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Hypertension and Coronary Artery Disease – Nursing GK MCQ

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Post published:July 27, 2023
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Hypertension and Coronary Artery Disease

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Hypertension and Coronary Artery Disease – Nursing GK MCQ (उच्च रक्तचाप और कोरोनरी धमनी रोग)

Welcome to our comprehensive MCQ’s page on “Hypertension and Coronary Artery Disease,” designed to help you enhance your knowledge and preparation for various competitive exams, including UPSC IAS and more. This resourceful platform offers a vast collection of multiple-choice questions sourced from previous year papers of diverse sectors, providing you with an opportunity to test and refine your understanding of these critical medical topics.

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Hypertension and Coronary Artery Disease – Nursing GK MCQ – Previous Year Questions

Question:

A client is scheduled for a cardiac catheterization using a radiopaque dye. Which of the following assessments is most critical before the procedure?

A Intake and output
BBaseline peripheral pulse rates
CHeight and weight
DAllergy to iodine or shellfish

Question:

A client with no history of cardiovascular disease comes into the ambulatory clinic with flu-like symptoms. The client suddenly complains of chest pain. Which of the following questions would best help a nurse to discriminate pain caused by a non-cardiac problem?

A “Have you ever had this pain before?”
B “Can you describe the pain to me?”
C“Does the pain get worse when you breathe in?”
DCan you rate the pain on a scale of 1-10, with ten (10) being the worst?”

Question:

A client with myocardial infarction has been transferred from a coronary care unit to a general medical unit with cardiac monitoring via telemetry. A nurse plans to allow for which of the following client activities?

AStrict bed rest for 24 hours after transfer.
BBathroom privileges and self-care activities.
CUnsupervised hallway ambulation with distances under 200 feet
DAd lib activities because the client is monitored.

Question:

A nurse notes 2+ bilateral edema in the lower extremities of a client with myocardial infarction who was admitted two (2) days ago. The nurse would plan to do which of the following next?

AReview the intake and output records for the last two (2) days.
B Change the time of diuretic administration from morning to evening.
CRequest a sodium restriction of one (1) g/day from the physician.
DOrder daily weight starting the following morning.

Question:

A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no electrocardiogram complexes on the screen. The first action of the nurse is to:

A. Check the client status and lead placement.
B Press the recorder button on the electrocardiogram console.
CCall the physician.
DCall a code blue.

Question:

A nurse is assessing the blood pressure of a client diagnosed with primary hypertension. The nurse ensures accurate measurement by avoiding which of the following?

A Seating the client with arm bared, supported, and at heart level.
BMeasuring the blood pressure after the client has been seated quietly for 5 minutes.
C Using a cuff with a rubber bladder that encircles at least 80% of the limb.
D Taking a blood pressure within 15 minutes after nicotine or caffeine ingestion.

Question:

IV heparin therapy is ordered for a client. While implementing this order, a nurse ensures that which of the following medications is available in the nursing unit?

AVitamin K
BAminocaproic acid
C Potassium chloride
DProtamine sulfate

Question:

A client is at risk for pulmonary embolism and is on anticoagulant therapy with warfarin (Coumadin). The client’s prothrombin time is 20 seconds, with a control of 11 seconds. The nurse assesses that this result is:

AThe same as the client’s own baseline level.
B Lower than the needed therapeutic level.
C Within the therapeutic range.
D Higher than the therapeutic range.

Question:

A client who has been receiving heparin therapy also is started on warfarin. The client asks a nurse why both medications are being administered. In formulating a response, the nurse incorporates the understanding that warfarin:

AStimulates the breakdown of specific clotting factors by the liver, and it takes two (2)- three (3) days for this to exert an anticoagulant effect.
B Inhibits synthesis of specific clotting factors in the liver, and it takes 3-4 days for this medication to exert an anticoagulant effect.
CStimulates production of the body’s own thrombolytic substances, but it takes 2-4 days for this to begin.
DHas the same mechanism of action as Heparin, and the crossover time is needed for the serum level of warfarin to be therapeutic.

Question:

A 60-year-old male client comes into the emergency department with complaints of crushing chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction. Immediate admission orders include oxygen by NC at 4L/minute, blood work, chest X-ray, an ECG, and two (2) mg of morphine given intravenously. The nurse should first:

AAdminister the morphine.
BObtain a 12-lead ECG.
CObtain the lab work.
D. Order the chest x-ray.

Question:

When administered a thrombolytic drug to the client experiencing an MI, the nurse explains to him that the purpose of this drug is to:

AHelp keep him well hydrated.
BDissolve clots he may have.
CPrevent kidney failure.
DTreat potential cardiac arrhythmias.

Question:

When interpreting an ECG, the nurse would keep in mind which of the following about the P wave? Select all that apply.

A Reflects electrical impulse beginning at the SA node.
BReflects atrial muscle depolarization.
CHas a duration of normally 0.11 seconds or less.
DAll of these

Question:

A client has driven himself to the ER. He is 50 years old, has a history of hypertension, and informs the nurse that his father died of a heart attack at 60 years of age. The client is presently complaining of indigestion. The nurse connects him to an ECG monitor and begins administering oxygen at 2 L/minute per NC. The nurse’s next action would be to:

ACall for the doctor.
BStart an intravenous line.
C Obtain a portable chest radiograph.
DDraw blood for laboratory studies.

Question:

The nurse receives emergency laboratory results for a client with chest pain and immediately informs the physician. An increased myoglobin level suggests which of the following?

A. Cancer
BHypertension
CLiver disease
DMyocardial infarction

Question:

When teaching a client about propranolol hydrochloride, the nurse should base the information on the knowledge that propranolol hydrochloride:

ABlocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial contractility, and Conduction.
B Increases norepinephrine secretion and thus decreases blood pressure and heart rate.
CIs a potent arterial and venous vasodilator that reduces peripheral vascular resistance and lowers blood pressure.
DIs an angiotensin-converting enzyme inhibitor that reduces blood pressure by blocking the conversion of angiotensin I to angiotensin II.

Question:

The most important long-term goal for a client with hypertension would be to:

ALearn how to avoid stress.
BExplore a job change or early retirement.
CMake a commitment to long-term therapy.
DControl high blood pressure.

Question:

Hypertension is known as the silent killer. This phrase is associated with the fact that hypertension often goes undetected until symptoms of other system failures occur. This may occur in the form of:

ACerebrovascular accident
BLiver disease
C Myocardial infarction
DPulmonary disease

Question:

During the previous few months, a 56-year-old woman felt brief twinges of chest pain while working in her garden and has had frequent episodes of indigestion. She comes to the hospital after experiencing severe anterior chest pain while raking leaves. Her evaluation confirms a diagnosis of stable angina pectoris. After stabilization and treatment, the client is discharged from the hospital. At her follow-up appointment, she is discouraged because she is experiencing pain with increasing frequency. She states that she is visiting an invalid friend twice a week and now cannot walk up the second flight of steps to the friend’s apartment without pain. Which of the following measures that the nurse could suggest would most likely help the client deal with this problem?

AVisit her friend earlier in the day.
B Rest for at least an hour before climbing the stairs.
CTake a nitroglycerin tablet before climbing the stairs.
D. Lie down once she reaches the friend’s apartment.

Question:

Which of the following symptoms should the nurse teach the client with unstable angina to report immediately to her physician?

A A change in the pattern of her pain.
BPain during sex.
CPain during an argument with her husband.
D Pain during or after an activity such as lawn mowing.

Question:

The physician refers the client with unstable angina for a cardiac catheterization. The nurse explains to the client that this procedure is being used in this specific case to: