a. Secrete hydrogen ions and c.

Exchange hydrogen and

sodium. sodium in the kidney tubules.

d. Decrease sodium ions, hold on

b. Secrete ammonia. to hydrogen ions, and then
secrete sodium bicarbonate
d. Decrease sodium ions, hold on
to hydrogen ions, and then
secrete sodium bicarbonate
a. Stimulating the pancreas to c. Lowering the blood sugar by
produce or release insulin facilitating the uptake and
utilization of glucose

b. Making the insulin that is d. Altering both fat and protein

produced more available for use metabolism
a. Stimulating the pancreas to
produce or release insulin
a. Decrease anxiety and
restlessness c. Dilates coronary blood vessels

b. Prevents shock and relieves d. Helps prevent fibrillation of the

pain heart
b. Prevents shock and relieves
pain
a. Enhance comfort c. Improve respiratory status

b. Increase cardiac output

d. Peripheral edema decreased
b. Increase cardiac output
a. Monitoring urine output c. Obtaining serum potassium
frequently levels daily

b. Monitoring blood pressure d. Obtaining infusion pump for

every 4 hours the medication
d. Obtaining infusion pump for
the medication
a. Able to perform self-care c. Can recognize the risk factors
activities without pain of Myocardial Infarction

d. Can participate in cardiac

b. Severe chest pain rehabilitation walking program
a. Able to perform self-care
activities without pain
a. Application of pressure in the c. use of bed cradle to prevent
brain dorsiflexion of feet

b. Use hand roll and extend the

left upper extremity on a pillow d. do passive motion of exercise
to prevent contractions
b. Use hand roll and extend the
left upper extremity on a pillow
to prevent contractions
a. A hourly urine output c. Able to turn side to side

b. Temperature d. Able to sips clear liquid

a. A hourly urine output
a. To determine the existence of c. To obtain the heart rate
CHD chambers pressure

b To visualize the disease process d. To measure oxygen content of

in the coronary arteries different heart chambers
a. To determine the existence of
CHD
a. Protamine Sulfate c. Vitamin C

b. Quinidine Sulfate d. Coumadin

a. Protamine Sulfate
a. Dental floss c. Manual toothbrush

b. Electric toothbrush d. Irrigation device

b. Electric toothbrush
 c. rease creatine phospholinase
a. altered level of consciousness concentration

b. exceptional dyspnea d. chest pain

b. exceptional dyspnea
a. Urinary meatus c. Suprapubic area

d. Right or lest costovertebral

b. Pain in the labium
angle
a. Urinary meatus
a. Cause cardiac arrest c. Produce mild bradycardia

d. Be very toxic even in small

b. Cause hypotension
doses
a. Cause cardiac arrest
a. On his right side to promote c. Supine to maintain blood
hemostasis pressure

b. In Fowler's position to facilitate d. In Sims' position to prevent

ventilation aspiration
a. On his right side to promote
hemostasis
a. Hypercalcemia
c. Hypokalemia

b. Hyperproteinemia
d. Free water depletion
c. Hypokalemia
a. Raisins c. Apricots

b. Oranges d. Bananas
c. Apricots
a. 18% c. 36%

b. 27% d. 45%
b. 27%
a. Replace the aspirate and c. Discard the aspirate and
administer the feeding begin the feeding

b. Discard the aspirate and d. Replace the aspirate and

withhold the feeding withhold the feeding
a. Replace the aspirate and
administer the feeding
a. Dilated c. Obliterative

b.Hypertrophic d.Restrictive
b.Hypertrophic
a. Lying flat in bed. c. High Fowler·s position

b. Left side-lying position d. Semi-Fowler·s position

c. High Fowler·s position
a. No changes. c. More insulin

b. Less insulin d. Oral diabetic agents

c. More insulin
A. Prepare for chest tube C. Arrange for a stat Chest x-ray
removal film.

B. Milk the tube toward the

D. Clam the tube immediately
collection container as ordered
B. Milk the tube toward the
collection container as ordered
 C. Crepitus detected on
A. Increased breath sounds
palpation of chest

B. Constant bubbling in the

D. Increased respiratory rate
drainage chamber
A. Increased breath sounds
a. Atherosclerosis c. MI

b. DM d. Renal failure
a. Atherosclerosis
 c. Blood clots form outside the
a. Plaques obstruct the vein
vessel wall

d. Hardened vessels dilate to

b. Plaques obstruct the artery
allow the blood to flow through
b. Plaques obstruct the artery
a. Cigarette smoking c. Heredity

b. DM d. HPN
c. Heredity
a. 100 mg/dl c. 175 mg/dl

b. 150 mg/dl d. 200 mg/dl

d. 200 mg/dl
 c. Administer sublingual
a. Decrease anxiety
nitroglycerin

b. Enhance myocardial d. Educate the client about his

oxygenation symptoms
b. Enhance myocardial
oxygenation
 c. Oral medication
a. Cardiac catheterization
administration

b. Coronary artery bypass d. Percutaneous transluminal

surgery coronary angioplasty
c. Oral medication
administration
a. Anterior c. Inferior

