Tiêu đề WORKBOOK - CARDIO (KEY) ✅

1 | Page COMPREHENSIVE PHASE WORKBOOK MS: CARDIOVASCULAR SYSTEM NOV 2025 Philippine Nurse Licensure Examination Review 1. Mr. Diongzon came to the family clinic and complained of recent occipital headaches, blurred vision, fatigue, and increasing edema. The nurse reports these findings as indicative of A. Endocarditis B. Hypovolemic shock C. Hypertension D. Ventricular tachycardia 2. Myrna H was diagnosed with myocarditis. Anxious and afraid, she asked the nurse about the prognosis. The most appropriate response by the nurse is A. “A heart transplant would be necessary.” B. “Most often, a person will do well with coronary artery bypass surgery.” C. “A coronary angioplasty would only involve a 1- to 3- day hospitalization.” D. “Recovery usually happens without any special treatment.” 3. Helena S came to the clinic due to fever and chest pain. She was later on diagnosed with bacterial endocarditis. Which of the following interventions should the nurse include? Select all that apply: I. Rest II. Fluid restriction III. Vitamin K (Aquamephyton) IV. Analgesics V. Antibiotics VI. Physical therapy A. 1, 2, 3, 5 B. 1, 2, 5 C. 1, 4, 5 D. 2, 3, 6 4. Bernardo A is a 50 year old patient with uncontrolled Stage II hypertension. During his follow-up consult, a urine sample was requested. He asks why it is needed. The nurse informs the client it is to check for: A. protein, which may indicate the kidneys are affected. B. illegal drugs, which may have caused the hypertension. C. infection, which may cause the blood pressure to rise. D. the appropriate drug level of the antihypertensive medication. 5. Aleena S is a 45 year old who came to the ER due to sudden chest pain. She has been admitted with a possible myocardial infarction and active peptic ulcer disease. Which of the following orders should be questioned? A. Nitroglycerin SL B. Oxygen by nasal cannula C. Morphine IV D. Aspirin PO 6. Merlene is a 12 year old girl diagnosed with rheumatic heart disease. Her mother asks, “How did my child get rheumatic heart disease? We don’t have any family history.” The most appropriate response by the nurse is that rheumatic heart disease is frequently a result of A. hypertension. B. streptococcal infection. C. genetic tendency. D. pregnancy. 7. Which of the following interventions are a priority during exacerbation of left-sided heart failure? Select all that apply: I. Metered dose inhaler of albuterol II. High-Fowler’s position III. Oxygen IV. IV fluids V. Incentive spirometer VI. Diuretics A. 1, 2, 3, 5 B. 2, 3, 6 C. 1, 3, 4 D. 1, 2, 3, 6 8. Nurse Fely is conducting a discharge planning session with Mariana who was diagnosed with heart failure. Which of the following statements by the client shows an appropriate understanding of the nurse’s teaching? A. “I will do weekly finger-stick monitoring of my sodium levels.” B. “I will call my doctor if I gain more than 2 pounds in a day.” C. “I will take my angiotensin-converting enzyme (ACE) inhibitor as needed for shortness of breath.” D. “I will not take my diuretic pill on weekends when I am traveling, in order to avoid incontinence.” 9. The nurse should monitor a client after a coronary angioplasty for which of the following clinical manifestations indicating cardiac tamponade? Select all that apply: I. Muffled heart sounds II. Headache III. Hypotension IV. Vision changes V. Cool, diaphoretic skin VI. Tachycardia A. 1, 2, 4, 5, 6 B. 1, 3, 4, 6 C. 1, 3, 5, 6 D. 2, 3, 4, 5 10. Purita is allergic to penicillin. Immediately after receiving cefazolin (Ancef) IV for prophylaxis for a pacemaker insertion, the client becomes restless, tachycardic, and hypotensive. Which of the following interventions should the nurse implement as the priority? A. Administer epinephrine (adrenaline) B. Obtain stat blood culture C. Administer thrombolytic therapy D. Administer atropine 11. Restituto had a myocardial infarction 5 months ago. He is concerned about when it is safe to resume sexual activity. The most appropriate response by the nurse is A. “You should really talk to your doctor about that.” B. “Continue with the sexual practice with which you are most comfortable.” C. “You need to first undergo a cardiac stress test.” D. “When you’re able to climb two flights of stairs comfortably.” 12. Kelly H is about to undergo a transesophageal echocardiogram (TEE). Which of the following should the nurse include which of the following in the client education? A. “You will be able to eat only liquids for the first day after the procedure.” B. “You will need a designated driver to take you home.” C. “The procedure involves a series of MRI that may require you to come back.” D. “The procedure involves a balloon that will press plaque against the blocked walls of your coronary artery.” * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *