Use this free practice quiz with 20 questions to review 7 Integrated Cardiovascular Nursing Practice, test your knowledge, and prepare for your next test or exam.
A patient collapses, is unresponsive, is not breathing normally, and has ventricular fibrillation on the monitor. Starting CPR, activating the emergency response, and applying a defibrillator as soon as available are appropriate actions.
True
False
What clinical term describes a patient's report that breathing becomes harder when lying flat?
A patient asks about a commonly used heart-failure warning threshold for weight gain over one week. What amount, in pounds, is cited as a threshold for reporting?
True or false: When a patient has very high blood pressure with new neurologic symptoms, the nurse should independently give an extra dose of the patient's medication before obtaining clinical direction.
True
False
A hospitalized patient with heart failure has new crackles, increased ankle swelling, and a 2.5-kg (5.5-lb) weight gain in one week. Which action is the priority?
Place the patient flat and encourage oral fluids.
Assess respiratory status and oxygenation, position the patient upright, and promptly notify the provider.
Hold all prescribed medications until the next morning.
Encourage the patient to walk to reduce ankle swelling.
A patient with known coronary artery disease reports new, persistent chest pressure at rest with nausea, sweating, and shortness of breath. What should the nurse do first?
Ask the patient to walk briefly to assess exercise tolerance.
Activate the emergency response, assess the patient, and obtain prompt cardiac monitoring and a 12-lead ECG.
Give the patient food and reassess the discomfort in 30 minutes.
Reassure the patient that the symptoms are likely indigestion.
A patient has a blood pressure of 188/124 mm Hg, severe headache, blurred vision, and new weakness in one arm. Which response is the priority?
Arrange a routine appointment next week and repeat the measurement then.
Treat this as a possible hypertensive emergency and activate urgent evaluation.
Give an extra dose of medication without checking the order.
Encourage vigorous exercise to lower the blood pressure.
A patient has atrial fibrillation with a rapid ventricular rate and becomes confused and hypotensive while reporting chest pressure. What response is most appropriate?
Prepare for immediate synchronized cardioversion under the emergency protocol.
Wait for the rhythm to convert spontaneously.
Ask the patient to cough forcefully.
Give an oral rate-control medication and reassess in an hour.
A patient has a rapid rhythm. Select all findings from this list that indicate hemodynamic instability and warrant urgent response.
Hypotension
Altered mental status
Chest discomfort
Acute heart failure
A known, unchanged irregular pulse without symptoms
A patient with worsening heart failure is receiving diuretic treatment. Which items should the nurse monitor? Select all that apply.
Response to treatment
Urine output
Renal function
Electrolytes
Exercise tolerance as the sole measure of treatment response
A patient has very high blood pressure and new neurologic symptoms. Explain why this combination requires urgent evaluation and describe the nurse's immediate actions, including one action the nurse should avoid.
You are responsible for four patients. Which patient should you assess first?
A patient with stable hypertension requesting help reviewing a home blood-pressure log.
A patient with heart failure who gained 1 lb over a week but denies new symptoms.
A patient with coronary artery disease who now has chest pressure, sweating, and shortness of breath.
A patient with atrial fibrillation who has a known, unchanged irregular pulse and no symptoms.
True or false: A patient with heart failure who has been instructed to monitor weight should track it daily and report weight gain according to their care plan.
True
False
What clinical term describes a patient's difficulty breathing when lying flat?
When a patient with heart failure is treated with diuretics, what lab-monitoring category should be followed along with renal function?
A patient has a blood pressure of 188/124 mm Hg, severe headache, blurred vision, and new weakness in one arm. What is the priority nursing action?
Arrange a routine appointment and recheck the blood pressure next week.
Activate urgent evaluation for a possible hypertensive emergency.
Give an extra dose of the patient's medication without checking the order.
Encourage vigorous exercise to lower the blood pressure.
A patient collapses, is unresponsive, is not breathing normally, and has ventricular fibrillation on the monitor. What should the nurse do?
Start CPR, activate the emergency response, and apply a defibrillator as soon as available.
Obtain a 12-lead ECG before beginning treatment.
Give oral medication for rhythm control.
Wait for a provider to arrive before starting compressions.
A hospitalized patient with heart failure develops worsening difficulty breathing when lying flat, new crackles, increased ankle swelling, and a 2.5-kg weight gain in one week. Which action is the priority?
Place the patient flat and encourage oral fluids.
Assess respiratory status and oxygenation, position the patient upright, and promptly notify the provider.
Hold all prescribed medications until the next morning.
Encourage the patient to walk to reduce ankle swelling.
A patient with cardiovascular disease asks what they can do to support their long-term care plan. The nurse discusses taking prescribed medicines consistently, or medication , alongside risk-factor management and follow-up care.
A nurse encounters an acute change in a patient's condition. After assessing the patient and activating the appropriate response, the nurse should follow emergency and scope-of-practice requirements.
A medium-difficulty quiz on applying person-centred principles of fundamental care, including dignity, choice, safety, independence, infection prevention, and observation.
A 14-question quiz on coordinating care, supporting safe transitions, and maintaining continuity across providers and settings.
A medium-difficulty quiz on generating plausible hypotheses, comparing urgency and risk, explaining priorities, and revising them as patient cues change.
Learn how to develop plausible explanations from clinical cues, rank problems by urgency and risk, and revise priorities as a patient's condition changes.
Review how to assess patients, recognize changes, respond to pain, and communicate findings clearly.
Learn how to verify a patient’s identity safely before care, what to do when information does not match, and how to proceed when a patient cannot confirm their identity.
Learn how to compare plausible explanations for a client’s findings and prioritize the concern that poses the greatest immediate risk.
Learn how to provide respectful, individualized assistance with daily activities while supporting safety, comfort, independence, and early recognition of changes.
A medium-difficulty quiz on setting measurable patient goals and selecting, implementing, and evaluating interventions that address the priority problem.
Learn how to support safe, comfortable, and independent toileting, provide elimination and skin care, and recognize changes that require reporting or urgent attention.
Learn how to implement safe, prioritized nursing interventions, respond to deterioration, communicate concerns, and reassess patient outcomes.
Practice applying the NGN clinical judgment steps, using common item formats, and interpreting client changes.