b. Apical d. Lateral
c. Inferior
a. Chest pain c. Edema

b. Dyspnea d. Palpitations
a. Chest pain
a. Left intercostal space, c. Left second intercostal space,
midaxillary line midclavicular line

b. Left fifth intercostal space, d. Left seventh intercostal space,

midclavicular line midclavicular line
b. Left fifth intercostal space,
midclavicular line
a. Cardiac c. Musculoskeletal

b. Gastrointestinal d. Pulmonary
d. Pulmonary
a. Aortic c. Pulmonic

b. Mitral d. Tricuspid
c. Pulmonic
a. Lactate dehydrogenase c. Troponin I

b. Complete blood count d. Creatine kinase

c. Troponin I
 c. To decrease the client·s
a. To sedate the client
anxiety

d. To decrease oxygen demand

b. To decrease the client·s pain
on the client·s heart
d. To decrease oxygen demand
on the client·s heart
a. Aneurysm
c. Coronary artery thrombosis

b. Heart failure
d. Renal failure
c. Coronary artery thrombosis
 c. Potassium
a. Chloride

d. Sodium
b. Digoxin
c. Potassium
a. Electro physiologic c. Mechanical

b. Hematologic d. Metabolic
d. Metabolic
a. Ventricular dilation c. Aortic valve malfunction

b. Systemic hypertension d. Increased atrial contractions

a. Ventricular dilation
a. Left-sided heart failure c. Right-sided heart failure

b. Pulmonic valve malfunction d. Tricuspid valve malfunction

a. Left-sided heart failure
a. Cardiac catheterization c. Echocardiogram

b. Cardiac enzymes d. Electrocardiogram

d. Electrocardiogram
 c. Administer sublingual
a. Administer morphine
nitroglycerin

b. Administer oxygen d. Obtain an electrocardiogram

b. Administer oxygen
a. ´Tell me about your feeling c. ´This is a bad situation, but
right now.µ you·ll feel better soon.µ

d. ´Please be assured we·re

b. ´When the doctor arrives,
doing everything we can to
everything will be fine.µ
make you feel better.µ
a. ´Tell me about your feeling
right now.µ
a. Beta-adrenergic blockers c. Narcotics

b. Calcium channel blockers d. Nitrates

a. Beta-adrenergic blockers
a. Cardiogenic shock c. Arrhythmias

b. Heart failure d. Pericarditis

c. Arrhythmias
a. Abdominal aortic aneurysm c. Myocardial infarction

b. Heart failure d. Pneumothorax

b. Heart failure
a. High-fowler·s c. Raised 30 degrees

b. Raised 10 degrees d. Supine position

c. Raised 30 degrees
a. Apical pulse c. Radial pulse

b. Blood pressure d. Respiratory rate

a. Apical pulse
a. Digoxin c. Metoprolol

b. Furosemide d. Enalapril
a. Digoxin
a. Crackles c. Hepatic engorgement

b. Arrhythmias d. Hypotension
a. Crackles
a. DM c. Renal failure

b. Pulmonary emboli d. Right-sided heart failure

d. Right-sided heart failure
a. Adequate urine output c. Oliguria

b. Polyuria d. Polydipsia
c. Oliguria
a. Beta-adrenergic blockers c. Diuretics

b. Calcium channel blockers d. Inotropic agents

d. Inotropic agents
a. Bradycardia c. Hypotension

d. Decreased myocardial
b. Tachycardia
contractility
b. Tachycardia
a. Angina pectoris c. Left-sided heart failure

b. Cardiomyopathy d. Right-sided heart failure

d. Right-sided heart failure
a. Atherosclerosis c. HPN

b. DM d. Syphilis
a. Atherosclerosis
a. Distal to the iliac arteries c. Adjacent to the aortic branch

b. Distal to the renal arteries d. Proximal to the renal arteries

b. Distal to the renal arteries
a. Abdominal aortic aneurysm c. Gastric distention

b. Enlarged spleen d. Gastritis

a. Abdominal aortic aneurysm
a. Abdominal pain c. Headache

b. Diaphoresis d. Upper back pain

a. Abdominal pain
a. Abdominal pain c. Angina

b. Absent pedal pulses d. Lower back pain

d. Lower back pain
a. Abdominal X-ray c. CT scan

b. Arteriogram d. Ultrasound
b. Arteriogram
a. HPN c. Cardiac arrythmias

b. Aneurysm rupture d. Diminished pedal pulse

b. Aneurysm rupture
a. Externa c. Media

b. Interna d. Interna and Media

c. Media
 c. Middle lower abdomen to the
a. Right upper quadrant
left of the midline

b. Directly over the umbilicus d. Midline lower abdomen to the

right of the midline
c. Middle lower abdomen to the
left of the midline
a. DM c. PVD

b. HPN d. Syphilis
b. HPN
a. Bruit c. Dullness

b. Crackles d. Friction rubs

a. Bruit
a. Lower back pain, increased c. Severe lower back pain,
BP, decreased RBC, increased decreased BP, decreased RBC,
WBC decreased WBC

