”
D) “Some patients experiencing acute myocardial infarction do not have actual chest pain. Instead, they may experience a sensation of ‘severe heartburn.’ ”

Ans: D

Complexity: Moderate
Ahead: Cardiovascular Emergencies
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 318
Objective: 15-5
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11
Q

A patient tells you that he has been diagnosed with coronary artery disease. You recognize this diagnosis to mean that the patient has:

A) a history of acute myocardial infarction.

B) had an operation known as coronary artery bypass grafting.

C) a failure of the heart to efficiently pump blood.

D) narrowing of the small arteries that supply blood and oxygen to the heart.

A

A patient tells you that he has been diagnosed with coronary artery disease. You recognize this diagnosis to mean that the patient has:
A) a history of acute myocardial infarction.
B) had an operation known as coronary artery bypass grafting.
C) a failure of the heart to efficiently pump blood.
D) narrowing of the small arteries that supply blood and oxygen to the heart.

Ans: D

Complexity: Moderate
Ahead: Cardiovascular Emergencies
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 318
Objective: 15-5
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12
Q

A patient with chest pain informs you that he has “a bad heart.” You think he may have congestive heart failure. When performing your secondary assessment, which of the following signs or symptoms does not indicate that the patient is in congestive heart failure?

A) Swollen ankles
B) Bradycardia
C) Bubbling breathing noises
D) Shortness of breath

A
A patient with chest pain informs you that he has “a bad heart.” You think he may have congestive heart failure. When performing your secondary assessment, which of the following signs or symptoms does not indicate that the patient is in congestive heart failure?
A) Swollen ankles 
B) Bradycardia
C) Bubbling breathing noises 
D) Shortness of breath 

Ans: B

Complexity: Moderate
Ahead: Cardiovascular Emergencies
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 319
Objective: 15-5
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13
Q

How do most problems with heart valves originate?

A) From medication errors
B) Due to injury
C) Congenitally
D) Due to viral infection

A
How do most problems with heart valves originate?
A) From medication errors
B) Due to injury
C) Congenitally
D) Due to viral infection

Ans: C

Complexity: Easy
Ahead: Cardiovascular Emergencies
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 320
Objective: 15-2
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14
Q

You are called to assist a 62-year-old female who is complaining of fatigue, jaw discomfort, and excessive sweating. When asked, she denies having chest pain or shortness of breath. She tells you that she has a history of hypertension and takes a blood pressure pill. She also has nitroglycerin. Which statement is inappropriate for this event?

A) “I am not going to attach the AED because she is conscious and has a pulse.”

B) “She is not short of breath, so we don’t need to transport her.”

C) “I am going to call for ALS because she could be having a cardiac event.”

D) “I am going to check her blood pressure.”

A

You are called to assist a 62-year-old female who is complaining of fatigue, jaw discomfort, and excessive sweating. When asked, she denies having chest pain or shortness of breath. She tells you that she has a history of hypertension and takes a blood pressure pill. She also has nitroglycerin. Which statement is inappropriate for this event?
A) “I am not going to attach the AED because she is conscious and has a pulse.”
B) “She is not short of breath, so we don’t need to transport her.”
C) “I am going to call for ALS because she could be having a cardiac event.”
D) “I am going to check her blood pressure.”

Ans: B

Complexity: Moderate
Ahead: Patient Assessment of Cardiovascular Emergencies
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 320
Objective: 15-2
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15
Q

The only reason to delay transport in case of a cardiac emergency is:

A) to use an AED.
B) to take a complete history.
C) to provide nitroglycerin.
D) to make the patient comfortable.

A
The only reason to delay transport in case of a cardiac emergency is:
A) to use an AED.
B) to take a complete history.
C) to provide nitroglycerin.
D) to make the patient comfortable.

Ans: A

Complexity: Easy
Ahead: Patient Assessment of Cardiovascular Emergencies
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 320
Objective: 15-2
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16
Q

Aspirin may be used in a patient who has chest pain suggestive of a heart attack because aspirin may:

A) break up a blood clot that is occluding a coronary artery.

B) relieve the headache that is caused by the administration of nitroglycerin.

C) decrease the ability of platelets to form clots.

D) decrease the chest pain caused by the possible heart attack.

A

Aspirin may be used in a patient who has chest pain suggestive of a heart attack because aspirin may:
A) break up a blood clot that is occluding a coronary artery.
B) relieve the headache that is caused by the administration of nitroglycerin.
C) decrease the ability of platelets to form clots.
D) decrease the chest pain caused by the possible heart attack.

Ans: C

Complexity: Easy
Ahead: Patient Assessment of Cardiovascular Emergencies
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 321
Objective: 15-6
17
Q

You are caring for a patient with chest pain who has just taken his nitroglycerin. The patient’s chest pain has been alleviated. You understand that nitroglycerin is effective in treating chest pain because it:

A) increases the heart rate and gets more blood to the heart muscle.

B) has a sedative effect, which makes the patient less aware of the pain.

C) dilates the arteries and veins, which decreases the workload on the heart.

D) causes the body to relax, decreasing the need for oxygen.

A

You are caring for a patient with chest pain who has just taken his nitroglycerin. The patient’s chest pain has been alleviated. You understand that nitroglycerin is effective in treating chest pain because it:
A) increases the heart rate and gets more blood to the heart muscle.
B) has a sedative effect, which makes the patient less aware of the pain.
C) dilates the arteries and veins, which decreases the workload on the heart.
D) causes the body to relax, decreasing the need for oxygen.

Ans: C

Complexity: Moderate
Ahead: Patient Assessment of Cardiovascular Emergencies
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 321
Objective: 15-7
18
Q

Three commonly used cardiac medications are:

A) Plavix, Nitroglycerine, and Albuterol.
B) Nitroglycerine, Coumadin, and Lasix.
C) Lipitor, Dilantin, and Tenormin.
D) Coumadin, Zesteril, and an Epi-pen.

A

Three commonly used cardiac medications are:
A) Plavix, Nitroglycerine, and Albuterol.
B) Nitroglycerine, Coumadin, and Lasix.
C) Lipitor, Dilantin, and Tenormin.
D) Coumadin, Zesteril, and an Epi-pen.

Ans: B

Complexity: Easy
Ahead: Patient Assessment of Cardiovascular Emergencies
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 321 (Table 15-1)
Objective: 15-2
19
Q

You have just arrived with an AED at a scene where fellow OEC technicians are treating a patient in cardiac arrest. EMS has been contacted and is about 1 minute away. Which of the following actions should you take?

A) Let the OEC technicians continue CPR and wait for ALS.

B) Apply and use the AED.

C) Help count compressions.

D) Go outside to direct ALS when they arrive.

A

You have just arrived with an AED at a scene where fellow OEC technicians are treating a patient in cardiac arrest. EMS has been contacted and is about 1 minute away. Which of the following actions should you take?
A) Let the OEC technicians continue CPR and wait for ALS.
B) Apply and use the AED.
C) Help count compressions.
D) Go outside to direct ALS when they arrive.

Ans: B

Complexity: Moderate
Ahead: Patient Assessment of Cardiovascular Emergencies
Subject: Chapter 15
Title: Cardiovascular Emergencies
Feedback: 323
Objective: 15-5