Cardiovascular System | Myocardial Infarction And Heart Failure NCLEX Quiz 12

Reviewed by Editorial Team
The ProProfs editorial team is comprised of experienced subject matter experts. They've collectively created over 10,000 quizzes and lessons, serving over 100 million users. Our team includes in-house content moderators and subject matter experts, as well as a global network of rigorously trained contributors. All adhere to our comprehensive editorial guidelines, ensuring the delivery of high-quality content.
Learn about Our Editorial Process
| By Santepro
S
Santepro
Community Contributor
Quizzes Created: 468 | Total Attempts: 2,581,569
| Attempts: 2,814
SettingsSettings
Please wait...
  • 1/10 Questions

    Which of the following is the most common symptom of myocardial infarction (MI)?

    • Chest pain
    • Dyspnea
    • Edema
    • Palpitations
Please wait...
About This Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Cardiovascular System | Myocardial Infarction And Heart Failure NCLEX Quiz 12 - Quiz

Quiz Preview

  • 2. 

    Which of the following blood tests is most indicative of cardiac damage?

    • Lactate dehydrogenase

    • Complete blood count (CBC)

    • Troponin I

    • Creatine kinase (CK)

    Correct Answer
    A. Troponin I
    Explanation
    Troponin I levels rise rapidly and are detectable within 1 hour of myocardial injury. Troponin I levels aren’t detectable in people without cardiac injury.Option A: Lactate dehydrogenase (LDH) is present in almost all body tissues and not specific to heart muscle. LDH isoenzymes are useful in diagnosing a cardiac injury.Option B: CBC is obtained to review blood counts. and a complete chemistry is obtained to review electrolytes.Option D: Because CK levels may rise with a skeletal muscle injury. CK isoenzymes are required to detect cardiac injury.

    Rate this question:

  • 3. 

    Which of the following actions is the first priority of care for a client exhibiting signs and symptoms of coronary artery disease?

    • Decrease anxiety

    • Enhance myocardial oxygenation

    • Administer sublingual nitroglycerin

    • Educate the client about his symptoms

    Correct Answer
    A. Enhance myocardial oxygenation
    Explanation
    Enhancing myocardial oxygenation is always the first priority when a client exhibits signs or symptoms of cardiac compromise. Without adequate oxygenation. the myocardium suffers damage.Options A and D: Although educating the client and decreasing anxiety are important in care delivery. neither are priorities when a client is compromised.Option C: Sublingual nitroglycerin is administered to treat acute angina. but the administration isn’t the first priority.

    Rate this question:

  • 4. 

    Which of the following conditions is most commonly responsible for myocardial infarction?

    • Aneurysm

    • Heart failure

    • Coronary artery thrombosis

    • Renal failure

    Correct Answer
    A. Coronary artery thrombosis
    Explanation
    Coronary artery thrombosis causes an inclusion of the artery. leading to myocardial death.Option A: An aneurysm is an outpouching of a vessel and doesn’t cause an MI.Option B: Heart failure is usually a result from an MI.Option D: Renal failure can be associated with MI but isn’t a direct cause.

    Rate this question:

  • 5. 

    After an anterior wall myocardial infarction. which of the following problems is indicated by auscultation of crackles in the lungs?

    • Left-sided heart failure

    • Pulmonic valve malfunction

    • Right-sided heart failure

    • Tricupsid valve malfunction

    Correct Answer
    A. Left-sided heart failure
    Explanation
    The left ventricle is responsible for most of the cardiac output. An anterior wall MI may result in a decrease in left ventricular function. When the left ventricle doesn’t function properly. resulting in left-sided heart failure. fluid accumulates in the interstitial and alveolar spaces in the lungs and causes crackles.Options B. C. and D: Pulmonic and tricuspid valve malfunction cause right-sided heart failure.

    Rate this question:

  • 6. 

    What is the first intervention for a client experiencing MI?

    • Administer morphine

    • Administer oxygen

    • Administer sublingual nitroglycerin

    • Obtain an ECG

    Correct Answer
    A. Administer oxygen
    Explanation
    Administering supplemental oxygen to the client is the first priority of care. The myocardium is deprived of oxygen during an infarction. so additional oxygen is administered to assist in oxygenation and prevent further damage.Options A and C: Morphine and nitro are also used to treat MI. but they’re more commonly administered after the oxygen.Option D: An ECG is the most common diagnostic tool used to evaluate MI.

    Rate this question:

  • 7. 

    What is the primary reason for administering morphine to a client with an MI?

    • To sedate the client

    • To decrease the client’s pain

    • To decrease the client’s anxiety

    • To decrease oxygen demand on the client’s heart

    Correct Answer
    A. To decrease oxygen demand on the client’s heart
    Explanation
    Morphine is administered because it decreases myocardial oxygen demand.Options A. B. and C: Morphine will also decrease pain and anxiety while causing sedation. but it isn’t primarily given for those reasons.

    Rate this question:

  • 8. 

    Which of the following symptoms is the most likely origin of pain the client described as knifelike chest pain that increases in intensity with inspiration?

    • Cardiac

    • Gastrointestinal

    • Musculoskeletal

    • Pulmonary

    Correct Answer
    A. Pulmonary
    Explanation
    Pulmonary pain is generally described by these symptoms.Options A and B: Cardiac and GI pains don’t change with respiration.Option C: Musculoskeletal pain only increases with movement.

    Rate this question:

  • 9. 

    Medical treatment of coronary artery disease includes which of the following procedures?

    • Cardiac catheterization

    • Coronary artery bypass surgery

    • Oral medication therapy

    • Percutaneous transluminal coronary angioplasty

    Correct Answer
    A. Oral medication therapy
    Explanation
    Oral medication administration is a noninvasive. medical treatment for coronary artery disease.Option A: Cardiac catheterization isn’t a treatment. but a diagnostic tool.Options B and D: Coronary artery bypass surgery and percutaneous transluminal coronary angioplasty are invasive. surgical treatments.

    Rate this question:

  • 10. 

    Which of the following complications is indicated by a third heart sound (S3)?

    • Ventricular dilation

    • Systemic hypertension

    • Aortic valve malfunction

    • Increased atrial contractions

    Correct Answer
    A. Ventricular dilation
    Explanation
    Rapid filling of the ventricle causes vasodilation that is auscultated as S3.Option B and D: Increased atrial contraction or systemic hypertension can result in a fourth heart sound.Option C: Aortic valve malfunction is heard as a murmur.

    Rate this question:

Quiz Review Timeline (Updated): Apr 26, 2024 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Apr 26, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 21, 2017
    Quiz Created by
    Santepro
Back to Top Back to top
Advertisement
×

Wait!
Here's an interesting quiz for you.

We have other quizzes matching your interest.