Nokea
Which valves close during ventricular systole and open during ventricular diastole?
- A. Semilunar valves
- B. Atrioventricular Valves
- C. Mitral valve
- D. Tricuspid valve
Correct Answer: B
Rationale: During ventricular systole, the atrioventricular valves (AV valves) close to prevent blood from flowing back into the atria. This allows the ventricles to contract and pump blood out of the heart. During ventricular diastole, the AV valves open to allow blood to flow from the atria into the ventricles. The other choices are incorrect because semilunar valves (choice A) close to prevent blood from flowing back into the ventricles during ventricular diastole, and the mitral valve (choice C) and tricuspid valve (choice D) are specific types of AV valves.
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Which measure would be most useful in evaluating a client's compensation in chronic congestive heart failure?
- A. Weekly digoxin blood level assessment
- B. Daily weight assessment
- C. Hourly urinary output
- D. Monthly activity level assessment
Correct Answer: B
Rationale: Daily weight reflects fluid status.
The nurse is caring for a heart client on digoxin and notes a potassium level of 2.5. What is the appropriate priority nursing intervention?
- A. Do nothing as this is a normal potassium level.
- B. The potassium level is low so the nurse asks for an order for potassium.
- C. The nurse asks to check the digoxin level as low potassium can increase digoxin toxicity.
- D. The nurse stops the digoxin.
Correct Answer: C
Rationale: The correct answer is C because low potassium levels can increase the risk of digoxin toxicity. Digoxin and potassium have a reciprocal relationship, so low potassium levels can lead to digoxin toxicity. Checking the digoxin level is important to monitor for toxicity.
A is incorrect because a potassium level of 2.5 is low and requires intervention. B is not the appropriate action as giving potassium without checking the digoxin levels first can worsen toxicity. D is incorrect because abruptly stopping digoxin can be harmful and should only be done under the guidance of a healthcare provider.
Which condition is characterized by fluid collection in the lungs, making it difficult to breathe?
- A. Pulmonary edema
- B. Pleurisy
- C. Pleural effusion
- D. Pneumothorax
Correct Answer: A
Rationale: Pulmonary edema is the correct answer because it is characterized by fluid accumulation in the lungs, leading to difficulty in breathing. This condition is often a result of heart failure, where the heart is unable to pump blood effectively, causing fluid to leak into the lungs. It can also be caused by lung infections or exposure to toxins.
Pleurisy (B) is inflammation of the pleura, the lining around the lungs, leading to chest pain exacerbated by breathing. Pleural effusion (C) is fluid accumulation in the pleural space around the lungs, not within the lungs themselves. Pneumothorax (D) is characterized by air accumulation in the pleural space, causing lung collapse, but not fluid collection in the lungs.
Which fibers distribute the electrical impulse to the ventricles, causing them to contract?
- A. Purkinje fibers
- B. SA node
- C. AV node
- D. Bundle of His
Correct Answer: A
Rationale: The correct answer is A: Purkinje fibers. Purkinje fibers are specialized cardiac muscle fibers that distribute the electrical impulse from the AV node to the ventricles, causing them to contract. They are located in the ventricles and ensure synchronized and efficient contraction. The SA node (B) is the pacemaker of the heart, initiating the electrical impulse. The AV node (C) delays the impulse to allow for atrial contraction before ventricular contraction. The Bundle of His (D) is a pathway for the electrical impulse from the AV node to the bundle branches, which then lead to the Purkinje fibers for ventricular contraction.
What is a condition where the arteries that supply blood to the heart muscle become hardened and narrowed due to the buildup of plaque?
- A. Atherosclerosis
- B. Aneurysm
- C. Arrhythmia
- D. Peripheral artery disease
Correct Answer: A
Rationale: The correct answer is A: Atherosclerosis. Atherosclerosis is the condition where arteries supplying blood to the heart become hardened and narrowed due to plaque buildup, leading to decreased blood flow and potential heart issues. Aneurysm (B) is the weakening and bulging of an artery wall, not related to plaque buildup. Arrhythmia (C) is an irregular heartbeat, not directly related to arterial blockages. Peripheral artery disease (D) involves narrowing of arteries in the limbs, not specifically related to the heart. Thus, Atherosclerosis is the most fitting choice for the given condition.