Med-surg: cardiovascular & respiratory worksheet with answers

Free printable Med-surg: cardiovascular & respiratory worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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1.Easy

Why should a patient rinse their mouth after using an inhaled corticosteroid?

  1. ATo wash the drug down into the lungs
  2. BTo prevent a tremor from the drug
  3. CTo reduce oral thrush and hoarseness
  4. DTo make the drug act more quickly
2.Easy

What is the normal resting heart rate range for an adult?

  1. A60–100 beats per minute
  2. B30–50 beats per minute
  3. C40–60 beats per minute
  4. D100–140 beats per minute
3.Easy

Which side effect is typical of an inhaled long-acting antimuscarinic such as tiotropium?

  1. AWeight gain
  2. BDiarrhoea
  3. COral thrush
  4. DDry mouth
4.Medium

A patient with heart failure starts dapagliflozin, an SGLT2 inhibitor. Which teaching is most relevant?

  1. AKeep the genital area clean, as fungal infections are more common
  2. BExpect the urine to turn bright orange and stain underwear and clothes
  3. CAvoid drinking any fluids at all for the first week of treatment
  4. DTake an extra dose if the ankles swell
5.Medium

During an episode of chest pain, a patient's ECG shows new horizontal ST depression. What does this most likely indicate?

  1. AMyocardial ischaemia
  2. BA normal finding during pain
  3. CPericarditis
  4. DHyperkalaemia
6.Medium

Why must intravenous potassium chloride never be given as a rapid push or undiluted?

  1. AIt immediately lowers the blood glucose to dangerous levels
  2. BIt works only when given by mouth
  3. CA sudden high potassium level can cause cardiac arrest
  4. DIt turns into solid crystals inside the vein and blocks it
7.Hard

The monitor of a patient with a permanent pacemaker shows pacing spikes, but none of them is followed by a QRS complex. What does this mean?

  1. AAtrial fibrillation
  2. BFailure to sense
  3. CFailure to capture
  4. DNormal pacemaker function
8.Hard

On day 6 of a heparin infusion, the platelet count has fallen by more than half and the patient has a new swollen arm. What should the nurse anticipate?

  1. AContinuing the heparin and giving a platelet transfusion
  2. BSwitching to LMWH because it is a different drug
  3. CStopping all anticoagulation for two weeks
  4. DStopping all heparin and starting a non-heparin anticoagulant

Answer key

  1. 1. C · To reduce oral thrush and hoarseness
  2. 2. A · 60–100 beats per minute
  3. 3. D · Dry mouth
  4. 4. A · Keep the genital area clean, as fungal infections are more common
  5. 5. A · Myocardial ischaemia
  6. 6. C · A sudden high potassium level can cause cardiac arrest
  7. 7. C · Failure to capture
  8. 8. D · Stopping all heparin and starting a non-heparin anticoagulant

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