A client has a history of tricuspid stenosis, a narrowing of the tricuspid valve. The nurse knows that this valve prevents backflow of blood from the:
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Question 2 of 87
After sitting in a chair for an hour, an elderly patient develops moderate lower extremity edema. His edema is most likely a consequence of
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Question 3 of 87
Granulocytes that protect against infections caused by parasitic worms
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Question 4 of 87
The common iliac artery is in which blood circuit?
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Question 5 of 87
In a healthy young adult, what happens to cardiac output when heart rate increases above 160 bpm?
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Question 6 of 87
A patient has a history of heart failure. Which of the following statements by the patient indicates they may be experiencing heart failure exacerbation?
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Question 7 of 87
A 78-year-old man with dyspnea is brought to the ER for evaluation. Physical examination reveals jugular venous distension and bilateral rales in both lung fields. Chest X-ray reveals pulmonary congestion consistent with fluid overload. What is the best treatment for this patient?
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Question 8 of 87
Effect on force of contraction of heart is:
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Question 9 of 87
46 y/o asymptomatic male has a brother with hemochromatosis. He drinks 2 beers per day. PE: Normal. Labs: Iron 180 ug/dL, Transferrin saturation 88%, Ferritin 1200 ug/L, CBC normal, AST 52, Abd US normal. HFE gene test +C282Y/C282Y mutation. The most appropriate next step would be:
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Question 10 of 87
Cardiac muscle tissue is characterized by all of these EXCEPT:
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Question 11 of 87
The heart wall receives blood from the
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Question 12 of 87
Arteries are blood vessels that:
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Question 13 of 87
Which of the following vitamins has closest relationship with blood?
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Question 14 of 87
When recording lead aVL on ECG, the positive electrode is the:
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Question 15 of 87
The nurse is developing a nursing care plan for a patient who is being treated for hypertension. What is a measurable patient outcome that the nurse should include?
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Question 16 of 87
A client's parents ask the nurse, 'What is the prognosis of myocarditis?' The most appropriate response by the nurse is?
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Question 17 of 87
In a patient with type 1 diabetes mellitus, a typical calculated daily dose of insulin would be:
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Question 18 of 87
Your patient with a recently placed prosthetic aortic valve is about to undergo dental extraction. She reports anaphylaxis to amoxicillin. Which of the following should be offered:
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Question 19 of 87
Identify the groove found on the surface of the heart and marks the boundary between the right and left ventricles.
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Question 20 of 87
A 47-year-old male has recently diagnosed with hypertension due to pressure reading of 165/100 mm Hg. He has a well-controlled diabetes by oral hypoglycemic medications. Which of the following is the best choice to initiate the treatment of his hypertension?
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Question 21 of 87
A hormone that is significantly involved in regulation of blood volume is:
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Question 22 of 87
Propranolol(Inderal) is prescribed for a patient diagnosed with hypertension. The nurse should consult with the health care provider before giving this drug when the patient reveals a history of:
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Question 23 of 87
Examination of a patient in a supine position reveals distended jugular veins from the base of the neck to the angle of the jaw. This finding indicates:
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Question 24 of 87
Patient has cardiac arrest. Nonischemic heart disease, no MI. What should be done?
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Question 25 of 87
What action by the AP will require the nurse to intervene when taking the blood pressure of an obese patient admitted with heart failure?
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Question 26 of 87
When engineers brainstorm together as a team, they make sure to
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Question 27 of 87
A patient who is recovering from a myocardial infarction may benefit from meditation because this technique:
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Question 28 of 87
A corrective cardiac procedure in which a large piece of a patient's own latissimus dorsi muscle is wrapped around the heart and stimulated by an implanted pacemaker to assist the pumping action of a damaged heart.
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Question 29 of 87
Which of the following events occurs at the end of the period of ventricular ejection?
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Question 30 of 87
The nurse is caring for a client admitted with severe rectal bleeding who is receiving warfarin (Coumadin) therapy. Which of the following interventions should have priority in the plan of care?
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Question 31 of 87
The heart secretes the hormone that regulates
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Question 32 of 87
The normal amount of hemoglobin per deciliter of blood is:
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Question 33 of 87
What factor does not alter cardiac output?
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Question 34 of 87
Streptokinase is a bacterial protein produced by:
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Question 35 of 87
All of the following will increase heart rate except:
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Question 36 of 87
Which chamber initially receives blood from the systemic circuit?
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Question 37 of 87
For which of the following circumstances would anastrozole be best indicated?
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Question 38 of 87
Why is atherosclerosis especially dangerous when found in coronary arteries?
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Question 39 of 87
How should the nurse respond if a patient taking spironolactone asks if they can use a salt substitute?
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Question 40 of 87
The human heart acts as a pump.
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Question 41 of 87
The nurse should administer amiodarone (Cordarone) to treat which of the following arrhythmias?
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Question 42 of 87
Peripheral vascular resistance can be best gauged by
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Question 43 of 87
Blood pressure is highest in the ___ and lowest in the ___
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Question 44 of 87
The leukocyte that is not involved in phagocytosis but does secrete the anticoagulant heparin is the:
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Question 45 of 87
The registered nurse(RN) is caring for a patient with a hypertensive crisis who is receiving sodium nitroprusside(Nipride). Which nursing action can the nurse delegate to an experienced licensed practical/vocational nurse(LPN/LVN)?