b. Severe lower back pain, d. Intermittent lower back pain,

decreased BP, decreased RBC, decreased BP, decreased RBC,
increased WBC increased WBC
b. Severe lower back pain,
decreased BP, decreased RBC,
increased WBC
 c. Retroperitoneal rupture at the
a. Hernia
repair site

b. Stage 1 pressure ulcer d. Rapid expansion of the

aneurysm
c. Retroperitoneal rupture at the
repair site
a. Cystic fibrosis c. Marfan·s syndrome

b. Lupus erythematosus d. Myocardial infarction

c. Marfan·s syndrome
a. Antihypertensive medication c. Beta-adrenergic blocker
administration administration

b. Aortogram d. Surgical intervention

d. Surgical intervention
a. Cardiomyopathy c. Myocardial infarction

b. Coronary artery disease d. Pericardial Effusion

a. Cardiomyopathy
a. Dilated c. Myocarditis

b. Hypertrophic d. Restrictive
a. Dilated
a. Congestive c. Hypertrophic

b. Dilated d. Restrictive
c. Hypertrophic
a. Heart failure c. MI

b. DM d. Pericardial effusion
a. Heart failure
a. Cardiomegaly c. Myocarditis

b. Cardiomyopathy d. Pericarditis
a. Cardiomegaly
a. Pericarditis c. Obliterative

b. Hypertension d. Restricitve
d. Restricitve
a. Pericarditis c. Obliterative

b. Hypertension d. Restricitve
b. Hypertension
 c. Decreased myocardial
a. Dilated aorta
contractility

d. Failure of the ventricle to eject

b. Normally functioning heart
all the blood during systole
d. Failure of the ventricle to eject
all the blood during systole
a. Antihypertensive c. Calcium channel blockers

b. Beta-adrenergic blockers d. Nitrates

b. Beta-adrenergic blockers
a. Circumflex artery c. Left anterior descending artery

b. Internal mammary artery d. Right coronary artery

c. Left anterior descending artery
a. During inspiration c. During expiration

b. During diastole d. During systole

b. During diastole
a. Dyspnea c. Bradycardia

b. Bradypnea d. Decreased respirations

a. Dyspnea
a. Resonant sounds. c. Dull sounds.

b. Hyper resonant sounds. d. Flat sounds.

a. Resonant sounds.
a. Pleural effusion. c. Atelectasis.

b. Pulmonary edema. d. Oxygen toxicity.

c. Atelectasis.
a. It helps prevent c. It decreases use of accessory
early airway collapse. breathing muscles.

b. It increases inspiratory muscle d. It prolongs the inspiratory

strength. phase of respiration.
a. It helps prevent
early airway collapse.
a. In 30 minutes c. In 2.5 hours

b. In 1 hour d. In 4 hours
a. In 30 minutes
a. Kinking of the ventilator tubing c. An ET cuff leak

d. A change in the oxygen

b. A disconnected ventilator
concentration without resetting
tube
the oxygen level alarm
a. Kinking of the ventilator tubing
a. It makes the central c. It stimulates adenosine
respiratory center more sensitive receptors, causing
to carbon dioxide and stimulates bronchodilation.
the respiratory drive.
d. It alters diaphragm
b. It inhibits the enzyme
movement, increasing chest
phosphodiesterase, decreasing
expansion and enhancing the
degradation of cyclic
lung·s capacity for gas
adenosine monophosphate, a
exchange.
bronchodilator.
a. It makes the central
respiratory center more sensitive
to carbon dioxide and stimulates
the respiratory drive.
a. Inflamed lung tissue c. Responsiveness to penicillin.

d. Elevated white blood cell

b. Sudden onset
(WBC) count
a. Inflamed lung tissue
a. Dry cough c. Bronchospasm

b. Hermaturia d. Blood-streaked sputum

d. Blood-streaked sputum
a. 1 minute c. 10 seconds

b. 5 seconds d. 30 seconds
c. 10 seconds
 c. Stop the procedure and
a. Continue to suction
reoxygenate the client

b. Notify the physician d. Ensure that the suction is

immediately limited to 15 seconds
c. Stop the procedure and
reoxygenate the client
a. pH, 5.0; PaCO2 30 mm Hg c. pH, 7.35; PaCO2 40 mm Hg

b. pH, 7.40; PaCO2 35 mm Hg d. pH, 7.25; PaCO2 50 mm Hg

d. pH, 7.25; PaCO2 50 mm Hg
a. Apnea c. Respiratory alkalosis

b. Anginal pain d. Metabolic acidosis

a. Apnea
a. Alprazolam (Xanax) c. Morphine

b. Propranolol (Inderal) d. Albuterol (Proventil)

d. Albuterol (Proventil)
 c. Numbness and tingling of the
a. Heightened alertness
extremities

b. Increased heart rate d. Respiratory depression

d. Respiratory depression
a. Drinking more than 1,500 ml of c. Eating a high-protein snack at
fluid daily bedtime

d. Eating more than three large

b. Being overweight
meals a day
b. Being overweight
a. Diaphragmatic breathing c. Pursed-lip breathing

b. Use of accessory muscles d. Controlled breathing

b. Use of accessory muscles