1.

When teaching the client with myocardial infarction, the nurse

explains that the pain associated with MI is caused by;
a. Left ventricular overload
b. Impending circulatory collapse
c. Extracellular electrolyte imbalances
d. Insufficient oxygen reaching the heart muscle
2. Which of the following is an uncontrollable risk factor that has been
associated to the development of coronary artery disease?
a. Exercise
b. Obesity
c. Gender
d. High cholesterol level
3. A client with angina pectoris asks the nurse, “What information does
ECG provide?” The nurse would appropriately respond that ECG gives information
about the
a. Electrical conduction of the myocardium.
b. Oxygenation and perfusion of the heart.
c. Contractile status of the ventricles.
d. Physical integrity of the muscles.
4. How should the nurse instruct the client with angina pectoris to take
sublingual nitroglycerin when chest pain occurs?
a. Take 1 tablet every 2-5 minutes until the pain subsides.
b. Take 1 tablet and rest for 10 minutes. Call the physician if the pain
persist after 10 minutes.
c. Take 1tablet,then an additional tablet every 5 minutes for a total of
three tablets. Call the physician if pain persists after three tablets.
d. Take 1 tablet. If pain persist after 5 minutes, take 2 tablets. If pain still
persists 5 minutes later, call the physician.
5. Which of the following findings indicate CHF?
a. BUN = 15mg/dl
b. CVP = 17 cm H20
c. Serum potassium = 4 mEq/L
d. Hourly urine output = 30-60 ml
6. Which of the following signs and symptoms would most likely be
experienced by a client with right sided CHF?
a. Dyspnea, crackles, ankle edema.
b. Engorged neck vein, enlarged liver, weight gain.
c. Hemoptysis, hypertension, pallor.
d. Syncope, haemolytic anemia, finger clubbing.
7. The nurse administers digoxin to the client with CHF. The nurse
should first check which of the following?
a. Pulse rate
b. Apical rate
c. Blood pressure
d. Respiratory rate
 8. Which of the following is NOT a characteristic of chest pain in MI?
a. It lasts for more than 30 minutes.
b. It radiates to the entire chest, neck and left arm.
c. It is relieved by rest.
d. It is crushing in character.
9. Which of the following may precipitate the chest pain of the client
with angina pectoris?
a. Taking a warm bath.
b. Having a frequent rest periods.
c. Eating a large meal.
d. Avoiding exposure to cold.
10. Which of the following results of enzyme studies does not indicate the
presence of MI?
a. Elevated CK-MB
b. Elevated SGOT
c. Elevated SGPT
d. Elevated LDH
11. The following nursing interventions should be included in the NCP of
the client with MI, EXCEPT;
a. Place the client in semi fowlers position.
b. Administer oxygen by nasal cannula as ordered.
c. Encourage use of bedpan for defecation.
d. Provide low sodium, low fat and low cholesterol diet.
12. When assessing the lower extremities of a client with right sided heart
failure, Nurse Stella expects pitting edema because of the;
a. Increase in the tissue hydrostatic pressure.
b. Increase in colloid osmotic pressure.
c. Elevation in the plasma hydrostatic pressure.
d. Decrease in the plasma colloid osmotic pressure.
13. Nurse Victoria understands that metabolic acidosis develops in kidney
failure as a result of;
a. inability of the renal tubules to secrete hydrogen ions and conserve
bicarbonate
b. inability of the renal tubules to reabsorb water to dilute the acid
contents of the blood
c. depression of respiratory rate by metabolic wastes causing carbon
dioxide retention
d. impaired GFR causing retention of sodium and metabolic wastes
14. A type of seizure that has jerking or stiffening of a single muscle but
only with a brief spasm.
a. Complex
b. Myclonic
c. Petit mal
d. Simple
 15. Which among the following deficits describes a complex seizure?
SATA.
____a. sensory
____b. affective
____c. motor
____d. cognitive
____e. spatial
16. A type of seizure also known as the Drop Attack.
a. Grand mal
b. Atonic
c. Myoclonic
d. Simple
17. Oliguric phase of Acute Renal Failure has the following effects,
EXCEPT.
a. Signs of pulmonary edema
b. Reduced hydrogen ion excretion
c. Hypercalcemia
d. Positive neurological effects
18. The inability to concentrate urine in the diuretic phase will result to
what condition?
a. Bradycardia
b. Edema
c. Decrease blood pressure
d. Hyperkalemia
19. The following are Intrarenal causes of ARF classification,EXCEPT.
SATA.
_____a. contrast dye allergic reaction
_____b. prostatitis
_____c. depleted intravascular volume
_____d. glomerulonephritis
_____e. bladder cancer
20. Mrs. Chua a 78 year old client is admitted with the diagnosis of mild
chronic heart failure. The nurse expects to hear when listening to client’s lungs
indicative of chronic heart failure would be:
a. Stridor
b. Crackles
c. Wheezes
d. Friction rubs