NCLEX CRUSADE ACADEMY TEST - 17 CARDIOVASCULAR DISORDERS PRT 2 PRACTICE CLASS

1. Mean Arterial Pressure (MAP) is calculated using which formula?. SBP + DBP / 2. (SBP + DBP) / 2. (SBP + 2(DBP)) / 3. (SBP - DBP) / 3.

2. A MAP below which value is considered a perfusion emergency?. 80 mmHg. 70 mmHg. 65 mmHg. 60 mmHg.

3. Infective endocarditis commonly begins with: Valve calcification. Infection entering bloodstream. Congenital defects. Heart failure.

4. The growth on heart valves caused by infective endocarditis is called: Thrombus. Vegetation. Plaque. Calcification.

5. A major complication when vegetations break off in infective endocarditis is: Hypertension. Embolization. Bradycardia. Hyperglycemia.

6. Splinter hemorrhages under the nails are associated with: Pulmonary embolism. Infective endocarditis. Aortic stenosis. Myocardial infarction.

7. Sudden pallor and coldness of an extremity in endocarditis indicates: Fever response. Arterial embolism. Hypoglycemia. Infection.

8. Peripheral Artery Disease (PAD) typically causes: Pain at rest. Intermittent claudication. Severe edema. Warm red skin.

9. Which physical finding is consistent with PAD?. Warm swollen leg. Dependent rubor. Cyanosis of hands. Jugular vein distention.

10. When assessing PAD, the nurse should FIRST: Ask about smoking. Assess pulses and perfusion. Review cholesterol levels. Check diet history.

11. In prioritization questions, which framework is commonly used?. Nutrition pyramid. Maslow and ABCs. Growth chart. Glasgow coma scale.

12. Which patient should be prioritized?. Chronic stable heart defect. Patient with acute dyspnea. Scheduled surgery patient. Patient with chronic PAD.

13. In coronary artery disease, restoring perfusion is prioritized over: Pain control. Oxygen administration. Fluid therapy. Blood transfusion.

14. Tetralogy of Fallot includes which four defects?. ASD, VSD, MI, CHF. Pulmonary stenosis, VSD, overriding aorta, RV hypertrophy. Aortic stenosis, MI, VSD, LV hypertrophy. PDA, ASD, MI, CHF.

15. Tetralogy of Fallot results in what type of shunt?. Left-to-right. Right-to-left. Bidirectional. No shunt.

16. Right-to-left shunting causes: Hypertension. Cyanosis. Bradycardia. Hyperglycemia.

17. Chronic hypoxemia in congenital heart disease may cause: Leukopenia. Polycythemia. Hypoglycemia. Anemia.

18. Clubbing of fingers is associated with: Chronic hypoxia. Kidney disease. Liver disease. Hyperglycemia.

19. A Tet spell in Tetralogy of Fallot is commonly triggered by: Sleep. Crying or feeding. Dehydration. Exercise.

20. The immediate nursing intervention during a tet spell is: Lay patient flat. Knee-chest position. Restrict oxygen. Give insulin.

21. Additional treatment during tet spells includes: Morphine and oxygen. Insulin. Antibiotics. Anticoagulants.

22. In prioritization, which factor is most important?. Patient age. Time acuity. Family history. Lab values.

23. When evaluating symptoms, nurses should differentiate: Expected symptoms vs complications. Diet vs medications. Age vs gender. Acute vs chronic diseases only.

24. Which clinical sign suggests embolization in infective endocarditis?. Fever. Splinter hemorrhages. Sudden cold limb. Joint pain.

25. According to NCLEX clinical reasoning strategy, nurses should prioritize: Memorizing facts. Perfusion over oxygenation. Lab interpretation only. Diagnostic imaging.