1) What is the first-line treatment for atherosclerosis? a) Beta-blockers b) Statins c) ACE inhibitors d) Diuretics 2) Which lab value is most specific for diagnosing a myocardial infarction? a) myoglobin b) troponin c) CK-MB d) BNP 3) What is the priority teaching for a patient with a mechanical heart valve? a) Lifelong anticoagulants b) Weight-based antibiotic dosing c) Annual stress testing d) Short-term steroid therapy 4) Which assessment requires immediate action in a patient with heart failure? a) 2+ pitting edema b) Dyspnea at rest c) Soft, intermittent crackles  d) Occasional nonproductive cough 5) A patient reports chest pain at rest that is not relieved by nitroglycerin. What is this most likely? a) Vasospastic angina b) Unstable angina c) Valve disease d) Stable angina 6) Which lab value would the nurse expect to be elevated in heart failure? a) BNP b) Troponin c) WBC d) Platelets 7) Which condition is associated with fever, murmur, and splinter hemorrhages? a) Pericarditis b) Endocarditis c) Pulmonary embolism d) Pulmonary edema 8) What is the therapeutic action of digoxin in heart failure? a) Decreases cardiac preload b) Increases myocardial contractility c) Reduces heart rate and blood pressure d) Lowers systemic vascular resistance 9) What is a critical point of teaching for a patient prescribed warfarin? a) Increase potassium-rich foods to prevent toxicity b) Maintain consistent intake of green leafy vegetables c) Double the dose if a dose is missed d) Avoid all foods containing vitamin C 10) Which finding increases the patient’s risk for digoxin toxicity? a) Sodium of 141 b) Digoxin level of 0.8 c) Potassium level of 4.5 d) Potassium level of 3.3 11) What is a common cause of CAD? a) Bacterial infection b) Low salt c) Viral infection d) High cholesterol 12) Which patient statement indicates understanding of dietary changes post-MI? a) "I will drink grapefruit juice for my cholesterol." b) "I’ve started grilling fish instead of eating steak." c) "I will eat a full breakfast and eat less at dinner." d) "I use salt substitutes to flavor my meals." 13) What is a diagnostic tool for valve disease? a) Echocardiogram b) MRI c) CT scan d) Chest X-ray 14) Which symptom indicates worsening CHF? a) Weight loss b) Edema c) Increased energy d) Improved appetite 15) Which cardiac condition requires lifelong anticoagulation therapy? a) Mechanical heart valve replacement b) Mitral valve stenosis c) Cardiac stent placed during PCI d) Tissue valve placed 6 months ago 16) Which medication reduces CHF symptoms? a) Diuretics b) Antibiotics c) Antivirals d) Antifungals 17) What is a risk factor for valve disease? a) Bacterial infection b) Low cholesterol c) Viral infection d) Rheumatic fever 18) A patient with atrial fibrillation is at greatest risk for which complication? a) Stroke b) Myocarditis c) Pulmonary edema d) Coronary artery spasm 19) What is the primary goal of MI treatment? a) Reduce afterload to decrease cardiac workload b) Strengthen the heart muscle through exercise c) Prevent fluid retention to avoid pulmonary edema d) Reperfusion of the myocardium 20) Which is the best response to a patient asking why they need antibiotics before dental work after valve surgery? a) “To prevent bacteria from entering your bloodstream and infecting your valve.” b) “To stop plaque buildup from affecting your valve leaflets.” c) “To prevent jaw clenching from worsening your valve problem.” d) “To lower your blood pressure during dental procedures.”

Cardiac Disorders Quiz

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