HESI LPN · LPN Cardiovascular System Practice Exam
Question 1 of 76
Which condition occurs when the heart muscle is damaged due to a lack of oxygen, often resulting from a heart attack?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 2 of 76
The client on digoxin has a potassium level of 2.7 mEq/L. What is the nurse's priority action?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 3 of 76
What is the condition where the lungs become filled with fluid, often due to heart failure, making it difficult to breathe?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 4 of 76
What term refers to the degree of myocardial fiber stretch before contraction, related to the volume of blood distending the ventricles at the end of diastole, and determined by the amount of venous return?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 5 of 76
The patient is experiencing chest pain and pain radiating to his arms, jaw, and back. The provider diagnosed his condition as a myocardial infarction. The patient asks what happened to him. The best response is:
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 6 of 76
What test measures the pressure in the arteries during the contraction and relaxation of the heart?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 7 of 76
What is a condition where the blood pressure in the arteries is consistently too high, increasing the risk of heart disease and stroke?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 8 of 76
During hemodynamic monitoring, the nurse finds that the patient has a decreased CO with unchanged pulmonary artery wedge pressures, HR, and SVR. The nurse identifies that the patient has a decrease in
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 9 of 76
What procedure involves using a balloon to open a narrowed or blocked blood vessel, often followed by the placement of a stent?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 10 of 76
The client is receiving digoxin and complains of nausea. What is the nurse's priority action?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 11 of 76
Which medication relaxes the muscles around the airways, making it easier to breathe?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 12 of 76
Which of the following symptoms is observed in the client with right-sided heart failure?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 13 of 76
For what reason might the nurse be given an order to administer milrinone (Primacor)?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 14 of 76
The nurse is giving the client digoxin for heart failure and recognizes that the drug has what type of effect on the heart?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 15 of 76
Priority Decision: A patient is hospitalized after a successful resuscitation of an episode of sudden cardiac death (SCD). During the care of the patient, what nursing intervention is most important?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 16 of 76
Identify the three layers of the heart:
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 17 of 76
What is a condition where a blood clot forms in a vein, often in the legs, which can cause pain and swelling and may lead to serious complications if it travels to the lungs?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 18 of 76
The nurse is administering an ACE inhibitor to a client. What is the most common side effect?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 19 of 76
What is the primary BP effect of β-adrenergic blockers such as atenolol (Tenormin)?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 20 of 76
What is the condition where the blood vessels that supply blood to the legs and feet become narrowed or blocked, causing pain and difficulty walking?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 21 of 76
What is the condition where the body's immune system attacks its tissues, causing inflammation and damage?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 22 of 76
Which valve opens during ventricular systole and closes during ventricular diastole?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 23 of 76
What is the condition where the heart's mitral valve becomes narrowed, restricting blood flow from the left atrium to the left ventricle?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 24 of 76
The client on warfarin has an INR of 3.8. What is the most appropriate action by the nurse?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 25 of 76
Which term refers to a condition where the blood supply to part of the heart muscle is blocked, often referred to as a heart attack?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 26 of 76
Which type of medication helps to lower cholesterol levels in the blood?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 27 of 76
Which medication is used to lower high blood pressure and reduce the risk of heart attacks and strokes?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 28 of 76
What term describes the phenomenon wherein decreased BP causes a reflex SNS response with increased pulse, increased contractility, and vasoconstriction; and increased BP causes reflex vagal responses resulting in decreased heart rate and passive vasodilation in the systemic arterioles?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 29 of 76
This test measures the amount of blood the heart pumps with each beat, often used to assess heart function.
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 30 of 76
Pneumothorax symptoms.
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 31 of 76
The nurse is encouraging a sedentary patient with major risks for CAD to perform physical exercise on a regular basis. In addition to decreasing the risk factor of physical inactivity, the nurse tells the patient that exercise will also directly contribute to reducing which risk factors?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 32 of 76
Which term refers to the contraction phase of the heart when blood is ejected from the chambers?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 33 of 76
Which test measures the electrical activity of the heart and can detect arrhythmias and other heart conditions?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 34 of 76
This heart condition is characterized by decreased cardiac output and tissue perfusion, which can lead to organ failure.
