Ch15 Practice Questions Pt.2 Flashcards
Which of the following signs or symptoms is suggestive of right-sided congestive heart failure?
A) Elevated blood pressure
B) Edema in the legs and feet
C) A bounding pulse
D) An irregular heart rate
Which of the following signs or symptoms is suggestive of right-sided congestive heart failure? A) Elevated blood pressure B) Edema in the legs and feet C) A bounding pulse D) An irregular heart rate
Ans: B
Complexity: Easy Ahead: Patient Assessment of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 324 Objective: 15-5
An alert and oriented 65-year-old woman presents with shortness of breath, noisy respirations, jugular vein distention, and edema in her feet and ankles. Her pulse is 132, her respirations are 24, and her blood pressure is 86/68. Based on these findings, you would suspect that the patient:
A) has an aortic dissection/aneurysm.
B) is having a hypertensive emergency.
C) is experiencing congestive heart failure.
D) has pericardial tamponade.
An alert and oriented 65-year-old woman presents with shortness of breath, noisy respirations, jugular vein distention, and edema in her feet and ankles. Her pulse is 132, her respirations are 24, and her blood pressure is 86/68. Based on these findings, you would suspect that the patient:
A) has an aortic dissection/aneurysm.
B) is having a hypertensive emergency.
C) is experiencing congestive heart failure.
D) has pericardial tamponade.
Ans: C
Complexity: Moderate Ahead: Patient Assessment of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 324 Objective: 15-5
Which of the following statements made by a patient would cause you to suspect an abdominal aortic aneurysm?
A) “I have really bad belly pain that I also feel in my back.”
B) “My heart is beating so hard you can feel it on my chest.”
C) “The pain is sharp and spreads to both arms.”
D) “I seem to be vomiting up some blood.”
Which of the following statements made by a patient would cause you to suspect an abdominal aortic aneurysm?
A) “I have really bad belly pain that I also feel in my back.”
B) “My heart is beating so hard you can feel it on my chest.”
C) “The pain is sharp and spreads to both arms.”
D) “I seem to be vomiting up some blood.”
Ans: A
Complexity: Moderate Ahead: Patient Assessment of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 324 Objective: 15-5
You are assessing a 68-year-old man with a history of abdominal aortic aneurysm. How far might pain be radiating?
A) Groin
B) Knee
C) Ankle
D) Toes
You are assessing a 68-year-old man with a history of abdominal aortic aneurysm. How far might pain be radiating? A) Groin B) Knee C) Ankle D) Toes
Ans: A
Complexity: Easy Ahead: Patient Assessment of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 324 Objective: 15-3
Hypotension, distended neck veins, and muffled or distant heart tones are hallmark signs of:
A) pericarditis.
B) congestive heart failure.
C) aortic aneurysm.
D) pericardial tamponade.
Hypotension, distended neck veins, and muffled or distant heart tones are hallmark signs of: A) pericarditis. B) congestive heart failure. C) aortic aneurysm. D) pericardial tamponade.
Ans: D
Complexity: Moderate Ahead: Patient Assessment of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 324 Objective: 15-5
A 62-year-old man presents with a complaint of abdominal pain radiating to his groin. He also complains of dizziness. On examination, his abdomen is tender, and you feel a large pulsating mass. His signs and symptoms are suggestive of:
A) acute embolism.
B) an abdominal aortic aneurysm.
C) a ruptured spleen.
D) cardiogenic shock.
A 62-year-old man presents with a complaint of abdominal pain radiating to his groin. He also complains of dizziness. On examination, his abdomen is tender, and you feel a large pulsating mass. His signs and symptoms are suggestive of: A) acute embolism. B) an abdominal aortic aneurysm. C) a ruptured spleen. D) cardiogenic shock.
Ans: B
Complexity: Moderate Ahead: Patient Assessment of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 324 Objective: 15-5
You are assessing a 38-year-old woman who is complaining of the sudden onset of chest pain and shortness of breath. She describes the pain as sharp and states that it increases when she takes a deep breath. You note that she is breathing rapidly. Her BP is 130/82, and her pulse is 100. Based on her presentation, you suspect that she may have:
A) pulmonary embolism.
B) pericardial effusion.
C) instable angina.
D) an aortic dissection/aneurysm.
You are assessing a 38-year-old woman who is complaining of the sudden onset of chest pain and shortness of breath. She describes the pain as sharp and states that it increases when she takes a deep breath. You note that she is breathing rapidly. Her BP is 130/82, and her pulse is 100. Based on her presentation, you suspect that she may have: A) pulmonary embolism. B) pericardial effusion. C) instable angina. D) an aortic dissection/aneurysm.
Ans: A
Complexity: Moderate Ahead: Patient Assessment of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 324 Objective: 15-5
When performing CPR, your philosophy should be:
A) “Don’t break ribs.”
B) “Push hard, push fast.”
C) “Always be careful.”
D) “Obtain informed consent.”
