Med-surg: cardiovascular & respiratory worksheet with answers

Together with fever, which finding should raise suspicion of infective endocarditis?

1. AA slow heart rate
2. BPain in one calf
3. CA dry, tickly cough
4. DA new heart murmur

Which blood test is most specific for damage to the heart muscle?

1. ALactate dehydrogenase
2. BCreatine kinase (total)
3. CC-reactive protein
4. DCardiac troponin

Which coronary artery mainly supplies the front (anterior) wall of the left ventricle?

1. AThe circumflex artery only
2. BThe left anterior descending artery
3. CThe pulmonary artery
4. DThe right coronary artery and its marginal branch

A patient's blood pressure is 120/60 mmHg. What is the approximate mean arterial pressure?

1. A100 mmHg
2. B80 mmHg
3. C60 mmHg
4. D90 mmHg

Which vaccinations are usually recommended for people with COPD?

1. AA BCG vaccine every five years
2. BA yearly tetanus booster only
3. CNo vaccines at all, as they are known to trigger exacerbations
4. DAnnual influenza and pneumococcal vaccination

A patient on theophylline develops nausea, vomiting, a fast heart rate and restlessness. What should the nurse suspect?

1. AA theophylline allergy causing a rash
2. BAn expected sign that the drug is working
3. CHypoglycaemia caused by the drug
4. DTheophylline toxicity

Minutes after an IV antibiotic is started, a patient has wheeze, swollen lips, a rash and BP 78/44 mmHg. The infusion has been stopped and help called. What is the next priority?

1. ARestart the infusion at a slower rate
2. BGive intramuscular adrenaline (epinephrine)
3. CGive an oral antihistamine tablet and observe for an hour
4. DGive a nebulised salbutamol dose only

Seconds after an intramuscular injection, a patient becomes pale, sweaty and faint, with a heart rate of 48/min. There is no rash, wheeze or swelling, and they recover quickly when laid flat. What is the most likely cause?

1. AAnaphylaxis
2. BA tension pneumothorax
3. CA myocardial infarction
4. DA vasovagal reaction