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Question 46 of 87
Stimulation of baroreceptor leads to:
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Question 47 of 87
Which one of the following veins can be used in coronary artery bypass?
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Question 48 of 87
What assessment finding would require the nurse to stop the infusion and notify the provider if a client is receiving lidocaine IV for ventricular dysrhythmias?
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Question 49 of 87
The tough, loose-fitting outer layer of the sac covering the heart
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Question 50 of 87
Lymph from the lower half of the body drains into:
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Question 51 of 87
The major function of red blood cells is
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Question 52 of 87
The nurse working on the heart failure unit knows that teaching an older female patient with newly diagnosed heart failure is effective when the patient states that
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Question 53 of 87
You are seeing a 61 yo African-American male for back pain, the follow lab is obtained: creatinine 1.9 mg/dl, Hb 8.8, uric acid 10.1mg/dl, Ca 11.8 mg/dl, anion gap is 5 and urine dip is negative for protein. What would be your next diagnostic test?
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Question 54 of 87
If the chordae tendineae in the right side of the heart were damaged, it might cause blood to leak into the:
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Question 55 of 87
Which structure in the heart initiates action potentials that stimulate contraction of the heart at constant rate of about 100 beats per minute?
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Question 56 of 87
Which of the following types of proteins is present at the highest percentage in the blood component labeled I in the figure?
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Question 57 of 87
Place the events of the angiotensin/aldosterone pathway in order of occurrence. 1. Formation of angiotensin II, 2. Increase in blood volume, 3. Reabsorption of sodium and water, 4. Secretion of aldosterone, 5. Secretion of renin
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Question 58 of 87
Which are the most numerous white blood cells?
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Question 59 of 87
The parasympathetic nervous system decreases heart rate by____
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Question 60 of 87
72-y female with a 40-pack year smoking history presents to the hospital with a 4-week history of hemoptysis and progressive dyspnea. She reports lower extremity weakness while climbing stairs. Vital signs are notable for HR 104 bpm and pulse oximetry 91% on room air. Physical exam identifies symmetric proximal muscle weakness in both upper and lower extremities. Lungs are clear. CT chest shows a 4 cm right hilar mass with bilateral mediastinal lymphadenopathy. What is the most likely diagnosis?
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Question 61 of 87
Which of the following type of muscle contains the largest number of mitochondria per cell?
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Question 62 of 87
Which of the following statements is false?
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Question 63 of 87
The accumulation of soft masses of fatty materials, particularly cholesterol, on the inside of the arterial wall is known as:
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Question 64 of 87
Least blood pressure is at:
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Question 65 of 87
The amount of blood that flows out of a ventricle per unit of time
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Question 66 of 87
Which of the following is not a major blood vessel of the cardiovascular system?
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Question 67 of 87
Identify the type of vessel that functions in exchange of blood gases, nutrients, and wastes.
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Question 68 of 87
A client in the primary care clinic has poor peripheral perfusion due to peripheral tissue perfusion. Which of the following would be a modifiable risk factor in the prevention of decreased tissue perfusion? Select all that apply.
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Question 69 of 87
A 50-year-old man with familial hyperlipidemia undergoes resection of an abdominal aneurysm. Signs of congestive heart failure develop shortly after surgery. Despite treatment, the patient becomes hypotensive and expires 2 days later. Autopsy reveals marked narrowing of coronary arteries, without thrombosis. Multiple foci of necrosis are found circumferentially around the inner walls of both ventricles. Which of the following is the most likely cause of congestive heart failure in this patient?
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Question 70 of 87
Which type of white blood cell plays a major role in immunity?
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Question 71 of 87
The visceral serous pericardium is also known as the:
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Question 72 of 87
Which of the following is/are involved in determining a person's total blood volume?
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Question 73 of 87
Regarding the conduction system of the heart:
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Question 74 of 87
An increase in cardiac output is required by all the following, except:
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Question 75 of 87
In response to a decrease in blood pressure, heart rate will_____ and the arterioles will______.
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Question 76 of 87
Identify the vessel that transports oxygen rich blood to the fetus.
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Question 77 of 87
The prenatal heart begins to pump blood in the:
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Question 78 of 87
An increase in contractility is determined on a Frank-Starling diagram by:
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Question 79 of 87
What is the natural pacemaker of the heart?
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Question 80 of 87
Clusters of neurons in the medulla oblongata that regulate blood pressure are known collectively as
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Question 81 of 87
The best description of pulse pressure is the:
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Question 82 of 87
After a hemicolectomy to remove a colon carcinoma, a 53-year-old man develops respiratory distress. He is intubated and receives mechanical ventilation with 100% oxygen. Three days later, his arterial oxygen saturation decreases. A chest radiograph shows increasing opacification in all lung fields. A transbronchial lung biopsy specimen shows hyaline membranes lining distended alveolar ducts and sacs. Which of the following most likely represents the fundamental mechanism underlying these morphologic changes?
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Question 83 of 87
Which of the following vessels carries blood from the lungs to the heart?
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Question 84 of 87
A hematocrit value of 42% would be:
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Question 85 of 87
The free radical nitric oxide is generated in cells by reaction catalyzed by:
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Question 86 of 87
The contraction of the heart muscle is called
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Question 87 of 87
Substance that hydrolyzes fibrin strands and dissolves blood clots
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