When performing CPR, your philosophy should be: A) “Don't break ribs.” B) “Push hard, push fast.” C) “Always be careful.” D) “Obtain informed consent.”
Ans: B
Complexity: Easy Ahead: Management of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 326 Objective: 15-2
Which of the following is not a reason to stop CPR?
A) The patient has the spontaneous return of a pulse and breathing.
B) You are ready to use an AED.
C) It has been 25 minutes, so brain damage has occurred.
D) Rescuers are too tired to continue administering CPR.
Which of the following is not a reason to stop CPR?
A) The patient has the spontaneous return of a pulse and breathing.
B) You are ready to use an AED.
C) It has been 25 minutes, so brain damage has occurred.
D) Rescuers are too tired to continue administering CPR.
Ans: C
Complexity: Easy Ahead: Management of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 326 Objective: 15-2
Blood in the right ventricle is pumped into the:
A) left ventricle.
B) pulmonary artery.
C) left atrium.
D) aorta.
Blood in the right ventricle is pumped into the: A) left ventricle. B) pulmonary artery. C) left atrium. D) aorta.
Ans: B
Complexity: Easy Ahead: Management of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 328 Objective: 15-2
You have been called to treat a 47-year-old man complaining of chest pain. He is alert, oriented, and complaining of pain in his chest that came on suddenly about 15 minutes ago. His skin is sweaty and cool. Which of the following actions should you take first?
A) Apply oxygen at 15 LPM through a nonrebreather mask.
B) Begin CPR.
C) Help him administer his nitroglycerin.
D) Obtain a SAMPLE history.
You have been called to treat a 47-year-old man complaining of chest pain. He is alert, oriented, and complaining of pain in his chest that came on suddenly about 15 minutes ago. His skin is sweaty and cool. Which of the following actions should you take first?
A) Apply oxygen at 15 LPM through a nonrebreather mask.
B) Begin CPR.
C) Help him administer his nitroglycerin.
D) Obtain a SAMPLE history.
Ans: A
Complexity: Easy Ahead: Management of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 329 Objective: 15-2
You are in the first-aid area assisting a patient who just arrived with chest pain. He relates a history of angina that usually resolves with nitroglycerin. The patient states that the pain started when he was skiing through the bumps. Over the last 20 minutes, he has taken three nitroglycerin tablets and rested, but the pain has not gone away. Your next action would be to:
A) try one more nitroglycerin tablet because nitroglycerin usually relieves his pain.
B) attach an AED in case he goes into cardiac arrest.
C) place him on high-flow oxygen and call for transfer to medical facility.
D) offer an aspirin.
You are in the first-aid area assisting a patient who just arrived with chest pain. He relates a history of angina that usually resolves with nitroglycerin. The patient states that the pain started when he was skiing through the bumps. Over the last 20 minutes, he has taken three nitroglycerin tablets and rested, but the pain has not gone away. Your next action would be to:
A) try one more nitroglycerin tablet because nitroglycerin usually relieves his pain.
B) attach an AED in case he goes into cardiac arrest.
C) place him on high-flow oxygen and call for transfer to medical facility.
D) offer an aspirin.
Ans: C
Complexity: Easy Ahead: Management of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 329 Objective: 15-7
When assisting a patient to take a nitroglycerin tablet, it is:
A) placed under the tongue.
B) swallowed with only an ounce of water.
C) chewed and then allowed to dissolve slowly.
D) placed between the cheek and teeth.
When assisting a patient to take a nitroglycerin tablet, it is:
A) placed under the tongue.
B) swallowed with only an ounce of water.
C) chewed and then allowed to dissolve slowly.
D) placed between the cheek and teeth.
Ans: A
Complexity: Easy Ahead: Management of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 330 Objective: 15-7
Before nitroglycerin is administered, you should ensure that:
A) nitroglycerin is in fact prescribed for the patient.
B) the patient rates his chest pain as at least 7 on a scale of 1 to 10.
C) the patient’s systolic blood pressure is at least 110 mmHg.
D) the patient is standing.
Before nitroglycerin is administered, you should ensure that:
A) nitroglycerin is in fact prescribed for the patient.
B) the patient rates his chest pain as at least 7 on a scale of 1 to 10.
C) the patient’s systolic blood pressure is at least 110 mmHg.
D) the patient is standing.
Ans: A
Complexity: Easy Ahead: Management of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 330 Objective: 15-7
Which of the following medications, if taken in the last 24 hours, would be a contraindication to administering nitroglycerin?
A) Coumadin
B) Aspirin
C) Viagra
D) Tylenol
Which of the following medications, if taken in the last 24 hours, would be a contraindication to administering nitroglycerin? A) Coumadin B) Aspirin C) Viagra D) Tylenol
Ans: C
Complexity: Easy Ahead: Management of Cardiovascular Emergencies Subject: Chapter 15 Title: Cardiovascular Emergencies Feedback: 330 Objective: 15-7