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 35 of 76
What is a condition where the airways become inflamed and narrow, making breathing difficult?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 36 of 76
What is a condition where the heart's ability to pump blood is reduced because the heart muscle is enlarged, thickened, or stiffened?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 37 of 76
What is the condition where the lung collapses due to air leaking into the space between the lung and chest wall?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 38 of 76
A nurse responds to a telemetry alarm and determines that the client is in which rhythm, where the rate is greater than 150, diastole is shortened, and the heart does not have sufficient time to fill?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 39 of 76
What is a type of pneumonia that is contracted by inhaling contaminated water droplets?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 40 of 76
What test uses sound waves to create images of the heart and assess its structure and function?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 41 of 76
What is a procedure to remove fluid or air from the pleural space to help a patient breathe easier?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 42 of 76
The nurse is giving nitroglycerin sublingually for chest pain. What is the most important instruction to give to the client?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 43 of 76
What is a chronic inflammatory disease that affects the small airways in the lungs, leading to episodes of wheezing, breathlessness, and coughing?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 44 of 76
What is a condition where the heart muscle becomes abnormally enlarged, thickened, or stiffened, often leading to heart failure?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 45 of 76
What is the ability of cardiac cells to respond to an impulse by transmitting the impulse along cell membranes?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 46 of 76
The client has a prescription for sublingual nitroglycerin. What is the nurse's instruction for how to take this medication during an episode of chest pain?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 47 of 76
The nurse is giving a client an IV bolus of heparin. What is the most important nursing action?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 48 of 76
If Mrs. Payer's pulmonary capillary wedge pressure (PCWP) is rising above normal values, this would indicate
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 49 of 76
The nurse is giving digoxin to a client. What is the most important parameter to check before administration?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 50 of 76
Which condition is characterized by the lungs becoming scarred and stiff, leading to difficulty breathing and inadequate oxygen intake into the bloodstream?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 51 of 76
The client is on spironolactone (Aldactone). What is the most important dietary instruction?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 52 of 76
The client is on spironolactone (Aldactone) and has a potassium level of 5.9 mEq/L. What is the nurse's priority action?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 53 of 76
What does the nurse teach the client who has had a mechanical valve placed?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 54 of 76
When teaching about methyldopa, it is important for the patient to know that it
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 55 of 76
Which of the following is a rare but serious condition where the pulmonary arteries become narrowed, increasing the blood pressure in the lungs?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 56 of 76
What is the primary consideration when preparing to administer thrombolytic therapy to a patient who is experiencing an acute myocardial infarction (MI)?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 57 of 76
The client is receiving intravenous dopamine. What is the most important nursing assessment?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 58 of 76
During which process does coronary artery blood flow to the myocardium occur during diastole, when coronary vascular resistance is reduced?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 59 of 76
The nurse is caring for a client on warfarin with an INR of 1.8. What is the most appropriate action?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 60 of 76
In Mrs. Jones' discharge teaching with a permanent pacemaker, which point should be covered?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 61 of 76
In the patient with chest pain, which results can differentiate unstable angina from an MI?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 62 of 76
Which condition involves the enlargement and weakening of the left ventricle of the heart, leading to reduced pumping ability?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 63 of 76
Which of the following is a chronic lung disease that results in the gradual destruction of the alveoli, causing difficulty breathing and reduced oxygen exchange?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 64 of 76
Which nursing diagnosis is most appropriate for a patient with chronic venous insufficiency?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 65 of 76
A long-term-care resident with venous stasis ulcers is treated with Unna's boot. Which of the nursing activities included in the resident's care is best for you to delegate to a nursing assistant?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 66 of 76
In third-degree atrioventricular block, all sinus impulses fail to activate the ventricles. This will be detected by
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 67 of 76
Which of the following nursing interventions should a nurse perform to relieve tachycardia that may develop in a client with myocarditis from hypoxemia?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 68 of 76
You are working in the ED caring for a patient who was just admitted with left anterior chest pain, possible unstable angina or myocardial infarction. Which nursing activity will you accomplish first?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 69 of 76
What type of medication is used to reduce inflammation in the airways and prevent asthma attacks?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 70 of 76
Receiving a report that Mr. K.'s prothrombin time (PT) is 4-4.5 times normal, your nursing action would be to
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 71 of 76
The client on furosemide is at risk for which electrolyte imbalance?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 72 of 76
The client is on nitroglycerin patches. What should the nurse include in the client's education?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 73 of 76
What is a condition where the alveoli are gradually destroyed, leading to shortness of breath and reduced oxygen exchange?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 74 of 76
What is the accumulation of fatty deposits along the walls of arteries, leading to reduced blood flow?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 75 of 76
What structure separates the left and right sides of the heart?
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HESI LPN · LPN Cardiovascular System Practice Exam
Question 76 of 76
Clients taking diuretics for chronic congestive heart failure need to be taught to report
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